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FEC Form 1 for Sepracor Inc. Good Governance FundForm 1 for Sepracor Inc. Good Governance Fund

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-346921


1. Sepracor Inc. Good Governance Fund

    84 Waterford Drive
    Marlborough, MA 01752
    Fax: 5083577869
    Email: jennifer.brodeur@sepracor.com

2. Date: 07/02/2008

3. FEC Committee ID #: C00423236 This committee is a separate segregated fund. Its connected organization is a

Affiliated Committees/Organizations

Sepracor Inc. - Corporation
, ____
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Frazor (Ty) Edmondson
84 Waterford Drive
Marlborough, MA 01752
Title: Sr. Corp. Counsel
Phone # (508) 481-6700

Treasurer:

Robert F. Scumaci
84 Waterford Drive
Marlborough, Massachusetts 01752
Title: Treasurer
Phone # (508) 481-6700

Designated Agent(s):

Robert F. Scumaci
84 Waterford Drive
Marlborough, Massachusetts 01752
Title: Treasurer
Phone # (508) 481-6700

Stephen Freeman
, ____
Title: Asst. Treasurer
Phone # (508) 481-6700

Banks or Depositories

Signed: Robert F. Scumaci
Date Signed: 07/02/2008
Official Committee FAX: 5083577869

(End FEC FORM 1)


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