FEC Form 1 for AMPHASTAR PHARMACEUTICALS INC POLITICAL ACTION COMMITTEE (AMPHASTAR PAC)Form 1 for AMPHASTAR PHARMACEUTICALS INC POLITICAL ACTION COMMITTEE (AMPHASTAR PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-943198

1. AMPHASTAR PHARMACEUTICALS INC POLITICAL ACTION COMMITTEE (AMPHASTAR PAC)

11570 6TH STREET
RANCHO CUCAMONGA, CA 91730
Email: JasonS@amphastar.com

NOTE: Email address is different than previously reported

2. Date: 07/28/2014

3. FEC Committee ID #: C00543835 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Amphastar Pharmaceuticals, Inc.
11570 6th Street
Rancho Cucamonga, California 91730
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Jason Shandell
11570 6th Street
Rancho Cucamonga, CA 91730
Title: Custodian of Records
Phone # (909) 980-9484

Treasurer:

Bill Peters
11570 6th Street
Rancho Cucamonga, California 91730
Title: Treasurer
Phone # (909) 980-9484

Designated Agent(s):

Jason Shandell
11570 6th Street
Rancho Cucamonga, California 91730
Title: Assistant Treasurer
Phone # (909) 980-9484

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-943198

1. AMPHASTAR PHARMACEUTICALS INC POLITICAL ACTION COMMITTEE (AMPHASTAR PAC)

NOTE: Email address is different than previously reported

2. Date: 07/28/2014

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Bill Peters
Date Signed: 07/28/2014

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-943198

1. AMPHASTAR PHARMACEUTICALS INC POLITICAL ACTION COMMITTEE (AMPHASTAR PAC)

NOTE: Email address is different than previously reported

2. Date: 07/28/2014

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Bill Peters Date Signed: 07/28/2014

(End FEC FORM 1)

Signed: Bill Peters
Date Signed: 07/28/2014