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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-817442

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1. Amylin Pharmaceuticals Inc., a Bristol-Myers Squibb Company Political Action Committee (Amylin PAC)

    801 Pennsylvania Ave. NW
    Suite 325
    Washington, DC 20004

    NOTE: Address is different than previously reported

    Email: Brandy.Stacks@bms.com

    NOTE: Email address is different than previously reported

2. Date: 10/11/2012

3. FEC Committee ID #: C00427021 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

Amylin Pharmaceuticals, Inc. Amylin Pharmaceuticals Inc., a Bristol-Myers Squibb Company
9360 Towne Center Drive
San Diego, California 92121
Affiliated Relationship Code: Connected Organization

Bristol-Myers Squibb Employee Politica
801 Pennsylvania Ave NW
Suite 325
Washington, DC 20004
Affiliated Relationship Code: Affiliated Committee

Bristol-Myers Squibb Company
801 Pennsylvania Ave NW
Suite 325
Washington, DC 20004
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Adam Bartnik
3551 Lawrenceville Road
Princeton, NJ 08648
Title: Custodian of Records
Phone # (609) 252-3853

Treasurer:

Adam Bartnik
3551 Lawrenceville Road
Princeton, New Jersey 08648
Title: Treasurer
Phone # (609) 252-3853

Designated Agent(s):

David C Levi
Route 206 & Province Line Road
Princeton, New Jersey 08543
Title: Assistant Treasurer
Phone # (609) 252-5522

Brandy Stacks
801 Pennsylvania Ave NW
Suite 325
Washington, DC 20004
Title: Assistant Treasurer
Phone # (202) 783-8617

David Sproat
400 Streamside Lane
Marvin, North Carolina 28173
Title: Assistant Treasurer
Phone # (704) 843-2204

Banks or Depositories

Bank of America
450 B. Street
Floor 150
San Diego, California 92101

Signed: Adam Bartnik
Date Signed: 10/11/2012

(End FEC FORM 1)

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