FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-727694
1. HOSPIRA INC PAC LLC
275 N FIELD DRIVEHI - 4S DEPT GVAF
LAKE FOREST, IL 60045
Email: juliana.reed@hospira.com
2. Date: 03/18/2011
3. FEC Committee ID #: C00433284 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated Committees/Organizations
Hospira, Inc.275 North Field Drive
Lake Forest, Illinois 60045
Affiliated Relationship Code: Connected Organization
Custodian of Records:
James M. Ellis2147 Silver Linden
Buffalo Grove, IL 60089
Title: Sr. Counsel
Phone # (224) 212-2866
Treasurer:
Mike Chialdikas1081 Memory Lane
Lake Zurich, Illinois 60047
Title: VP and Treasurer
Phone # (224) 212-3257
Designated Agent(s):
Banks or Depositories
Citibank N.A.111 Wall Street
New York, New York 10043