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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-873459

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1. Consumer Healthcare Products Association PAC (CHPA/PAC)

    900 19th Street, NW
    Suite 700
    Washington, DC 20006
    Email: chpapac@chpa.org;dspangler@chpa.org

    NOTE: Email address is different than previously reported

2. Date: 06/11/2013

3. FEC Committee ID #: C00040584 This committee is a separate segregated fund. Its connected organization is a Trade Association
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Committee ID# C00040584
Consumer Healthcare Products Association PAC (CHPA/PAC)
900 19th Street, NW
Suite 700
Washington, DC 20006
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Travis M. Gibbons
900 19th Street NW
Suite 700
Washington, DC 20006
Title: Assoc Dir Fed Affrs
Phone # (202) 429-9260

Treasurer:

David Spangler
900 19th Street NW
Suite 700
Washington, DC 20006
Title: Gen Counsel Sr. VP
Phone # (202) 429-9260

Designated Agent(s):

Banks or Depositories

Wells Fargo Bank
1800 K Street NW
Washington, DC 20006

Signed: David Spangler
Date Signed: 06/11/2013

(End FEC FORM 1)

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