FEC Form 1 for Boehringer Ingelheim USA Corporation Political Action CommitteeForm 1 for Boehringer Ingelheim USA Corporation Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1691832

1. Boehringer Ingelheim USA Corporation Political Action Committee

900 Ridgebury Road
Ridgefield, CT 068771058
Email: outsourcing@aristotle.com

2. Date: 03/02/2023

3. FEC Committee ID #: C00420398 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

Boehringer Ingelheim USA Corporation
900 Ridgebury Rd
Ridgefield, Connecticut 068771058
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Sarah Nordstrom
900 Ridgebury Rd
Ridgefield, CT 068771058
Title: Custodian of Records
Phone # (202) 733-7990

Treasurer:

Dorota Biernat
900 Ridgebury Rd
Ridgefield, Connecticut 068771058
Title: Treasurer
Phone # (203) 798-5683

Designated Agent(s):

Sarah Nordstrom
900 Ridgebury Rd
Ridgefield, Connecticut 068771058
Title: Custodian of Records
Phone # (202) 733-7990

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1691832

1. Boehringer Ingelheim USA Corporation Political Action Committee

2. Date: 03/02/2023

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Dorota Biernat
Date Signed: 03/02/2023

FORM TEXT-1

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1691832

1. Boehringer Ingelheim USA Corporation Political Action Committee

2. Date: 03/02/2023

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Dorota Biernat Date Signed: 03/02/2023 function popup1691832F12() { plain_window = window.open('/dcdev/fectxt/1691832F12.txt','plain','scrollbars,resizable,width=500,height=500'); } FORM TEXT-1

(End FEC FORM 1)

Signed: Dorota Biernat
Date Signed: 03/02/2023

FORM TEXT-1