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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-311964

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1. Teva Pharmaceuticals USA Inc. Political Action Committee

    444 North Capitol Street NW
    Suite 399
    Washington, DC 20001
    Fax: 2022201381
    Email: lisa.yerk@tevausa.com

2. Date: 11/28/2007

3. FEC Committee ID #: C00434811 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Teva Pharmaceuticals USA Inc.
1090 Horsham Road
North Wales, Pennsylvania 19454
Relationship: Connected
Organization Type: Corporation

Custodian of Records:

Deborah Griffin
1090 Horsham Road
North Wales, PA 19454
Title: Treasurer/Custodian
Phone # (215) 591-3000

Treasurer:

Deborah Griffin
1090 Horsham Road
North Wales, Pennsylvania 19454
Title: Treasurer/Custodian
Phone # (215) 591-3000

Designated Agent(s):

Banks or Depositories

PNC Bank
1600 Market Street
Philadelphia, Pennsylvania 19103

Signed: Deborah Griffin
Date Signed: 11/28/2007
Official Committee FAX: 2022201381

(End FEC FORM 1)

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