FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-835571
1. Grifols, Inc. Political Action Committee (GRIFOLSPAC)
1775 Pennsylvania Avenue, NWSuite 375
Washington, DC 20006
NOTE: Address is different than previously reported
Email: grifolspac@grifols.com2. Date: 11/29/2012
3. FEC Committee ID #: C00464958 This committee is a separate segregated fund. Its connected organization is a CorporationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
Grifols, Inc.4101 Research Commons
79 TW Alexander Drive
Research Triangle Park, North Carolina 27709
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Steve Wong2410 Lillyvale Avenue
Los Angeles, CA 900323514
Title: Treasury Manager
Phone # (323) 227-7511
Treasurer:
Mr. Maxime De Brouwer2410 Lillyvale Avenue
Los Angeles, California 900323514
Title: Treasurer
Phone # (323) 356-3135
Designated Agent(s):
Steve Wong2410 Lillyvale Avenue
Los Angeles, California 900323514
Title: Treasury Manager
Phone # (323) 227-7511
Banks or Depositories
Wells FargoResearch Triangle Park Financial C
Four Park Drive
Research Triangle Park, North Carolina 27709