FEC Form 1 for Otsuka America Pharmaceutical Inc. Political Action Committee (Otsuka US PAC)Form 1 for Otsuka America Pharmaceutical Inc. Political Action Committee (Otsuka US PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1217876

1. Otsuka America Pharmaceutical Inc. Political Action Committee (Otsuka US PAC)

2440 Research Blvd
Rockville, MD 20850
Email: pac@otsuka-us.com

2. Date: 04/06/2018

3. FEC Committee ID #: C00553834 This committee is a separate segregated fund. Its connected organization is a Corporation W/O Capital Stock
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Otsuka America Pharmaceutical Inc.
2440 Research Blvd
Rockville, Maryland 20850
Affiliated Relationship Code: Connected Organization

Pharmavite LLC Political Action Commit
PO Box 9606
Mission Hills, California 91346
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Steven J. Weisel
2440 Research Blvd
Rockville, MD 20850
Title: Custodian of Records
Phone # (240) 683-3054

Treasurer:

Kenneth Wright
2440 Research Blvd
Rockville, Maryland 20850
Title: Treasurer
Phone # (240) 683-3271

Designated Agent(s):

James S. Sauer
2440 Research Boulevard
Rockville, Maryland 20850
Title: Assistant Treasurer
Phone # (240) 683-3271

Banks or Depositories

Bank of America
100 North Tryon Street
Charlotte, North Carolina 28255

Signed: Kenneth Wright
Date Signed: 04/06/2018
Official Committee URL: www.otsuka-us-pac.com

(End FEC FORM 1)

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