FEC Form 1 for HORIZON THERAPEUTICS USA, INC. POLITICAL ACTION COMMITTEE (HORIZON THERAPEUTICS PAC)Form 1 for HORIZON THERAPEUTICS USA, INC. POLITICAL ACTION COMMITTEE (HORIZON THERAPEUTICS PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1354535

1. HORIZON THERAPEUTICS USA, INC. POLITICAL ACTION COMMITTEE (HORIZON THERAPEUTICS PAC)

NOTE:Commmittee Name is different than previously reported

150 S SAUNDERS RD
LAKE FOREST, IL 60045
Email: rogerseb@ballardspahr.com;mvetter@horizonpharma.com

2. Date: 10/02/2019

3. FEC Committee ID #: C00624148 This committee is a separate segregated fund. Its connected organization is a Corporation
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Horizon Therapeutics USA, Inc.
150 S. Saunders Road
Lake Forest, Illinois 60045
Affiliated Relationship Code: Connected Organization

Custodian of Records:

James Gruber
150 S. Saunders Rd.
Lake Forest, IL 60045
Title: Custodian of Record
Phone # (224) 383-3000

Treasurer:

James Gruber
150 S. Saunders Rd.
Lake Forest, Illinois 60045
Title: Treasurer
Phone # (224) 383-3000

Designated Agent(s):

Anna Burda
150 South Saunders Road
Lake Forest, Illinois 60045
Title: Assistant Treasurer
Phone # (224) 383-3653

Banks or Depositories

JPMorgan Chase Bank, N.A.
PO Box 659754
San Antonio, Texas 782659754

Signed: James Gruber
Date Signed: 10/02/2019

(End FEC FORM 1)

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