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-409963

1. EMD Serono, Inc. Political Action Committee

One Technology Place
Rockland, MA 02370
Email: emdseronopac@emdserono.com

2. Date: 03/27/2009

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.
One Technology Place
Rockland, Massachusetts 02370
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Monica Elliott
EMD Serono, Inc.
One Technology Place
Rockland, MA 02370
Title: Treasurer
Phone # (781) 982-9000

Treasurer:

Monica Elliott
EMD Serono, Inc.
One Technology Place
Rockland, Massachusetts 02370
Title: Treasurer
Phone # (781) 982-9000

Designated Agent(s):

Lisa Costantino
EMD Serono, Inc.
One Technology Place
Rockland, Massachusetts 02370
Title: Assistant Treasurer
Phone # (781) 982-9000

Banks or Depositories

Bank of America
100 Federal Street
Boston, Massachusetts 02110

Signed: Monica Elliott
Date Signed: 03/27/2009
Official Committee URL: None

FORM TEXT-1

(End FEC FORM 1)

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