FEC Form 1 for Astellas US LLC PAC (Astellas PAC)Form 1 for Astellas US LLC PAC (Astellas PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-808654

1. Astellas US LLC PAC (Astellas PAC)

1 Astellas Way
Northbrook, IL 60062
Email: magdalena.lagowski@us.astellas.com

NOTE: Email address is different than previously reported

2. Date: 09/04/2012

3. FEC Committee ID #: C00444885 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

Astellas US LLC
1 Astellas Way
Northbrook, Illinois 60062
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Magdalena Lagowski
1 Astellas Way
Northbrook, IL 60062
Title: Custodian of Records
Phone # (224) 205-5714

Treasurer:

Magdalena Lagowski
1 Astellas Way
Northbrook, Illinois 60062
Title: Treasurer
Phone # (224) 205-5714

Designated Agent(s):

Stephen Knowles
1 Astellas Way
Northbrook, Illinois 60062
Title: Assistant Treasurer
Phone # (224) 205-8862

Banks or Depositories

JP Morgan Chase Bank
1 Chase Manhattan Plaza FL 7
New York, New York 10005

Signed: Magdalena Lagowski
Date Signed: 09/04/2012
Official Committee URL: None

FORM TEXT

(End FEC FORM 1)

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