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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1531378

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1. Ipsen Biopharmaceuticals, Inc. PAC (IPSEN PAC)

    106 Allen Road
    Basking Ridge, NJ 079203851
    Email: ipsenpac@ipsen.com;outsourcing@aristotle.com

    NOTE: Email address is different than previously reported

2. Date: 07/28/2021

3. FEC Committee ID #: C00697409 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Ipsen Biopharmaceuticals Inc.
106 Allen Rd
Basking Ridge, New Jersey 079203851
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Francis J Rienzo
One Main St
Cambridge, MA 021421531
Title: Custodian of Records
Phone # (617) 777-0912

Treasurer:

Monica T Hilty
106 Allen Rd
Fl 4
Basking Ridge, New Jersey 079203851
Title: Treasurer
Phone # (201) 919-5953

Designated Agent(s):

Banks or Depositories

Wells Fargo Bank
420 Montgomery Street
San Francisco, California 94104

Signed: Monica T Hilty
Date Signed: 07/28/2021

FORM TEXT-1

(End FEC FORM 1)

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