FEC Form 1 for MedImmune Biologics, Inc. Employee Political Awareness Committee (MEDIPAC)Form 1 for MedImmune Biologics, Inc. Employee Political Awareness Committee (MEDIPAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-754526

1. MedImmune Biologics, Inc. Employee Political Awareness Committee (MEDIPAC)

One MedImmune Way
Gaithersburg, MD 20878
Email: ElliottK@medimmune.com

2. Date: 12/12/2011

3. FEC Committee ID #: C00399725 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

MedImmune Biologics, Inc.
One MedImmune Way
Gaithersburg, Maryland 20878
Affiliated Relationship Code: Connected Organization

Zeneca Inc. Political Action Committee
1800 Concord Pike, PO Box 15437
Wilmington, Delaware 19850
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

DDC Advocacy
174 Waterfront Street
Suite 500
National Harbor, MD 20745
Title: Custodian of Records
Phone # (877) 332-6556

Treasurer:

Kinn Elliot
One MedImmune Way
Gaithersburg, Maryland 20878
Title: Treasurer
Phone # (301) 398-4311

Designated Agent(s):

Lauren Buckley
888 16th Street, NW
Suite 800
Washington, DC 20006
Title: Assistant Treasurer
Phone # (202) 738-6555

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-754526

1. MedImmune Biologics, Inc. Employee Political Awareness Committee (MEDIPAC)

2. Date: 12/12/2011

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Kinn Elliot
Date Signed: 12/12/2011

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-754526

1. MedImmune Biologics, Inc. Employee Political Awareness Committee (MEDIPAC)

2. Date: 12/12/2011

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Kinn Elliot Date Signed: 12/12/2011

(End FEC FORM 1)

Signed: Kinn Elliot
Date Signed: 12/12/2011