FEC Form 1 for Sunovion Pharmaceuticals Inc. Good Governance FundForm 1 for Sunovion Pharmaceuticals Inc. Good Governance Fund

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1105279

1. Sunovion Pharmaceuticals Inc. Good Governance Fund

84 Waterford Drive
Marlborough, MA 01752
Email: good.governance@sunovion.com;mward@wardlawless.com

2. Date: 10/13/2016

3. FEC Committee ID #: C00423236 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

Sunovion Pharmaceuticals Inc.
84 Waterford Drive
Marlborough, Massachusetts 01752
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Qiao (Karen) Zhang
84 Waterford Dr
Marlborough, MA 01752
Title: Custodian of Records
Phone # (508) 481-6700

Treasurer:

Mr. Stephen Ortiz
84 Waterford Dr
Marlborough, Massachusetts 01752
Title: Treasurer
Phone # (508) 481-6700

Designated Agent(s):

Maureen Sheltry
84 Waterford Dr
Marlborough, Massachusetts 01752
Title: Asst. Treasurer
Phone # (508) 481-6700

Banks or Depositories

Bank of America, N.A.
P.O. Box 25118
Tampa, Florida 336225118

Signed: Mr. Stephen Ortiz
Date Signed: 10/13/2016

(End FEC FORM 1)

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