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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1303835

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1. GlaxoSmithKline LLC PAC (GSK PAC)

    Five Moore Drive
    PO Box 13358
    Res. Triangle Park, NC 27709
    Email: GSKPAC@720Strategies.com

2. Date: 07/05/2016

3. FEC Committee ID #: C00199703 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

GlaxoSmithKline LLC
Five Moore Drive
Res. Triangle Park, North Carolina 27709
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Sherry C Smith
1050 K Street, NW
Suite 800
Washington, DC 200014450
Title: Custodian of Records
Phone # (202) 715-1019

Treasurer:

Heather Edge
313 Charleston Dr
Clayon, North Carolina 27527
Title: Treasurer
Phone # (919) 274-0676

Designated Agent(s):

William J Schuyler
5 Crescent Drive
Philadelphia, Pennsylvania 19112
Title: Assistant Treasurer
Phone # (202) 715-1020

Banks or Depositories

Mechanics and Farmers
PO Box 1932
Durham, North Carolina 27702

Signed: Heather Edge
Date Signed: 01/10/2019

(End FEC FORM 1)

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