FEC Form 1 for Takeda Pharmaceuticals America, Inc. Political Action Committee (TakPAC)Form 1 for Takeda Pharmaceuticals America, Inc. Political Action Committee (TakPAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-409630

1. Takeda Pharmaceuticals America, Inc. Political Action Committee (TakPAC)

One Takeda Parkway
Deerfield, IL 60015
Email: awilkinson@tpna.com

2. Date: 03/26/2009

3. FEC Committee ID #: C00441733 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# C00441733
Takeda Pharmaceuticals America Inc.
One Takeda Parkway
Deerfield, Illinois 60015
Affiliated Relationship Code: Connected Organization

Committee ID# C00407460
Millennium Pharmaceuticals Inc. PAC
40 Landsdowne Street
Cambridge, Massachusetts 02139
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Helen Evans
One Takeda Parkway
Deerfield, IL 60015
Title: Treasurer
Phone # (224) 554-2218

Treasurer:

Helen Evans
One Takeda Parkway
Deerfield, Illinois 60015
Title: Treasurer
Phone # (224) 554-2218

Designated Agent(s):

Scott Dessing
One Takeda Parkway
Deerfield, Illinois 60015
Title: Assistant Treasurer
Phone # (224) 554-5516

Banks or Depositories

Bank of America
PO Box 15463
Wilmington, Delaware 198845463

Signed: Helen Evans
Date Signed: 03/26/2009

(End FEC FORM 1)

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