FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-36972
1. PURDUE PHARMA INC. POLITICAL ACTION COMMITTEE (PURDUE PAC)
c/o Henry Shaw CPA P.C.106 Corporate Park Dr. Suite 307
White Plains, NY 106043819
NOTE: Address is different than previously reported
Email: joseph.drelich@pharma.com2. Date: 12/17/2001
3. FEC Committee ID #: C00370643 This committee is a Separate Segregated FundAffiliated Committees/Organizations
Purdue Pharma Inc.One Stamford Forum
Stamford, Connecticut 069013431
Relationship: Connected
Organization Type: Corporation
Custodian of Records:
Joseph DrelichOne Stamford Forum
Stamford, CT 069013431
Title: Treasurer
Phone # (203) 588-8000
Treasurer:
Joseph DrelichOne Stamford Forum
Stamford, Connecticut 069013431
Title: Treasurer
Phone # (203) 588-8000
Designated Agent(s):
Robin HogenOne Stamford Forum
Stamford, Connecticut 069013431
Title: Assistant Treasurer
Phone # (203) 588-8000
Banks or Depositories
JP Morgan Chase Bank1411 Broadway
New York, New York 10018