FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1493517
1. DELEK US HOLDINGS, INC (AKA DK PAC)
NOTE:Commmittee Name is different than previously reported
7102 COMMERCE WAYBRENTWOOD, TN 37027
Email: DKPAC@delekus.com
2. Date: 01/29/2021
3. FEC Committee ID #: C00736421 This committee is a separate segregated fund. Its connected organization is a CorporationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
Delek US Holdings, Inc.7102 Commerce Way
Brentwood, Tennessee 37027
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Michael Ralsky6060 Westview Ave
Nashville, TN 37208
Title: Custodian of Records
Treasurer:
Fernando Contreras7102 Commerce Way
Brentwood, Tennessee 37027
Title: Treasurer
Phone # (615) 721-3719
Designated Agent(s):
Amy Harrison7102 Commerce Way
Brentwood, Tennessee 37027
Title: Assistant Treasurer
Banks or Depositories
Regions Bank6200 Poplar Avenue
Memphis, Tennessee 38119