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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-164159

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1. Baxter Healthcare Political Action Committee

    1501 K Street NW
    Washington, DC 20005

    NOTE: Address is different than previously reported

2. Date: 02/04/2005

3. FEC Committee ID #: C00117838 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Angela McLaurin
1501 K Street NW
Suite375
Washington, DC 20005
Phone # (202) 508-8204

Treasurer:

Sarah M Gregg
1501 K Street NW
Suite
Washington, DC 20005
Phone # 202508206

Designated Agent(s):

Assistant Treasurer: Sarah Creviston
1501 K StreetNW
Suite 375
Washington, DC 20005
Title: VP Government Affai
Phone # (202) 508-8200

Banks or Depositories

Signed: Sarah M Gregg
Date Signed: 02/04/2005

(End FEC FORM 1)

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