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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-313229

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1. Boehringer Ingelheim Corporation Political Action Committee

    900 Ridgebury Road
    Ridgefield, CT 06877

    NOTE: Address is different than previously reported

    Fax: 203-791-6160
    Email: patricetaylor@worldnet.att.net

2. Date: 12/18/2007

3. FEC Committee ID #: C00420398 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Patrice , Taylor
2901 28th Street NW
Washington, DC 20008
Title: PAC Consultant
Phone # (202) 234-0393

Treasurer:

Frank , Pomer
900 Ridgebury Rd
Ridgefield, Connecticut 06877
Title: Vice President Tax
Phone # (203) 798-5683

Designated Agent(s):

Banks or Depositories

Signed: Frank , Pomer
Date Signed: 12/18/2007
Official Committee FAX: 203-791-6160

(End FEC FORM 1)

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