FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1096980
1. INTUITIVE SURGICAL INC PAC
1020 Kifer RoadSUNNYVALE, CA 940865304
Email: ISRGPAC@INTUSURG.COM;Brian.King@intusurg.com
2. Date: 06/30/2016
3. FEC Committee ID #: C00462622 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated Committees/Organizations
Intuitive Surgical, Inc.1020 Kifer Road
Sunnyvale, California 94086
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Brian King1020 Kifer Road
Sunnyvale, CA 94086
Title: Assistant Treasurer
Phone # (408) 523-2064
Treasurer:
Marshall Mohr1020 Kifer Road
Sunnyvale, California 94086
Title: Treasurer
Phone # (408) 523-2160
Designated Agent(s):
Brian King1020 Kifer Road
Sunnyvale, California 94086
Title: Assistant Treasurer
Phone # (408) 523-2064
Banks or Depositories
Wells Fargo Bank400 Hamilton Ave
Palo Alto, California 94301