FEC Form 1 for ALLERGAN, INC. POLITICAL ACTION COMMITTEEForm 1 for ALLERGAN, INC. POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1034699

1. ALLERGAN, INC. POLITICAL ACTION COMMITTEE

NOTE:Commmittee Name is different than previously reported

400 INTERPACE PARKWAY
PARSIPPANY, NJ 07054
Email: debbie.huang@actavis.com

2. Date: 12/03/2015

3. FEC Committee ID #: C00391086 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

Allergan, Inc.
400 Interpace Parkway
Parsippany, New Jersey 07054
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Debbie Huang
311 Bonnie Circe
Corona, CA 92782
Title: Custodian of Records

Treasurer:

Robert Lively
500 N. Capitol St NW, Suite 330
Washington, DC 20001
Title: Treasurer
Phone # (202) 644-5336

Designated Agent(s):

Brenton Fisk
500 N. Capitol St. NW, Suite 330
Washington, DC 20001
Title: Assistant Treasurer

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1034699

1. ALLERGAN, INC. POLITICAL ACTION COMMITTEE

NOTE:Commmittee Name is different than previously reported

2. Date: 12/03/2015

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Robert Lively
Date Signed: 12/03/2015

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1034699

1. ALLERGAN, INC. POLITICAL ACTION COMMITTEE

NOTE:Commmittee Name is different than previously reported

2. Date: 12/03/2015

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Robert Lively Date Signed: 12/03/2015

(End FEC FORM 1)

Signed: Robert Lively
Date Signed: 12/03/2015