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FEC Form 1 for Zeneca Inc. Political Action CommitteeForm 1 for Zeneca Inc. Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-881279


1. Zeneca Inc. Political Action Committee

    c/o Zeneca Inc.
    1800 Concord Pike, PO Box 15437
    Wilmington, DE 19850
    Email: kelly.rolison@astrazeneca.com

2. Date: 07/23/2013

3. FEC Committee ID #: C00279455 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

Zeneca Inc.
1800 Concord Pike
PO Box 15437
Wilmington, Delaware 19850
Affiliated Relationship Code: Connected Organization

MedImmune Biologics, Inc. Employee Pol
One MedImmune Way
Gaithersburg, Maryland 20878
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Kelly J. Rolison
1800 Concord Pike
PO Box 15437
Wilmington, DE 19850
Title: Treasurer
Phone # (302) 286-4997

Treasurer:

Kelly J. Rolison
1800 Concord Pike
PO Box 15437
Wilmington, Delaware 19850
Title: Treasurer
Phone # (302) 286-4997

Designated Agent(s):

Jeff Penza
1800 Concord Pike
Wilmington, Delaware 19850
Title: Assistant Treasurer
Phone # (302) 885-9260

Banks or Depositories

Wells Fargo Bank, NA
P.O. Box 6995
Portland, Oregon 972286995

Signed: Kelly J. Rolison
Date Signed: 07/23/2013

(End FEC FORM 1)


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