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FEC Form 1 for Tyco International Management Company Employees Political Action Committee (Tyco Employees PAC)Form 1 for Tyco International Management Company Employees Political Action Committee (Tyco Employees PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-845496

1. Tyco International Management Company Employees Political Action Committee (Tyco Employees PAC)

    NOTE:Commmittee Name is different than previously reported

    9 Roszel Road
    Princeton, NJ 08540
    Email: cbennett@tyco.com

2. Date: 01/07/2013

3. FEC Committee ID #: C00113753 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

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

Custodian of Records:

Catherine Bennett
9 Roszel Road
Princeton, NJ 08540
Title: Custodian of Records
Phone # (202) 350-6900

Treasurer:

Eric Walsh
50 Technology Drive
Westminster, Massachusetts 01473
Title: Treasurer
Phone # (978) 731-6591

Designated Agent(s):

Kelly Philson
9 Roszel Road
Princeton, New Jersey 08540
Title: Assistant Treasurer
Phone # (202) 350-6917

Banks or Depositories

Bank of America
700 13th Street Northwest
Washington, DC 20005

Signed: Eric Walsh
Date Signed: 01/07/2013

(End FEC FORM 1)


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