FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-779465
1. Terumo BCT, Inc.
NOTE:Commmittee Name is different than previously reported
10811 W. Collins Ave.Lakewood, CO 80215
Email: mark.ingebritson@terumobct.com
2. Date: 04/19/2012
3. FEC Committee ID #: C00388652 This committee is a Principal Campaign Committee. Candidate:Party:
Office Sought:
State is in District:
Affiliated Committees/Organizations
NONE, ____
Custodian of Records:
Treasurer:
Mark Ingebritson10606 Ridgecrest Circle
Highlands Ranch, Colorado 80129
Title: Exec Asst
Phone # (303) 542-5311
Designated Agent(s):
Banks or Depositories
US BankP.O. Box 6343
Fargo, North Dakota 58125