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FEC Form 1 for Novo Nordisk Inc. Political Action CommitteeForm 1 for Novo Nordisk Inc. Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-410066


1. Novo Nordisk Inc. Political Action Committee

    500 New Jersey Avenue NW
    Suite 350
    Washington, DC 20001
    Email: nnpac@novonordisk.com

2. Date: 03/17/2009

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

Committee ID# C00424838
Novo Nordisk Inc.
100 College Road West
Princeton, New Jersey 08540
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Christopher McGowen
500 New Jersey Ave. NW
Ste. 350
Washington, DC 20001
Title: Custodian of Records
Phone # (202) 626-4522

Treasurer:

Michael Mawby
500 New Jersey Ave. N.W.
Ste. 350
Washington, DC 20001
Title: Treasurer
Phone # (202) 626-4521

Designated Agent(s):

Christopher Porter
500 New Jersey Ave. NW
Ste. 350
Washington, DC 20001
Title: Asst. Treasurer
Phone # (202) 626-4524

Banks or Depositories

Wachovia
444 N Capitol Street NW
Washington, DC 20001

Signed: Michael Mawby
Date Signed: 03/17/2009

(End FEC FORM 1)


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