FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-386700
1. ELI LILLY AND COMPANY POLITICAL ACTION COMMITTEE
LILLY CORPORATE CENTERINDIANAPOLIS, IN 46285
Fax: 317-849-9184
Email: LillyPAC@electioncompliance.com
2. Date: 11/20/2008
3. FEC Committee ID #: C00082792 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated Committees/Organizations
Eli Lilly and CompanyLilly Corporate Center
Indianapolis, Indiana 46285
Affiliated Relationship Code: Connected Organization
Custodian of Records:
PAC Outsourcing LLC6192 Oxon Hill Rd
Suite 601
Oxon Hill, MD 20745
Title: Custodian of Records
Phone # (301) 839-6510
Treasurer:
John HuesingLilly Corporate Center
Indianapolis, Indiana 46285
Title: Treasurer
Phone # (317) 433-6574
Designated Agent(s):
Vicky BinderLilly Corporate Center
Mail Drop 1878
Indianapolis, Indiana 46285
Title: Assistant Treasurer
Phone # (317) 433-6574
Banks or Depositories
Bank One111 Monument Circle
Indianapolis, Indiana 46204