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FEC Form 1 for ELI LILLY AND COMPANY POLITICAL ACTION COMMITTEEForm 1 for ELI LILLY AND COMPANY POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-302747

1. ELI LILLY AND COMPANY POLITICAL ACTION COMMITTEE

    LILLY CORPORATE CENTER
    INDIANAPOLIS, IN 46285
    Fax: 317-849-9184
    Email: LillyPAC@electioncompliance.com

2. Date: 08/31/2007

3. FEC Committee ID #: C00082792 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Eli Lilly and Company
Lilly Corporate Center
Indianapolis, Indiana 46285
Relationship: Connected Organization
Organization Type: Corporation

Custodian of Records:

PAC Outsourcing LLC
7915 Old Branch Avenue
First Floor
Clinton, MD 20735
Title: Custodian of Records
Phone # (301) 856-0770

Treasurer:

Marvin White
Lilly Corporate Center
Indianapolis, Indiana 46285
Title: Treasurer
Phone # (317) 433-6574

Designated Agent(s):

Vicky Binder
Lilly Corporate Center
Mail Drop 1878
Indianapolis, Indiana 46285
Title: Assistant Treasurer
Phone # (317) 433-6574

Banks or Depositories

Bank One
111 Monument Circle
Indianapolis, Indiana 46204

Signed: Marvin White
Date Signed: 08/31/2007
Official Committee FAX: 317-849-9184

(End FEC FORM 1)


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