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-920679

1. Takeda Pharmaceuticals America, Inc. Political Action Committee

One Takeda Parkway
Deerfield, IL 60015
Email: shelley.stewart@takeda.com

2. Date: 04/17/2014

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

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):

Patrick Butler
One Takeda Parkway
Deerfield, Illinois 60015
Title: Assistant Treasurer
Phone # (224) 554-5769

Banks or Depositories

Bank of America
PO Box 15463
Wilmington, Delaware 198845463

Signed: Helen Pring
Date Signed: 04/17/2014

(End FEC FORM 1)

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