FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1688236
1. Jazz Pharmaceuticals, Inc. Political Action Committee
28 Liberty Ship Way, Suite 2815Sausalito, CA 94965
Email: reporting@politicomlaw.com
2. Date: 02/09/2023
3. FEC Committee ID #: C00721811 This committee is a separate segregated fund. Its connected organization is aAffiliated Committees/Organizations
Jazz Pharmaceuticals, Inc.3170 Porter Drive
Palo Alto, California 94304
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Jennie Unger Skelton28 Liberty Ship Way, Suite 2815
Sausalito, CA 94965
Title: Custodian of Records
Phone # (415) 903-2800
Treasurer:
Jennie Unger Skelton28 Liberty Ship Way, Suite 2815
Sausalito, California 94965
Title: Treasurer
Phone # (415) 903-2800
Designated Agent(s):
Erin Christine Lama28 Liberty Ship Way, Suite 2815
Sausalito, California 94965
Title: Assistant Treasurer
Phone # (415) 903-2800
Banks or Depositories
Bank of Marin2656 Bridgeway, Suite D
Sausalito, California 94965