FEC Form 1 for Eisai Inc. PACForm 1 for Eisai Inc. PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-410024

1. Eisai Inc. PAC

100 Tice Boulevard
Woodcliff Lake, NJ 07677
Email: ray_frost@eisai.com

2. Date: 03/27/2009

3. FEC Committee ID #: C00429886 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

Eisai Inc.
100 Tice Boulevard
Woodcliff Lake, New Jersey 07677
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Ray Frost
100 Tice Boulevard
Woodcliff, NJ 07677
Title: Custodian
Phone # (201) 746-2553

Treasurer:

Mark E Kirsch
100 Tice Boulevard
Woodcliff, New Jersey 07677
Title: Treasurer
Phone # (201) 746-2155

Designated Agent(s):

Ray Frost
100 Tice Boulevard
Woodcliff, New Jersey 07677
Title: Sr. Dir SGA & Policy
Phone # (201) 746-2553

Banks or Depositories

U.S. Bank
800 Nicollet Mall
Minneapolis, Minnesota 55402

Signed: Mark E Kirsch
Date Signed: 03/27/2009
Official Committee URL: N/A

(End FEC FORM 1)

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