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Please return your completed form to ExelonPAC using the provided envelope.
Contribution Form
First Name_________________________________________________Last Name_______________________________________ Job Title___________________________________________________Employee Number________________________________
Putting Our Power to Work
Home Address_____________________________________________City_______________________State____Zip___________
New Contributors ___ Yes, I want to make a positive difference for Exelon by contributing to ExelonPAC today. Please withhold the following amount from my gross salary each pay period: ___ 1% ___ 3/4% ___ 1/2% ___ Other $_________%
Putting OurPower to Work
Visit www.ExelonPAC.com to learn more.
Current Contributors
___ I am currently an ExelonPAC member and I want to increase my contribution. My new contribution percentage of my gross annual base salary per pay period is: ___ 1% ___ 3/4% ___ 1/2% ___ Other $_________% Or, please withhold the set amount of $________ each pay period. (Please complete the payroll deduction information below.)
Exelon PAC 101 Constitution Avenue, NW Suite 400 East Washington, D.C. 20001
Payroll Deduction Contribution
I understand the payroll deduction will begin in the the next available payroll cycle and will remain in effect until I give written notice to ExelonPAC to increase, decrease or stop my contribution. Signature __________________________________________________Date _____________________
One-time Contribution
Please accept my personal check in the amount of $__________ made payable to “ExelonPAC.” Contact ExelonPAC: Sally McAllister - Manager, Federal Government Affairs Phone: (202) 347-0136 | Email:
[email protected] Putting Our Power to Work Visit www.ExelonPAC. com to learn more.
Contributions to ExelonPAC are not tax-deductible as a charitable contribution for federal income tax purposes. Contributions to ExelonPAC are strictly voluntary and you may refuse to contribute without reprisal. Contributions to ExelonPAC will be used to support federal and state political candidates. All contributions are subject to the limits and prohibitions of federal campaign finance law. The contribution levels listed are merely suggestions, you are free to contribute more or less than the guidelines suggest and you will not benefit or be disadvantaged by the amount of your contribution or a decision not to contribute. Payroll deduction will continue until revised or revoked in writing to the Treasurer. Federal law requires ExelonPAC to use its best efforts to collect and report the name, mailing address, occupation and name of the employer of individuals whose contributions exceed $200 in a calendar year. You must be a U.S. citizen or permanent resident in order to contribute. PERF
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By working together with your colleagues, you are creating a powerful presence for Exelon. Public policy decisions made in Washington and in the states where we operate are critical to Exelon’s continued success. Your support of the PAC ensures we have the necessary resources to engage decision-makers.
ExelonPAC allows Exelon employees to have a voice in policy discussions that could impact the continued success of our company, providing employees a clear voice to advance sound policies that strengthen our company.
INSIDE OF ENVELOPE
Make a powerful difference for Exelon today. Join ExelonPAC and help us continue Putting Our Power to Work.
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Visit www.ExelonPAC.com to join or learn more. FOLD
Creating a Powerful Presence
By pooling resources of all active PAC members, we are able to make much more of an impact on legislative decisions than as individuals acting alone. The PAC ensures our voice is heard, but only through continued support from our members.
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Through ExelonPAC, we are able to financially support elected officials and candidates for state and federal office who support our interests. Understanding our issues allows policymakers to make more informed decisions. ExelonPAC is one of the strongest resources we have to directly support candidates and allows us to build and strengthen relationships with key policymakers who share our values and support our issues.
Making a Powerful Difference
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The Exelon Corporation Political Action Committee (ExelonPAC) gives Exelon a voice in public policy decisions and on the issues affecting Exelon and the energy industry. ExelonPAC’s function is to improve the strength of our company and industry through political involvement while keeping PAC members informed of critical issues and their potential impact to Exelon.
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Putting Our Power to Work