FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-363205
1. Dominos Pizza LLC Political Action Committee (Dominos Pizza PAC)
30 Frank Lloyd Wright DriveAnn Arbor, MI 48106
2. Date: 09/19/2008
3. FEC Committee ID #: C00366088 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated Committees/Organizations
Domino's Pizza LLC30 FRANK LLOYD WRIGHT DRIVE
ANN ARBOR, Michigan 48106
Affiliated Relationship Code: Connected Organization
Custodian of Records:
COMERICA BANK, C/O JAMES HOEBERLINGP.O. BOX 75000
MC 2250
DETROIT, MI 482752250
Title: RECORDKEEPER
Phone # (248) 371-7270
Treasurer:
STEVE GODA30 FRANK LLOYD WRIGHT DRIVE
ANN ARBOR, Michigan 48106
Title: TREASURER
Phone # (734) 930-3593
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