FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-98374
1. C. R. Bard Inc. Active Citizenship Committee
730 Central AvenueMurray Hill, NJ 07974
Email: pacs@pass1.com
2. Date: 10/10/2003
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 Type: Corporation
Custodian of Records:
Mr. Todd Schermerhornc/o PASS
1020 North Fairfax Street
Alexandria, VA 22314
Title: CFO
Phone # (908) 277-8139
Treasurer:
Mr. Todd Schermerhorn730 Central Avenue
Murray Hill, New Jersey 07974
Title: CFO
Phone # (908) 277-8139
Designated Agent(s):
Scott Lowry730 Central Avenue
Murray Hill, New Jersey 07974
Title: Assistant Treasurer
Phone # (908) 277-8265
Banks or Depositories
Fleet Bank15 South Street
New Providence, New Jersey 07974