FEC Form 1 for Mylan Inc. Political Action Committee (MYPAC)Form 1 for Mylan Inc. Political Action Committee (MYPAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-770380

1. Mylan Inc. Political Action Committee (MYPAC)

1401 K Street, NW, Suite 800
Washington, DC 20005

NOTE: Address is different than previously reported

Email: Daniel.Lubowitz@Mylan.com

NOTE: Email address is different than previously reported

2. Date: 03/16/2012

3. FEC Committee ID #: C00332395 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

Mylan Inc.
1500 Corporate Drive
Canonsburg, Pennsylvania 15317
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Bruce Lott
1401 K Street, NW, Suite 800
Washington, DC 20005
Title: Vice President State
Phone # (202) 289-3544

Treasurer:

Lara Ramsburg
1500 Corporate Dr.
Canonsburg, Pennsylvania 15317
Title: Vice President Gover
Phone # (724) 514-1551

Designated Agent(s):

Banks or Depositories

PNC Bank
1400 K Street, NW
Washington, DC 20005

Signed: Lara Ramsburg
Date Signed: 03/16/2012

(End FEC FORM 1)

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