FEC Form 1 for Quest Diagnostics Incorporated Political Action CommitteeForm 1 for Quest Diagnostics Incorporated Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1045634

1. Quest Diagnostics Incorporated Political Action Committee

300 New Jersey Avenue, NW
Suite 900
Washington, DC 20001

NOTE: Address is different than previously reported

Email: QuestPAC@questdiagnostics.com,robin@sextonpac.com

2. Date: 01/20/2016

3. FEC Committee ID #: C00329185 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

Quest Diagnostics Incorporated
3 Giralda Farms
Madison, New Jersey 07940
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Garrett H. Hansen
3 Giralda Farms
Madison, NJ 07940
Title: Custodian of Records
Phone # (973) 520-2862

Treasurer:

Garrett H. Hansen
3 Giralda Farms
Madison, New Jersey 07940
Title: Senior Manager, Bene
Phone # (973) 520-2862

Designated Agent(s):

Robin Sexton
2330 Putnam Lane
Crofton, Maryland 21114
Title: Assistant Treasurer
Phone # (410) 721-0718

Banks or Depositories

Bank of America
2000 Clayton Road
5th Floor
Concord, California 94520

Bank of New York Mellon
PO Box 11196

New York, New York 102861196

Signed: Garrett H. Hansen
Date Signed: 01/29/2015

(End FEC FORM 1)

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