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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1257878

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1. Teva Pharmaceuticals USA Inc. Political Action Committee (Teva PAC)

    901 New York Avenue, NW
    5th Floor East
    Washington, DC 20001

    NOTE: Address is different than previously reported

    Email: robin@sextonpac.com,jim.fenton@tevapharm.com

    NOTE: Email address is different than previously reported

2. Date: 08/20/2018

3. FEC Committee ID #: C00434811 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

Teva Pharmaceuticals USA Inc.
1090 Horsham Road
North Wales, Pennsylvania 194541505
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Jim Fenton
901 New York Avenue, NW
5th Floor East
Washington, DC 20001
Title: Custodian of Records
Phone # (202) 256-6237

Treasurer:

David Loughery
1090 Horsham Road
North Wales, Pennsylvania 194541505
Title: Treasurer
Phone # (610) 727-3215

Designated Agent(s):

Banks or Depositories

PNC Bank
1500 Market Street
Philadelphia, Pennsylvania 19103

Signed: David Loughery
Date Signed: 08/20/2018

(End FEC FORM 1)

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