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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1594731

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1. GlaxoSmithKline LLC PAC (GSK PAC)

    1050 K St NW, Ste 800
    Washington, DC 20001
    Email: sherry.c.smith@gsk.com;notifygsk@ddcpublicaffairs.com

    NOTE: Email address is different than previously reported

2. Date: 05/16/2022

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
1050 K St NW, Ste 800
Washington, DC 20001
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Sherry C. Smith
1050 K St NW, Ste 800
Washington, DC 20001
Title: Custodian of Records
Phone # (202) 715-1019

Treasurer:

Heather Edge
32 Tivoli Ct
Clayton, North Carolina 27527
Title: Treasurer
Phone # (919) 274-0676

Designated Agent(s):

Michael Calvo
1050 K St NW, Suite 800
Washington, DC 20001
Title: Assistant Treasurer
Phone # (202) 715-1019

Banks or Depositories

Mechanics & Farmers Bank
PO Box 1932
Durham, North Carolina 27702

Signed: Heather Edge
Date Signed: 05/16/2022

(End FEC FORM 1)

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