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FEC Form 1 for EnergySolutions, Inc. Fund for Effective Government (EnergySolutions PAC)Form 1 for EnergySolutions, Inc. Fund for Effective Government (EnergySolutions PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1077251


1. EnergySolutions, Inc. Fund for Effective Government (EnergySolutions PAC)

    299 South Main Street
    Suite 1700
    Salt Lake City, UT 84111

    NOTE: Address is different than previously reported

    Email: jxwadsworth@energysolutions.com

    NOTE: Email address is different than previously reported

2. Date: 06/03/2016

3. FEC Committee ID #: C00387878 This committee is a separate segregated fund. Its connected organization is a Corporation
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

EnergySolutions, Inc.
299 South Main Street
Suite 1700
Salt Lake City, Utah 84111
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Jill Wadsworth
299 South Main Street
Suite 1700
Salt Lake City, UT 84111
Title: Treasurer
Phone # (801) 649-2023

Treasurer:

Jill Wadsworth
299 South Main Street
Suite 1700
Salt Lake City, Utah 84111
Title: Treasurer
Phone # (801) 649-2023

Designated Agent(s):

Casey Hill
299 South Main Street
Suite 1700
Salt Lake City, Utah 84111
Title: Chair
Phone # (801) 649-2023

Banks or Depositories

Zions Bank
One South Main Street
Salt Lake City, Utah 84133

Signed: Jill Wadsworth
Date Signed: 06/14/2016
Official Committee URL: www.energysolutions.com

(End FEC FORM 1)


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