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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1040663

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1. MEDCO HEALTH SOLUTIONS, INC. AND EXPRESS SCRIPTS, INC. POLITICAL ACTION COMMITTEE (AKA MEDCO-EXPRESS SCRIPTS PAC)

    2350 KERNER BLVD., SUITE 250
    SAN RAFAEL, CA 94901
    Email: fecform1@nmgovlaw.com

2. Date: 01/19/2016

3. FEC Committee ID #: C00384362 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

Committee ID# C00365072
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
ONE EXPRESS WAY
ST. LOUIS, Missouri 63121
Affiliated Relationship Code: Affiliated Committee

EXPRESS SCRIPTS, INC.
ONE EXPRESS WAY
ST. LOUIS, Missouri 63121
Affiliated Relationship Code: Connected Organization

MEDCO HEALTH SOLUTIONS, INC. ATTN: J
300 NEW JERSEY AVE NW, SUITE 600
WASHINGTON, DC 20001
Affiliated Relationship Code: Connected Organization

Custodian of Records:

JASON D. KAUNE
2350 KERNER BLVD., SUITE 250
SAN RAFAEL, CA 94901
Title: Custodian of Records
Phone # (415) 389-6800

Treasurer:

JASON D. KAUNE
2350 KERNER BLVD., SUITE 250
SAN RAFAEL, California 94901
Title: Treasurer
Phone # (415) 389-6800

Designated Agent(s):

JAMES W. CARSON
2350 KERNER BLVD., SUITE 250
SAN RAFAEL, California 94941
Title: Assistant Treasurer
Phone # (415) 389-6800

Banks or Depositories

BANK OF MARIN
504 TAMALPAIS DRIVE
CORTE MADERA, California 94925

Signed: JASON D. KAUNE
Date Signed: 01/19/2015

(End FEC FORM 1)

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