FEC Form 1 for Roche Inc. Good Government CommitteeForm 1 for Roche Inc. Good Government Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1116876

1. Roche Inc. Good Government Committee

150 Clove Road, Suite 8
Little Falls, NJ 07424

NOTE: Address is different than previously reported

Email: carol.rockwell@roche.com

2. Date: 10/24/2016

3. FEC Committee ID #: C00072769 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

Roche Inc.
150 Clove Road, Suite 8
Little Falls, New Jersey 07424
Affiliated Relationship Code: Connected Organization

Genentech Inc. Political Action Commit
1 DNA Way
So. San Francisco, California 94080
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Carol Rockwell
150 Clove Road, Suite 8
Little Falls, NJ 07424
Title: Custodian of Records
Phone # (973) 890-2259

Treasurer:

David McDede
150 Clove Road, Suite 8
Little Falls, New Jersey 07424
Title: Treasurer
Phone # (973) 890-2251

Designated Agent(s):

Banks or Depositories

Wells Fargo
P.O. Box 6995
Portland, Oregon 972286995

Signed: David McDede
Date Signed: 10/24/2016

(End FEC FORM 1)

Generated Wed Oct 2 01:48:14 2024