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FEC Disclosure Form 1M for Masimo Corporation Political Action CommitteeForm 1M for Masimo Corporation Political Action Committee

FEC FORM 1M

NOTIFICATION OF MULTICANDIDATE STATUS

FILING FEC-745584


1. Masimo Corporation Political Action Committee

Forty Parker
ion Committee, CA 92618

2. FEC Committee ID #: C00493940

3. This is NOT a state party committee

4. STATUS BY AFFILIATION:

The committee submitted its Statement of Organization (FEC FORM 1)
on ________________________ and simultaneously qualified as a multicandidate committee through its
affiliation with:

Committee Name: ________________________
FEC Identification Number: _______________________

5. STATUS BY QUALIFICATION:

(a) Candidates: The committee has made contributions to the five federal candidates listed below:


NameOffice SoughtState/DistrictDate
(i) Kevin McCarthy
House of Representatives
California/22
05/12/2011
(ii) Claire McCarthy
Senate
Missouri/00
05/26/2011
(iii) Orrin Hatch
Senate
Utah/00
06/29/2011
(iv) Erik Paulsen
House of Representatives
Minnesota/03
06/29/2011
(v) Brad Sherman
House of Representatives
California/27
06/29/2011

(b) Contributors: The committee received a contribution from its 51st contributor on: 09/09/2011

(c) Registration: The committee has been registered for at least 6 months. FEC FORM 1 was submitted on: 03/09/2011

(d) Qualification: The committee met the above requirements on: 09/09/2011

Treasurer: Nancy Cushman
Date Signed: 09/20/2011

(End FEC FORM 1M)


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