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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-388010


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

    900 17th Street, NW
    Suite 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 Corporation

Affiliated Committees/Organizations

EnergySolutions, Inc.
423 W 300 S
Suite 200
Salt Lake City, Utah 84101
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Pauline Jones
2701 Bellforest Court
Unit 402
Vienna, VA 22180
Title: Assistant Treasurer
Phone # (202) 355-9320

Treasurer:

Jill Sigal
900 17th Street NW
Suite 1050
Washington, DC 20006
Title: Treasurer
Phone # (202) 355-9318

Designated Agent(s):

Pauline Calder
2701 Bellforest Court
Unit 402
Vienna, Virginia 22180
Title: Assistant Treasurer
Phone # (202) 355-9320

Banks or Depositories

PNC Bank
1503 Pennsylvania Avenue NW
Washington, DC 20005

Signed: Jill Sigal
Date Signed: 12/03/2008
Official Committee FAX: 2022931829

(End FEC FORM 1)


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