FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-753174
1. Varian Medical Systems, Inc. PAC ('Varian PAC')
NOTE:Commmittee Name is different than previously reported
525 9th Street, NWSuite 450
Washington, DC 20004
NOTE: Address is different than previously reported
Email: varianpac@varian.comNOTE: Email address is different than previously reported
2. Date: 11/16/2011
3. FEC Committee ID #: C00450965 This committee is a separate segregated fund. Its connected organization is a CorporationIn 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:
Maureen Zilly Tracy525 9th Street, NW
Suite 450
Washington, DC 20004
Title: Treasurer
Phone # (202) 629-3441
Treasurer:
Maureen Zilly Tracy525 9th Street, NW
Suite 450
Washington, DC 20004
Title: Treasurer
Phone # (202) 629-3441
Designated Agent(s):
Franco Palomba3100 Hansen Way
Palo Alto, California 94304
Title: Assistant Treasurer
Phone # (650) 424-5955
Banks or Depositories
First California Bank1880 Century Park East
Los Angeles, California 90067
Bank of America
1001 Pennsylvania Ave NW
Washington, DC 20004