FEC Form 1 for Phillips 66 PACForm 1 for Phillips 66 PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-842706

1. Phillips 66 PAC

670 Adams Building
411 South Keeler Avenue
Bartlesville, OK 74003

NOTE: Address is different than previously reported

Email: belinda.e.sandoval@p66.com

2. Date: 12/19/2012

3. FEC Committee ID #: C00513549 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

Phillips 66
3010 Briarpark Drive
9th Floor Pinnacle
Houston, Texas 77042
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Belinda Sandoval
693-3 Adams Building
411 South Keeler Avenue
Bartlesville, OK 74003
Title: Recordkeeper
Phone # (918) 977-5022

Treasurer:

Charles Rohrs
670 Adams Building
411 South Keeler Avenue
Bartlesville, Oklahoma 74003
Title: Treasurer
Phone # (918) 977-5474

Designated Agent(s):

Jennifer Stettner
1776 Eye Street, NW
Suite 700
Washington, DC 20006
Title: Assistant Treasurer
Phone # (202) 833-0903

Dee Janovsky
1776 Eye Street, NW
Suite 700
Washington, DC 20006
Title: Assistant Treasurer
Phone # (202) 833-0921

Banks or Depositories

Comerica Bank
P.O. Box 75000
Detroit, Michigan 48275

Arvest Bank
P.O. Box 999
Bartlesville, Oklahoma 74005

Signed: Charles Rohrs
Date Signed: 12/19/2012

FORM TEXT

(End FEC FORM 1)

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