FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-297721
1. Dominos Pizza LLC Political Action Committee (Dominos Pizza PAC)
30 Frank Lloyd Wright DriveAnn Arbor, MI 48106
Email: Michele_K_Dempsey@Comerica.com
2. Date: 07/25/2007
3. FEC Committee ID #: C00366088 This committee is a Separate Segregated FundAffiliated Committees/Organizations
Dominos Pizza LLC30 FRANK LLOYD WRIGHT DRIVE
ANN ARBOR, Michigan 48106
Relationship: CONNECTED
Organization Type: Corporation
Custodian of Records:
COMERICA BANK PAC SERVICESP.O. BOX 75000
MC 2250
DETROIT, MI 482752250
Title: RECORDKEEPER
Phone # (248) 371-7270
Treasurer:
JEFFREY D. LAWRENCE30 FRANK LLOYD WRIGHT DRIVE
ANN ARBOR, Michigan 48106
Title: TREASURER
Phone # (734) 930-3205
Designated Agent(s):
MICHELLE HOOK30 FRANK LLOYD WRIGHT DRIVE
ANN ARBOR, Michigan 48106
Title: ASST. TREASURER
Phone # (734) 930-3583
Banks or Depositories
COMERICA BANKPAC SERVICES MC 2250
P.O. BOX 75000
DETROIT, Michigan 482752250