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FEC Form 1 for MedImmune Affairs, Inc. Employee Political Awareness Committtee (MedImmune PAC)Form 1 for MedImmune Affairs, Inc. Employee Political Awareness Committtee (MedImmune PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-409745


1. MedImmune Affairs, Inc. Employee Political Awareness Committtee (MedImmune PAC)

    One MedImmune Way
    Gaithersburg, MD 20878
    Email: rosenb@medimmune.com

2. Date: 03/26/2009

3. FEC Committee ID #: C00399725 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

MedImmune Affairs, Inc.
One MedImmune Way
Gaithersburg, Maryland 20878
Affiliated Relationship Code: Connected Organization

Zeneca Inc. Political Action Committee
c/o Zeneca Inc.
1800 Concord Pike, P.O. Box 15437
Wilmington, Delaware 198505437
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Elizabeth Huntley
One MedImmune Way
Gaithersburg, MD 20878
Title: Custodian of Records
Phone # (301) 398-5709

Treasurer:

Brian Rosen
One MedImmune Way
Gaithersburg, Maryland 20878
Title: Treasurer
Phone # (301) 398-4715

Designated Agent(s):

Mark Mlynarczyck
One MedImmune Way
Gaithersburg, Maryland 20878
Title: Assistant Treasurer
Phone # (301) 398-4841

Banks or Depositories

Bank of America
1111 E. Main Street
Richmond, Virginia 23219

Signed: Brian Rosen
Date Signed: 03/26/2009

FORM TEXT

(End FEC FORM 1)


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