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FEC Form 1 for CSL EMPLOYEES POLITICAL ACTION COMMITTEEForm 1 for CSL EMPLOYEES POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1190107


1. CSL EMPLOYEES POLITICAL ACTION COMMITTEE

    1020 FIRST AVENUE
    KING OF PRUSSIA, PA 194060901
    Email: CSLBEHRINGEPAC@CSLBEHRING.COM;patrick.collins@cslbehring.com

2. Date: 12/12/2016

3. FEC Committee ID #: C00422501 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

CSL Behring
1020 First Avenue
King of Prussia, Pennsylvania 19406
Affiliated Relationship Code: Connected Organization

Seqirus
25 Deforest Ave.
Summit, New Jersey 07901
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Patrick Collins
1020 First Avenue
King of Prussia, PA 19406
Title: Treasurer
Phone # (610) 878-4311

Treasurer:

Patrick Collins
1020 First Avenue
King of Prussia, Pennsylvania 19406
Title: Treasurer
Phone # (610) 878-4311

Designated Agent(s):

Dennis Jackman
1020 First Avenue
King of Prussia, Pennsylvania 19406
Title: Chairman
Phone # (610) 878-4583

Banks or Depositories

Wells Fargo
694 W DeKalb Pike
King of Prussia, Pennsylvania 194063082

Signed: Patrick Collins
Date Signed: 11/01/2017

(End FEC FORM 1)


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