FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-408063
1. HERBALIFE INTERNATIONAL INC. POLITICAL ACTION COMMITTEE (AKA HERBALIFEPAC)
990 West 190th StreetSuite 650
Torrance, CA 90502
Email: CameronS@herbalife.com
2. Date: 03/16/2009
3. FEC Committee ID #: C00393298 This committee is a separate segregated fund. Its connected organization is a CorporationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
Herbalife International, Inc.800 W. Olympic Blvd
Los Angeles, California 90015
Affiliated Relationship Code: Connected Organization
Custodian of Records:
John Venardos990 West 190th Street
Suite 650
Torrance, CA 90502
Title: Secretary
Phone # (310) 410-9600
Treasurer:
Richard GoudisHerbalife International
800 W. Olumpic Blvd
Los Angeles, California 90015
Title: Treasurer
Phone # (310) 410-9600
Designated Agent(s):
Tom DarcyHerbalife International
800 W. Olympic Blvd.
Los Angeles, California 90015
Title: Assistant Treasurer
Phone # (310) 410-9600
Bosco Chiu
990 West 190th Street
Suite 650
Torrance, California 90502
Title: Assistant Treasurer
Phone # (310) 410-9600
David Pezzullo
Herbalife International
800 W. Olympic Blvd.
Los Angeles, California 90015
Title: Assistant Treasurer
Phone # (310) 410-9600
Banks or Depositories
Union Bank of California445 South Figueroa Street
Los Angeles, California 90071