FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-388010
1. EnergySolutions, Inc. Fund for Effective Government (EnergySolutions PAC)
900 17th Street, NWSuite 1050
Washington, DC 20006
Fax: 2022931829
Email: pjones@energysolutions.com
2. Date: 12/03/2008
3. FEC Committee ID #: C00387878 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated Committees/Organizations
EnergySolutions, Inc.423 W 300 S
Suite 200
Salt Lake City, Utah 84101
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Pauline Jones2701 Bellforest Court
Unit 402
Vienna, VA 22180
Title: Assistant Treasurer
Phone # (202) 355-9320
Treasurer:
Jill Sigal900 17th Street NW
Suite 1050
Washington, DC 20006
Title: Treasurer
Phone # (202) 355-9318
Designated Agent(s):
Pauline Calder2701 Bellforest Court
Unit 402
Vienna, Virginia 22180
Title: Assistant Treasurer
Phone # (202) 355-9320
Banks or Depositories
PNC Bank1503 Pennsylvania Avenue NW
Washington, DC 20005