FEC Form 1 for Abbott Medical Optics Inc. Political Action CommitteeForm 1 for Abbott Medical Optics Inc. Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-409354

1. Abbott Medical Optics Inc. Political Action Committee

100 Abbott Park Rd.
D312 AP6D-2
Abbott Park, IL 60064
Email: pacificon@earthlink.net

2. Date: 03/24/2009

3. FEC Committee ID #: C00379719 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

Abbott Medical Optics Inc.
100 Abbott Park Rd.
D312 AP6D-2
Abbott Park, Illinois 60064
Affiliated Relationship Code: Connected Organization

Abbott Laboratories Employee Political
100 Abbott Park Rd.
D312 AP6D-2
Abbott Park, Illinois 60064
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Edith Bennett
2148 E. Orangeview Ln.
Orange, CA 92867
Title: Treasurer
Phone # (714) 637-4901

Treasurer:

Edith Bennett
2148 E. Orangeview Ln.
Orange, California 92867
Title: Treasurer
Phone # (714) 637-4901

Designated Agent(s):

Rebecca Kinnavy
100 Abbot Park Rd.
D312 AP6D-2
Abbot Park, Illinois 60064
Title: Assistant Treasurer
Phone # (847) 935-8656

Banks or Depositories

Comerica Bank
611 Anton Blvd.
Costa Mesa, California 926261904

Signed: Edith Bennett
Date Signed: 03/24/2009

(End FEC FORM 1)

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