FEC Form 1 for EMD Serono, Inc. Political Action CommitteeForm 1 for EMD Serono, Inc. Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1096062

1. EMD Serono, Inc. Political Action Committee

One Technology Place
Rockland, MA 02370
Email: Alanna.Temme@emdserono.com;Outsourcing@Aristotle.com

NOTE: Email address is different than previously reported

2. Date: 08/19/2016

3. FEC Committee ID #: C00258236 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

EMD Serono Inc.
1 Technology Pl
Rockland, Massachusetts 023701071
Affiliated Relationship Code: Connected Organization

Custodian of Records:

John Pacino
One Technology Place
Rockland, MA 023701071
Title: Custodian of Records
Phone # (800) 283-8088

Treasurer:

John Pacino
One Technology Place
Rockland, Massachusetts 023701071
Title: Treasurer
Phone # (800) 283-8088

Designated Agent(s):

David Nichols
1 Technology Pl
Rockland, Massachusetts 023701071
Title: Assistant Treasurer
Phone # (800) 283-8088

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1096062

1. EMD Serono, Inc. Political Action Committee

NOTE: Email address is different than previously reported

2. Date: 08/19/2016

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: John Pacino
Date Signed: 08/19/2016

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1096062

1. EMD Serono, Inc. Political Action Committee

NOTE: Email address is different than previously reported

2. Date: 08/19/2016

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: John Pacino Date Signed: 08/19/2016

(End FEC FORM 1)

Signed: John Pacino
Date Signed: 08/19/2016