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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1525365

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

    801 Pennsylvania Avenue, NW
    Suite 520
    Washington, DC 20004

    NOTE: Address is different than previously reported

    Email: varianpac@varian.com;lisa.tignor@dlapiper.com

2. Date: 07/14/2021

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

Siemens Corporation PAC
300 New Jersey Avenue, NW
Suite 1000
Washington, DC 200012268
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Andrew Whitman
801 Pennsylvania Avenue, NW
Suite 520
Washington, DC 20004
Title: Treasurer
Phone # (202) 629-3459

Treasurer:

Andrew Whitman
801 Pennsylvania Avenue, NW
Suite 520
Washington, DC 20004
Title: Treasurer
Phone # (202) 629-3459

Designated Agent(s):

Christina Carrica Haley
801 Pennsylvania Ave, NW
Suite 520
Washington, DC 20004
Title: Assistant Treasurer
Phone # (202) 510-3541

Banks or Depositories

Bank of America
1001 Pennsylvania Ave NW
Washington, DC 20004

Signed: Andrew Whitman
Date Signed: 07/14/2021

FORM TEXT-1

(End FEC FORM 1)

Generated Thu Aug 15 12:47:23 2024