FEC Form 1 for DELEK US HOLDINGS INC PAC (AKA DK PAC)Form 1 for DELEK US HOLDINGS INC PAC (AKA DK PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1508558

1. DELEK US HOLDINGS INC PAC (AKA DK PAC)

NOTE:Commmittee Name is different than previously reported

7102 COMMERCE WAY
BRENTWOOD, TN 37027
Email: DKPAC@delekus.com

2. Date: 04/08/2021

3. FEC Committee ID #: C00736421 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

Delek US Holdings, Inc.
7102 Commerce Way
Brentwood, Tennessee 37027
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Michael Ralsky
6060 Westview Ave
Nashville, TN 37208
Title: Custodian of Records

Treasurer:

Fernando Contreras
7102 Commerce Way
Brentwood, Tennessee 37027
Title: Treasurer
Phone # (615) 721-3719

Designated Agent(s):

Amy Harrison
7102 Commerce Way
Brentwood, Tennessee 37027
Title: Assistant Treasurer

Banks or Depositories

Regions Bank
6200 Poplar Avenue
Memphis, Tennessee 38119

Signed: Fernando Contreras
Date Signed: 04/08/2021

(End FEC FORM 1)

Generated Tue Sep 17 14:11:36 2024