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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-408007

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1. Baxter Healthcare Political Action Committee

    1501 K Street, NW
    Suite 375
    Washington, DC 20005

    NOTE: Address is different than previously reported

    Email: jill_rowlison@baxter.com

    NOTE: Email address is different than previously reported

2. Date: 03/18/2009

3. FEC Committee ID #: C00117838 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

Committee ID# C00117838
Baxter Healthcare Corporation
1 Baxter Parkway
Deerfield, Illinois 60015
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Sarah Creviston
1501 K Street NW
Washington, DC 20005
Title: Treasurer
Phone # (202) 508-8206

Designated Agent(s):

Banks or Depositories

Bank One
ONE BANK PLAZA
Chicago, Illinois 606700001

Signed: Sarah Creviston
Date Signed: 03/18/2009

(End FEC FORM 1)

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