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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-718103

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1. HOSPIRA INC PAC LLC

    275 N FIELD DRIVE
    HI - 4S DEPT GVAF
    LAKE FOREST, IL 60045
    Email: juliana.reed@hospira.com

2. Date: 03/18/2011

3. FEC Committee ID #: C00433284 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

James M. Ellis
2147 Silver Linden
Buffalo Grove, IL 60089
Title: Sr. Counsel
Phone # (224) 212-2866

Treasurer:

Mike Chialdikas
1081 Memory Lane
Lake Zurich, Illinois 60047
Title: VP and Treasurer
Phone # (224) 212-3257

Designated Agent(s):

Banks or Depositories

Signed: Mike Chialdikas
Date Signed: 03/18/2011

(End FEC FORM 1)

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