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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-442187


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

    NOTE:Commmittee Name is different than previously reported

    900 17th Street, NW
    Suite 1050
    Washington, DC 20006

    NOTE: Address is different than previously reported

    Email: pjones@energysolutions.com

    NOTE: Email address is different than previously reported

2. Date: 12/16/2009

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

Custodian of Records:

Pauline Jones
900 17th Street, NW
Suite 1050
Washington, DC 20006
Title: Treasurer
Phone # (202) 355-9320

Treasurer:

Pauline Jones
900 17th Street, NW
Suite 1050
Washington, DC 20006
Title: Treasurer
Phone # (202) 355-9320

Designated Agent(s):

Banks or Depositories

PNC Bank
1503 Pennsylvania Avenue NW
Washington, DC 20005

Signed: Pauline Jones
Date Signed: 12/16/2009
Official Committee URL: www.energysolutions.com

(End FEC FORM 1)


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