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FEC Form 1 for Tyco International Management Company Political Action CommitteeForm 1 for Tyco International Management Company Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-283666


1. Tyco International Management Company Political Action Committee

    NOTE:Commmittee Name is different than previously reported

    9 Roszel Road
    Princeton, NJ 08540
    Email: TycoPAC@myfecnotices.com

2. Date: 04/03/2007

3. FEC Committee ID #: C00113753 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Tyco International Management Company
9 Roszel Road
Princeton, New Jersey 08540
Relationship: Connected Organization
Organization Type: Corporation

Tyco International Management Company-
PO Box 529
Washington, DC 200440529
Relationship: Affiliated Committee

Tyco International Management Company-
PO Box 7135
Washington, DC 200447135
Relationship: Affiliated Committee

Custodian of Records:

PAC Services LLC
7700 Old Branch Avenue Suite D-103
Clinton, MD 20735
Title: Custodian of Records
Phone # (301) 868-1888

Treasurer:

Mr. C.A. (John) Davidson
9 Roszel Road
Princeton, New Jersey 08540
Title: Treasurer
Phone # (609) 720-4200

Designated Agent(s):

Kathy Cahill
9 Roszel Road
Princeton, New Jersey 08540
Title: Assistant Treasurer
Phone # (609) 720-4200

Banks or Depositories

Bank of America
7810 Old Branch Avenue
Clinton, Maryland 20735

Signed: Mr. C.A. (John) Davidson
Date Signed: 04/03/2007

(End FEC FORM 1)


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