FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-231649
1. C. R. Bard Inc. Active Citizenship Committee
730 Central AvenueMurray Hill, NJ 07974
Email: pacs@pass1.com
2. Date: 07/24/2006
3. FEC Committee ID #: C00359125 This committee is a Separate Segregated FundAffiliated Committees/Organizations
C. R. Bard Inc.730 Central Avenue
Murray Hill, New Jersey 07974
Relationship: Connected Organization
Organization Type: Corporation
Custodian of Records:
Mr. Scott Lowryc/o PASS
1020 North Fairfax Street
Alexandria, VA 22314
Title: Treasurer
Phone # (908) 277-8265
Treasurer:
Mr. Scott Lowry270 Central Avenue
Murray Hill, New Jersey 07974
Title: Treasurer
Phone # (908) 277-8265
Designated Agent(s):
Michael Piotrowski270 Central Avenue
Murray Hill, New Jersey 07974
Title: Assistant Treasurer
Phone # (908) 277-8193
Banks or Depositories
Bank of America15 South Street
New Providence, New Jersey 07974