FEC Form 1 for OmniCare, Inc. Politcal Action CommitteeForm 1 for OmniCare, Inc. Politcal Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-409690

1. OmniCare, Inc. Politcal Action Committee

1600 River Center II
100 East River Center Blvd
Covington, KY 41101
Email: thomas.marsh@omnicare.com

2. Date: 12/20/2006

3. FEC Committee ID #: C00392886 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

OmniCare, Inc.
1600 River Center II
100 East River Center
Covington, Kentucky 41101
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Tom Marsh
1600 River Center II
100 East River Center Blvd.
Covington, KY 41101
Title: Treasurer
Phone # (859) 392-3693

Treasurer:

Tom Marsh
1600 River Center II
100 East River Center Blvd.
Covington, Kentucky 41101

Designated Agent(s):

Banks or Depositories

Mellon Financial
500 Ross Street
Room 1380
Pittsburgh, Pennsylvania 152620001

Signed: Tom Marsh
Date Signed: 03/26/2009

(End FEC FORM 1)

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