FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-89055
1. DOMINO'S PIZZA LLC POLITICAL ACTION CMTE
30 FRANK LLOYD WRIGHT DRIVEANN ARBOR, MI 48106
Email: SLMing@Comerica.com
2. Date: 07/01/2003
3. FEC Committee ID #: C00366088 This committee is a Separate Segregated FundAffiliated Committees/Organizations
DOMINO'S PIZZA LLC30 FRANK LLOYD WRIGHT DRIVE
ANN ARBOR, Michigan 48106
Relationship: CONNECTED
Organization Type: Corporation
Custodian of Records:
COMERICA BANK C/O MARTHA DENBAASP.O. BOX 75000
MC 2250
DETROIT, MI 482752250
Title: RECORDKEEPER
Phone # (248) 371-7268
Treasurer:
JEFFREY D. LAWRENCE30 FRANK LLOYD WRIGHT DRIVE
ANN ARBOR, Michigan 48106
Title: TREASURER
Phone # (734) 930-3205
Designated Agent(s):
STEVEN J. GODA30 FRANK LLOYD WRIGHT DRIVE
ANN ARBOR, Michigan 48106
Title: ASST. TREASURER
Phone # (734) 930-3583
Banks or Depositories
COMERICA BANKP.O. BOX 75000
MC 2250
DETROIT, Michigan 482752250