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FEC Form 1 for Takeda Pharmaceuticals America Inc. Political Action CommitteeForm 1 for Takeda Pharmaceuticals America Inc. Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-751553


1. Takeda Pharmaceuticals America Inc. Political Action Committee

    One Takeda Parkway
    Deerfield, IL 60015
    Email: andrea.wilkinson@takeda.com

    NOTE: Email address is different than previously reported

2. Date: 11/01/2011

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

Takeda Pharmaceuticals America Inc.
One Takeda Parkway
Deerfield, Illinois 60015
Affiliated Relationship Code: Connected Organization

Millennium Pharmaceuticals Inc. PAC
1401 H Street, NW
Suite 200
Washington, DC 20005
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

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

Treasurer:

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

Designated Agent(s):

Lori Dorshorst
One Takeda Parkway
Deerfield, Illinois 60015
Title: Assistant Treasurer
Phone # (224) 554-5522

Banks or Depositories

Bank of America
PO Box 15463
Willimgton, Delaware 198845463

Signed: Mrs. Helen Pring
Date Signed: 11/02/2011

(End FEC FORM 1)


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