FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-132245
1. HERBALIFE INTERNATIONAL INC. POLITICAL ACTION COMMITTEE (AKA HERBALIFEPAC)
1800 CENTURY PARK EASTCENTURY CITY, CA 90067
2. Date: 08/20/2004
3. FEC Committee ID #: C00393298 This committee is a Separate Segregated FundAffiliated Committees/Organizations
HerbaLife International of America Inc1800 Centruy Park East
Century City, California 90067
Relationship: Connected Organizati
Organization Type: Corporation
Custodian of Records:
John P. Vernandos1800 Century Park East
Century City, CA 90067
Title: Secretary
Phone # (310) 203-7746
Treasurer:
William D. Lowe1800 Century Park East
Century City, California 90067
Title: Treasurer
Phone # (310) 203-7746
Designated Agent(s):
Tom Darcy1800 Century Park East
Century City, California 90067
Title: Assistant Treasurer
Phone # (310) 203-7746
Jesper Rathje
1800 Century Park East
Century City, California 90067
Title: Assistant Treasurer
Phone # (310) 203-7746
Banks or Depositories
Union Bank of California445 South Figueroa Street
Los Angeles, California 90071