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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1292418

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1. Novo Nordisk Inc. PAC (Novo Nordisk PAC)

    920 Massachusetts Ave, NW
    Suite 500
    Washington, DC 20001
    Email: klcu@novonordisk.com;phog@novonordisk.com

    NOTE: Email address is different than previously reported

2. Date: 11/20/2018

3. FEC Committee ID #: C00424838 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

Novo Nordisk Inc.
800 Scudders Mill Road
Plainsboro, New Jersey 08536
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Kara Curtis
920 Massachusetts Avenue, NW
Suite 500
Washington, DC 20001
Title: Custodian of Records
Phone # (202) 626-5635

Treasurer:

Paul Hoogsteden
800 Scudders Mill Road
Plainsboro, New Jersey 08536
Title: Treasurer
Phone # (609) 987-5800

Designated Agent(s):

Lauren Semeniuk
920 Massachusetts Avenue, NW
Suite 500
Washington, DC 20001
Title: Assistant Treasurer
Phone # (202) 626-4520

Banks or Depositories

Wells Fargo
444 N Capitol Street NW
Washington, DC 20001

Signed: Paul Hoogsteden
Date Signed: 11/20/2018

FORM TEXT-1

(End FEC FORM 1)

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