FEC Form 1 for ZIMMER, Inc. POLITICAL ACTION COMMITTEE (a.k.a. Z-PAC)Form 1 for ZIMMER, Inc. POLITICAL ACTION COMMITTEE (a.k.a. Z-PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-490764

1. ZIMMER, Inc. POLITICAL ACTION COMMITTEE (a.k.a. Z-PAC)

NOTE:Commmittee Name is different than previously reported

345 EAST MAIN STREET
PO BOX 708
WARSAW, IN 46581
Email: zpacs@cox.net

2. Date: 08/29/2010

3. FEC Committee ID #: C00399386 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

Zimmer, Inc.
345 EAST MAIN STREET
PO BOX 708
WARSAW, Indiana 46581
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Ms. Whitney Tull
801 Pennsylvania Avenue, NW
625A
Washington, DC 20004
Title: Custodian of Records
Phone # (202) 204-0133

Treasurer:

Mr. Christopher A. Cerone
801 Pennsylvania Avenue, NW
625A
Washington, DC 20004
Title: Treasurer
Phone # (202) 204-0130

Designated Agent(s):

Ms. Whitney Tull
801 Pennsylvania Avenue, NW
625A
Washington, DC 20004
Title: Assistant Treasurer
Phone # (202) 204-0133

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-490764

1. ZIMMER, Inc. POLITICAL ACTION COMMITTEE (a.k.a. Z-PAC)

NOTE:Commmittee Name is different than previously reported

2. Date: 08/29/2010

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Mr. Christopher A. Cerone
Date Signed: 08/30/2010

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-490764

1. ZIMMER, Inc. POLITICAL ACTION COMMITTEE (a.k.a. Z-PAC)

NOTE:Commmittee Name is different than previously reported

2. Date: 08/29/2010

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Mr. Christopher A. Cerone Date Signed: 08/30/2010

(End FEC FORM 1)

Signed: Mr. Christopher A. Cerone
Date Signed: 08/30/2010