FEC Form 1 for Mylan Inc. Political Action Committee (MYPAC)Form 1 for Mylan Inc. Political Action Committee (MYPAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-889826

1. Mylan Inc. Political Action Committee (MYPAC)

700 6th Street, NW, Suite 525
Washington, DC 20001
Email: Daniel.Lubowitz@Mylan.com

2. Date: 10/04/2013

3. FEC Committee ID #: C00332395 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

Mylan Inc.
1500 Corporate Drive
Canonsburg, Pennsylvania 15317
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Nimish Shah
700 6th Street, NW, Suite 525
Washington, DC 20001
Title: Treasurer
Phone # (202) 507-5317

Treasurer:

Nimish Shah
700 Sixth Street, NW
Suite 525
Washington, DC 20001
Title: Treasurer
Phone # (202) 507-5317

Designated Agent(s):

Bruce Lott
700 Sixth Street, NW
Suite 525
Washington, DC 20001
Title: Assistant Treasurer
Phone # (202) 507-5316

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-889826

1. Mylan Inc. Political Action Committee (MYPAC)

2. Date: 10/04/2013

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Nimish Shah
Date Signed: 10/04/2013

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-889826

1. Mylan Inc. Political Action Committee (MYPAC)

2. Date: 10/04/2013

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Nimish Shah Date Signed: 10/04/2013

(End FEC FORM 1)

Signed: Nimish Shah
Date Signed: 10/04/2013