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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-884264

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1. Prime Therapeutics LLC Employee PAC (Prime PAC)

    1305 Corporate Center Drive
    Eagan, MN 55121
    Email: sfahrner@primetherapeutics.com

2. Date: 08/08/2013

3. FEC Committee ID #: C00498105

This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Custodian of Records:

Stacey Fahrner
1455 Pennsylvania Avenue, NW
Washington, DC 20004
Title: Assistant Treasurer
Phone # (202) 280-2013

Treasurer:

Aaron Rodriguez
1305 Corporate Center Drive
Eagan, Minnesota 55121
Title: Treasurer
Phone # (612) 777-5006

Designated Agent(s):

Stacey Fahrner
1455 Pennsyvlania Avenue, NW
Washington, DC 20004
Title: Assistant Treasurer
Phone # (202) 280-2013

Banks or Depositories

JP Morgan Chase
225 South Sixth Street
Minneapolis, Minnesota 55402

Signed: Aaron Rodriguez
Date Signed: 08/08/2013

(End FEC FORM 1)

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