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-741636

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

423 West 300 South
Suite 300
Salt Lake City, UT 84101

NOTE: Address is different than previously reported

Email: pjones@energysolutions.com

2. Date: 08/15/2011

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
423 West 300 South
Suite 200
Salt Lake City, UT 84101
Title: Treasurer
Phone # (703) 587-8845

Treasurer:

Pauline Jones
423 West 300 South
Suite 200
Salt Lake City, Utah 84101
Title: Treasurer
Phone # (703) 587-8845

Designated Agent(s):

Robyn Clayton
423 West 300 South
Suite 200
Salt Lake City, Utah 84101
Title: Assistant Treasurer
Phone # (801) 649-2222

Banks or Depositories

PNC Bank
1503 Pennsylvania Avenue NW
Washington, DC 20005

Signed: Pauline Jones
Date Signed: 08/15/2011
Official Committee URL: www.energysolutions.com

(End FEC FORM 1)

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