FEC Form 1 for Varian Medical Systems, Inc. PAC ('Varian PAC')Form 1 for Varian Medical Systems, Inc. PAC ('Varian PAC')

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1302727

1. Varian Medical Systems, Inc. PAC ('Varian PAC')

801 Pennsylvania Avenue, NW
Suite 730
Washington, DC 20004
Email: varianpac@varian.com;lisa.tignor@dlapiper.com

NOTE: Email address is different than previously reported

2. Date: 01/03/2019

3. FEC Committee ID #: C00450965 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

Varian Medical Systems, Inc.
3100 Hansen Way
Palo Alto, California 94304
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Andrew Whitman
801 Pennsylvania Avenue, NW
Suite 730
Washington, DC 20004
Title: Treasurer
Phone # (202) 629-3459

Treasurer:

Andrew Whitman
801 Pennsylvania Avenue, NW
Suite 730
Washington, DC 20004
Title: Treasurer
Phone # (202) 629-3459

Designated Agent(s):

Mo Tracy
801 Pennsylvania Ave, NW
Suite 730
Washington, DC 20004
Title: Assistant Treasurer
Phone # (202) 629-3451

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1302727

1. Varian Medical Systems, Inc. PAC ('Varian PAC')

NOTE: Email address is different than previously reported

2. Date: 01/03/2019

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Andrew Whitman
Date Signed: 01/03/2019

FORM TEXT-1

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1302727

1. Varian Medical Systems, Inc. PAC ('Varian PAC')

NOTE: Email address is different than previously reported

2. Date: 01/03/2019

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Andrew Whitman Date Signed: 01/03/2019 function popup1302727F12() { plain_window = window.open('/dcdev/fectxt/1302727F12.txt','plain','scrollbars,resizable,width=500,height=500'); } FORM TEXT-1

(End FEC FORM 1)

Signed: Andrew Whitman
Date Signed: 01/03/2019

FORM TEXT-1