FEC Form 1 for ACTAVIS INC POLITICAL ACTION COMMITTEE AKA ACT PACForm 1 for ACTAVIS INC POLITICAL ACTION COMMITTEE AKA ACT PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-996835

1. ACTAVIS INC POLITICAL ACTION COMMITTEE AKA ACT PAC

NOTE:Commmittee Name is different than previously reported

400 INTERPACE PARKWAY
PARSIPPANY, NJ 07054

NOTE: Address is different than previously reported

Email: debbie.huang@actavis.com

2. Date: 01/29/2013

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

ACTAVIS, INC.
400 INTERPACE PARKWAY
PARSIPPANY, New Jersey 07054
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Mr. Charles Mark Mayr
400 Interpace Parkway
Parsippany, New Jersey 07054
Title: Treasurer
Phone # (862) 261-8030

Designated Agent(s):

Banks or Depositories

Union Bank
455 S. Figueroa Street
Los Angeles, California 90071

Signed: Mr. Charles Mark Mayr
Date Signed: 03/12/2015

(End FEC FORM 1)

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