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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1012161

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1. Baxter Healthcare Corporation Political Action Committee

    901 15th Street, NW
    Suite 500
    Washington, DC 20005
    Email: Mariko_Bennett@Baxter.com;Kendra.Crowley@Skadden.com

2. Date: 07/01/2015

3. FEC Committee ID #: C00117838 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

Baxter Healthcare Corporation
1 Baxter Parkway
Deerfield, Illinois 60015
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Mr. Joseph Schwan
901 15th Street, NW
Suite 500
Washington, DC 20005
Title: Treasurer

Designated Agent(s):

Banks or Depositories

JPMorgan Chase Bank, N.A.
P.O. Box 659754
San Antonio, Texas 782659754

Signed: Mr. Joseph Schwan
Date Signed: 07/02/2015

(End FEC FORM 1)

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