FEC Form 1 for VARIAN MEDICAL SYSTEMS PACForm 1 for VARIAN MEDICAL SYSTEMS PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-442182

1. VARIAN MEDICAL SYSTEMS PAC

1212 S VICTORY BLVD
BURBANK, CA 91502
Email: matthew@durkeeandassociates.com

2. Date: 12/16/2009

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

Committee ID# C00450965
VARIAN MEDICAL SYSTEMS PAC
1212 S VICTORY BLVD
BURBANK, California 91502
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Kinde Durkee
1212 S. Victory Blvd.
Burbank, CA 91502
Title: Treasurer
Phone # (818) 260-0669

Treasurer:

Kinde Durkee
1212 S. Victory Blvd.
Burbank, California 91502
Title: Treasurer
Phone # (818) 260-0669

Designated Agent(s):

Banks or Depositories

First California Bank
1880 Century Park East
Los Angeles, California 90067

Signed: Kinde Durkee
Date Signed: 12/16/2009

(End FEC FORM 1)

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