FEC Form 1 for Genentech Inc. Political Action CommitteeForm 1 for Genentech Inc. Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-416830

1. Genentech Inc. Political Action Committee

1 DNA Way
So. San Francisco, CA 94080
Email: genenpac@gene.com

NOTE: Email address is different than previously reported

2. Date: 05/12/2009

3. FEC Committee ID #: C00199257 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

Genentech Inc.
1 DNA Way
So. San Francisco, California 94080
Affiliated Relationship Code: Connected Organization

Roche Inc. Good Government Committee
340 Kingsland Street
Nutley, New Jersey 071101199
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Robert Wong
1 DNA Way
So. San Francisco, CA 94080
Title: Assistant Treasurer

Treasurer:

Robert Andreatta
1 DNA Way
So. San Francisco, California 94080
Title: Treasurer
Phone # (202) 296-7272

Designated Agent(s):

Robert Wong
1 DNA Way
So. San Francisco, California 94080
Title: Assistant Treasurer

Banks or Depositories

Bank of America
1655 Grant Street
Bldg A-10th Floor
Concord, California 945202445

Signed: Mr. Robert Andreatta
Date Signed: 05/12/2009

(End FEC FORM 1)

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