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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-402904

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1. Astellas US LLC Political Action Committee (Astellas PAC)

    Three Parkway North
    Deerfield, IL 600152548
    Fax: 202-741-1978
    Email: david.atkinson@us.astellas.com

2. Date: 02/10/2009

3. FEC Committee ID #: C00444885 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Astellas US LLC
Three Parkway North
Deerfield, Illinois 600152548
Affiliated Relationship Code: Connected Organization

Custodian of Records:

David M Atkinson
Three Parkway North
Deerfield, IL 600152548
Title: Treasurer
Phone # (847) 317-5464

Treasurer:

David M Atkinson
Three Parkway North
Deerfield, Illinois 600152548
Title: Treasurer
Phone # (847) 317-5464

Designated Agent(s):

Stephen Knowles
Three Parkway North
Deerfield, Illinois 600152548
Title: Asst Treasurer
Phone # (847) 317-8862

Banks or Depositories

JP Morgan Chase Bank
One Chase Manhattan Plaza
FL7
New York, New York 10005

Signed: David M Atkinson
Date Signed: 02/10/2009
Official Committee URL: N/A
Official Committee FAX: 202-741-1978

FORM TEXT-1

(End FEC FORM 1)

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