FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-746845
1. Boehringer Ingelheim USA Corporation Political Action Committee
900 Ridgebury RoadRidgefield, CT 06877
Email: patricestormtaylor@gmail.com
2. Date: 10/05/2011
3. FEC Committee ID #: C00420398 This committee is a separate segregated fund. Its connected organization is a CorporationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
Boehringer Ingelheim USA Corporation900 Ridgebury Road
Ridgefield, Connecticut 06877
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Patrice Taylor2901 28th Street, NW
Washington, DC 20008
Title: PAC Consultant
Phone # (202) 234-0393
Treasurer:
Frank Pomer900 Ridgebury Rd
Ridgefield, Connecticut 06877
Title: Vice President Tax
Phone # (203) 798-5683
Designated Agent(s):
Patrice Taylor2901 28th Street, NW
Washington, DC 20008
Title: PAC Consultant
Phone # (202) 234-0393
Banks or Depositories
Deutsche Bank Trust Company Americas60 Wall Street
New York, New York 10005