FEC Form 1 for SmithKline Beecham Corp. PAC (GlaxoSmithKline PAC)Form 1 for SmithKline Beecham Corp. PAC (GlaxoSmithKline PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-391715

1. SmithKline Beecham Corp. PAC (GlaxoSmithKline PAC)

Five Moore Drive P.O. Box 13358
Res. Triangle Park, NC 27709
Email: cfs@pass1.com

2. Date: 12/09/2008

3. FEC Committee ID #: C00199703 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

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

Custodian of Records:

Marta L Smith
1050 K Street NW Suite 800
Washington, DC 20001
Title: Custodian
Phone # (202) 715-1036

Treasurer:

David Miller
Five Moore Drive
Res. Triangle Park, North Carolina 27709
Title: Treasurer
Phone # (919) 483-2935

Designated Agent(s):

Robert K Veeder
Five Moore Drive
Res. Triangle Park, North Carolina 27709
Title: Chairman
Phone # (919) 483-2032

Sarah J Walsh
1050 K Street NW Suite 800
Washington, DC 20001
Title: Assistant Treasurer
Phone # (202) 715-1015

Banks or Depositories

Mechanics and Farmers Bank
P.O. Box 1932
Durham, North Carolina 27702

Signed: David Miller
Date Signed: 12/11/2008

FORM TEXT-1

(End FEC FORM 1)

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