lmegeN 201507209000
`
`r-
`
`FEC
`FORM 3X
`
`80120
`
`REPORT OF RECEIPTS
`AND DISBURSEMENTS
`For Other Than An Authorized Committee
`
`PAGE 1 124 1
`
`1. NAME OF
`COMMITTEE (in full)
`
`TYPE OR PRINT
`
`Example: If typing, type
`over the lines.
`
`12FE4M5
`
`Office Use Only
`
`Mylan
`
`I m i
`
`Inc.
`
`Polifcal Action Committee (MYPAC)
`
`l
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`
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`
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`I
`
`I
`
`I
`
`1
`
`I
`
`I
`
`I
`
`I
`
`ADDRESS
`
`(number and street)
`
`I
`
`700
`
`6th St_et,
`
`NY, Sulte 52I 5
`
`I
`
`1 L I
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`
`I
`
`1
`
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`
`Check if different
`than previously
`reported. (ACC)
`
`L A
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`Washington
`
`1
`
`I
`
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`
`I
`
`2.
`
`FEC IDENTIFICATION NUMBER
`
`/11
`
`CITY A
`
`1
`
`1
`
`1
`
`1
`
`1
`
`1
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`
`I
`
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`
`I
`
`I D0
`
`I
`
`STATE,t.
`
`ZIP CODE
`
`C
`
`C00332395
`
`3.
`
`IS THIS
`REPORT
`
`X
`
`NEW
`(N)
`
`OR
`
`AMENDED
`(A)
`
`4.
`
`TYPE OF REPORT
`(Choose One)
`
`(a) Quarterly Reports:
`
`(b)
`
`Monthly
`Report
`Due On:
`
`Feb 20 (M2)
`
`May 20 (M5)
`
`Aug 20 (Ma)
`
`Mar 20 (M3)
`
`Jun 20 (M6)
`
`Sep 20 (M9)
`
`Apr 20 (M4)
`
`X
`
`Jul 20 (M7)
`
`Oct 20 (M10)
`
`Nov 20 (M11)
`(Non- Eleclbn
`Year Only)
`Dec 20 (M12)
`(Nan- Election
`Year Only)
`Jan 31 (YE)
`
`April 15
`Quarterly Report (Qi)
`July 15
`Quarterly Report (02)
`October 15
`Quarterly Report (Q3)
`
`(c)
`
`12 -Day
`PRE -Election
`Report for the:
`
`Primary (12P)
`
`General (12G)
`
`Runoff (12R)
`
`Convention (12C)
`
`Special (125)
`
`N
`
`to
`
`/
`
`n O/
`
`Y
`
`Y
`
`Y
`
`Y
`
`January 31
`Year-End Report (YE)
`
`July 31 Mid -Year
`Report (Non -election
`Year Only) (MY)
`
`Termination Report
`(TER)
`
`Election on
`
`(d)
`
`30 -Day
`POST -Election
`Report for the:
`
`in the
`State of
`
`General (30G)
`
`Runoff (30R)
`
`Special (30S)
`
`Election on
`
`n1
`
`M
`
`/
`
`o
`
`e
`
`/
`
`Y
`
`V
`
`Y
`
`V
`
`in the
`State of
`
`5. Coveting Period
`
`/d
`
`6
`06
`
`/
`
`Y
`
`n
`
`o
`01
`
`Y
`
`Y
`
`Y
`2015
`
`through
`
`M ta/ e
`
`06
`
`30
`
`n
`
`l
`
`Y
`
`Y
`
`Y
`
`Y
`2015
`
`I certify that I have examined this Report and to the best of my knowledge and belief it is true, correct and complete,
`Type or Print Name of Treasurer Nimish Shah
`
`Signature of Treasurer
`
`Nimish Shah
`
`/Efcctrunfcai(yFi/cd/
`
`Date
`
`re M/ o n/ Y
`
`07
`
`20
`
`Y
`
`Y
`2015
`
`r
`
`NOTE: Submission of false, erroneous, or incomplete Information may subject the parson signing this Report to the penalties of 2 U.S.C. §437g,
`Onice
`Use
`Only
`
`'
`
`FESANO2S
`
`FEC FORM 3X
`Rev. 12/2004
`
`.J
`
`NCI Exhibit 2039
`
`

`
`ImageN201507209000280121
`
`FEC Form 3X (Rev. 02/2003)
`
`SUMMARY PAGE
`OF RECEIPTS AND DISBURSEMENTS
`
`Page 2
`
`Write or Type Committee Name
`Mylan Inc. Political Action Committee (MYPAC)
`
`Report Covering the Period:
`
`From:
`
`M
`
`M
`06
`
`/
`
`e
`
`e
`
`/
`
`Y
`
`01
`
`Y
`
`Y
`
`Y
`2015
`
`To:
`
`M
`
`M
`06
`
`/
`
`U
`
`U
`
`/
`
`Y
`
`30
`
`Y
`
`Y
`
`T
`2015
`
`COLUMN A
`This Period
`
`COLUMN B
`Calendar Year-to -Date
`
`168437,87
`
`51205.53
`
`219643.40
`
`9
`
`38051,80
`
`181591.60
`
`6.
`
`(a) Cash on Hand
`January 1,
`
`Y
`
`Y
`
`Y
`
`Y
`
`2015
`
`(b) Cash on Hand at
`Beginning of Reporting Period
`
`(c) Total Receipts (from Line 19)
`
`(d) Subtotal (add Unes 6(b) and
`e(c) for Column A and Unes
`6(a) and 6(c) for Column B)
`
`7.
`
`Total Disbursements (from Une 31)...........
`
`8. Cash on Hand at Close of
`Reporting Period
`(subtract Line 7 from Une 6(d))
`
`9. Debts and Obligations Owed TO
`the Committee (Itemize all on
`Schedule C and /or Schedule D)....
`
`ID. Debts and Obligations Owed BY
`the Committee (Itemize all on
`Schedule C and /or Schedule D)
`
`a
`
`o
`
`180882.98
`
`8270.62
`
`189153.60
`
`7562.00
`
`181591.60
`
`D.00
`
`0.00
`
`X
`
`This committee has qualified as a multicandidate committee. (see FEC FORM 1M)
`
`For further Information contact:
`
`Federal Election Commission
`999 E Street, NW
`Washington, DC 20463
`
`Toll Free 800 -424 -9530
`Local 202 -694 -1100
`
`

`
`Image# 201507209000280122
`
`FEC Form 3X (Rev. 06/2004)
`
`DETAILED SUMMARY PAGE
`of Receipts
`
`Page 3
`
`Write or Type Committee Name
`Mylan Inc. Political Action Committee (MYPAC)
`M M/ D
`06
`
`Report Covering the Period:
`
`From:
`
`D
`
`/
`
`01
`
`Y
`
`Y
`
`Y
`2015
`
`Y
`
`To:
`
`Mil
`06
`
`/
`
`O D/ Y
`
`30
`
`Y
`
`Y
`
`Y
`
`2015
`
`I. Receipts
`
`11. Contributions (other than loans) From:
`Individuals/Persons Other
`(a)
`Than Political Committees
`Itemized (use Schedule A)
`(I)
`
`(ii) Unitemized
`(Iii) TOTAL (add
`Lines t1(e)(I) and (h)
`
`(b) Political Party Committees
`(e) Other Political Committees
`(such as PACs)
`(d) Total Contributions (add Lines
`11(a)(iii), (b), and (c)) (Carry
`Totals to Une 33, page 5)
`12. Transfers From Affiliated /Other
`Party Committees
`
`13. All Loans Received
`
`14 Loan Repayments Received
`15. Offsets To Operating Expenditures
`(Refunds, Rebates, eta)
`(Carry Totals to Une 37, page 5)
`16. Refunds of Contributions Made
`to Federal Candidates and Other
`Political Committees
`17. Other Federal Receipts
`(Dividends, Interest, etc.)
`18. Transfers from Non-Federal and Levin Funds
`(a) Non -Federal Account
`(from Schedule H3)
`
`(b) Levin Funds (from Schedule H5)
`
`(c) Total Transfers (add 18(a) and 18(b))
`
`19. Total Receipts (add Lines 11(d),
`12, 13, 14, 15, 16, 17, and 18(c))
`
`20. Total Federal Receipts
`(subtract Une 18(c) from Line 19)
`
`L
`
`FE6ANp26
`
`COLUMN A
`Total This Period
`
`COLUMN B
`Calendar Year -to -Date
`
`4269.68
`
`4009.94
`
`827Q.62
`
`090
`
`0.00
`
`8270.62
`
`coo
`
`0.00
`
`0.00
`
`0.00
`
`0.00
`
`0.00
`
`0.00
`
`0.00
`
`0.00
`
`8270.62
`
`827092
`
`,
`
`r
`
`17558.72
`
`33646,81
`
`51205.53
`
`0.00
`
`0.00
`
`51205.53
`
`0.00
`
`090
`
`0.00
`
`0.00
`
`0.00
`
`0.00
`
`0.00
`
`0.00
`
`0.00
`
`51205.53
`
`51205.53
`
`J
`
`

`
`Imager/ 201507209000280123
`
`FEC Form 3X (Rev. 0212003)
`
`II. Disbursements
`21. Operating Expenditures:
`(a) Allocated Federal/Non- Federal
`Activity (from Schedule H4)
`(I) Federal Share
`
`(8) Non -Fodoral Share
`(b) Other Federal Operating
`Expenditures
`(c) Total Operating Expenditures
`(add 21(a)(I), (a)(0), and (b))
`22. Transfers to Affillated/Other Party
`Committees....... .............. ..,..... ..................
`23. Contributions to
`Federal Candidates/Committees
`and Other Political Committees
`Independent Expenditures
`(use Schedule E)
`25. Coordinated Part yy Expenditures
`(2 U.S.C. §441a d))
`(use Schedule F))
`
`24.
`
`26. Loan Repayments Made
`
`27. Loans Made
`28. Refunds of Contributions To:
`Individuals/Persons Other
`(a)
`Than Political Committees
`
`(b) Political Party Committees
`(o) Other Political Committees
`(such as PACs)
`
`(d) Total Contribution Refunds
`(add Lines 28(a), (b), and (c))
`
`29. Other Disbursements
`
`30. Federal Election Activity (2 U.S.C. §431(20))
`(a) Allocated Federal Election Activity
`(from Schedule 1-16)
`(I) Federal Share
`
`(ii) "Levin' Share
`(b) Federal Election Activity Paid Entirely
`With Federal Funds
`(c) Total Federal Election Activity (add ..
`Lines 30(a)(i), 30(a)(il) and 30(b))....
`
`31. Total Disbursements (add Lines 21(c), 22,
`23, 24, 25, 26, 27, 26(d), 29 and 30(0))..
`
`32. Total Federal Disbursements
`(subtract Line 21(a)(il) and Line 30(a)(1ß
`from Line 31)
`
`DETAILED SUMMARY PAGE
`01 Disbursements
`
`COLUMN A
`Total This Period
`
`Page 4
`
`COLUMN B
`Calendar Year -to -Date
`
`o
`
`r
`
`0.00
`
`0.00
`
`62.00
`
`62.00
`
`0.00
`
`6000.00
`
`0.00
`
`0.00
`
`0.00
`
`0,00
`
`q.00
`
`9.00
`
`0.00
`
`0.00
`
`1500.00
`
`0.00
`
`0.00
`
`0.00
`
`0.00
`
`7562.00
`
`7562.00
`
`r
`
`o
`
`,
`
`000
`
`0.00
`
`466.80
`
`466.80
`
`0.00
`
`27500.00
`
`000
`
`0.00
`
`000
`
`0,00
`
`585.00
`
`0.00
`
`000
`
`585.00
`
`9500.00
`
`0.00
`
`0.00
`
`0.00
`
`0.00
`
`35051.80
`
`38051.80
`
`J
`
`

`
`Lnage# 201507209000280124
`
`FEC Form 3X (Rev. 0212003)
`III. Net Contributions/Operating Ex-
`penditures
`
`33. Total Contributions (other than loans)
`(from Une 11(d), page 3)
`34. Total Contribution Refunds
`(from Line 28( d)) ......... ...............................
`35. Net Contributions (other than loans)
`(subtract Une 34 from Une 33)
`36. Total Federal Operating Expenditures
`(add Line 21(a)(1) and Line 21(b))
`37. Offsets to Operating Expenditures
`(from Une 15, page 3)
`38. Net Operating Expenditures
`(subtract Line 37 from Line 36)
`
`DETAILED SUMMARY PAGE
`of Disbursements
`
`COLUMN A
`Total This Period
`
`Page 5
`
`COLUMN B
`Calendar Year -to -Date
`
`8270.62
`
`0.00
`
`8270,62
`
`62.00
`
`0.00
`
`82.00
`
`51205.53
`
`585,00
`
`50620.53
`
`466,80
`
`0.00
`
`466.80
`
`FE6AN2e
`
`

`
`év
`
`FOR LINE NUMBER:
`(check only
`
`one) n
`
`1
`
`I PAGE
`
`6 OF
`
`24
`
`-
`16 n 17
`
`Image4 2015 0 7 2 0 9 00 0 28 0125
`
`SCHEDULE A (FEC Form 3X)
`ITEMIZED RECEIPTS
`
`Use separate schedule(s)
`for each category of the
`Detailed Summary Page
`
`15
`5
`13
`114
`Any Information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contdbutlons
`or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee,
`)NAME OF COMMITTEE (In Full)
`Mylan Inc. Political Action Committee (MYPAC)
`
`Full Namo (Last, First, Middle Initial)
`A. Scot D Lehman
`Mailing Address 140 CRESCENT DR
`
`City
`PITTSBURGH
`
`FEC ID number of contributing
`lodatal political committee.
`
`Name of Employer
`
`Mylan Inc.
`Receipt For:
`
`aPrimary J General
`
`Other (specify) y
`
`Full Name (Last, First, Middle Initial)
`B. BETH A PRATT
`Mailing Address 101 HAMILTON ST
`
`City
`JEFFERSON
`
`FEC ID number of contributing
`federal political committee.
`
`Name of Employer
`Mylan Inc.
`
`Receipt For:
`Primary
`
`Other (specify) J General
`
`y
`
`Full Name (Last, First, Middle initial)
`C. Deneen M Fumich
`Mailing Address 7 TAYLOR WAY
`
`City
`MORGANTOWN
`
`FEC ID number of contributing
`federal political committee,
`
`Name of Employer
`Wan Pharmaceuticals Inc.
`Receipt
`For:
`Primary
`General
`I_ 1
`Other (specify) y
`
`®W
`
`Date of Receipt
`
`M
`
`r
`
`D
`
`I M Y
`
`v
`
`M
`V
`06
`30
`2015
`Transaction ID: PR1120562341606
`Amount of Each Receipt this Period
`
`84.00
`
`r
`
`State
`PA
`
`Zip Coda
`15226.1050
`
`Occupation
`CHIEF INTEGRATION OFFICER
`Aggregate Year -to -Date V
`
`546.00
`
`r
`
`P/R Deduction ($42.00 Si- Weekly)
`
`Date of Receipt
`
`tr
`
`M
`
`r
`
`o
`
`r
`
`Y
`
`V
`
`V
`
`e
`v
`06
`30
`2015
`Transaction ID: PR1120562541606
`Amount of Each Receipt this Period
`
`80.00
`
`P/R Deduction ($40.00 BI- Weekly)
`
`Date of Receipt
`/ DO
`MM
`06
`2015
`30
`Transaction ID: PR112056 8 341 60 6
`Amount of Each Receipt this Period
`
`/
`
`v
`
`V
`
`V
`
`Y
`
`50.00
`.
`
`ip Code
`15344.4177
`
`Stale
`PA
`
`C+
`
`Occupation
`SVP GLOBAL HUMAN RELATIONS
`
`Aggregate Year -to -Date
`
`t
`
`520.00
`
`Zip Code
`26508 -4868
`
`State
`WV
`
`L,
`
`Occupation
`
`SENIOR PROJECT MANAGER
`
`Aggregate Year -to -Date
`
`325,00
`
`P/R Deduction ($25.00 Bi- Weekly)
`
`SUBTOTAL of Receipts This Page (optional)
`
`TOTAL This Period (last page this line number only)
`
`V
`
`Iri
`
`214.00
`
`FE6AN626
`
`FEC Schedule A (Form 3X) Rev. 02/2003
`
`

`
`Image# 201507209000280128
`
`SCHEDULE A (FEC Form 3X)
`ITEMIZED RECEIPTS
`
`Use separate schedules)
`for each category of the
`Detailed Summary Page
`
`FOR LINE NUMBER:
`(check only
`one)
`üb
`15
`13
`14
`Any Information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
`or for commerdal purposes, other than using the name and address of any political committee to solicit contributions from such committee,
`NAME OF COMMITTEE (In Full)
`Mylan Inc. Political Action Committee (MYPAC)
`
`PAGE
`
`7 OF
`
`24
`
`11a
`
`11c
`
`n,z
`16 nil
`
`Full Name (Last, First, Middle Initial)
`A. MARCIE E MCCLINTIC- COATES
`Mailing Address 6014 WOODLANDS BLUFF
`
`City
`MORGANTOWN
`
`FEC ID number of contributing
`federal political committee,
`
`Name of Employer
`
`Mylan Inc.
`
`Receipt - For:
`
`i[1 General
`Primary
`Other (specify)
`
`Full Name (Last, First, Middle Initial)
`B. Michael E Houghton
`Mailing Address PO BOX 4227
`
`City
`MORGANTOWN
`
`FEC ID number of contributing
`federal political committee.
`
`Name of Employer
`Mylan Technologies, Inc.
`
`Receipt Fon
`
`Primary L General
`Other (spedfy) y
`
`Full Name (Last, First, Middle Initial)
`C. Sandra C Keogh
`Mailing Address 330 THIRD AVE APT 6E
`
`Date of Receipt
`
`N
`
`N
`
`r
`
`D
`
`D
`
`/
`
`Y
`
`Y
`
`Y
`
`Y
`
`06
`2015
`30
`Transaction ID t PR1481904441608
`Amount of Each Receipt this Period
`
`50.00
`
`Zip Cade
`26508
`
`State
`WV
`
`C
`
`Occupation
`HEAD OF GLOBAL REGULATORY AFFA
`
`Aggregate Year -to -Dale
`
`325.00
`
`PR Deduction ($25.00 BiWeekly)
`
`Date of Receipt
`
`a
`
`r
`
`D
`
`r
`
`Y
`
`Y
`
`Y
`
`M
`Y
`D
`06
`30
`2015
`Transaction ID: FR1481904541606
`Amount of Each Receipt this Period
`
`50.00
`
`Zip Code
`26504 -4227
`
`State
`WV
`
`C
`
`Occupation
`
`VP Dorm and Specially R&D
`
`Aggregate Year -to -Dato
`
`r
`
`325,60
`
`PR Deduction ($25.00 Bi- Weekly)
`
`Date of Receipt
`
`City
`NEW YORK
`
`FEC ID number of contributing
`federal poïtical committee,
`
`Zip Code
`10010 -3710
`
`Slate
`NY
`
`L,
`
`Name of Employer
`
`Occupation
`
`,
`
`v
`
`Y
`
`V
`
`Y
`
`n I
`
`r
`
`D
`
`D
`M
`06
`2015
`30
`Transaction ID: PR1481905441600
`Amount of Each Receipt this Period
`
`50.00
`
`Receipt r
`
`Mylan Inc.
`For:
`[J General
`Primary
`Other (specify) y
`
`m.
`
`VP GLOBAL PROJECT MANAGEMENT O
`
`Aggregate Year-to-Date V
`
`325.00
`
`PfR Deduction ($25.00 61-Weekly)
`
`SUBTOTAL of Receipts This Page (optional)
`
`.
`
`TOTAL This Period (last page this One number only)
`
`,
`
`150.00
`
`r
`
`t
`
`r
`
`FEBAND28
`
`FEC Schedule A (Form 3X) Rev. 02/2003
`
`

`
`Imaged 201507209000280127
`
`SCHEDULE A (FEC Form 3X)
`ITEMIZED RECEIPTS
`
`a n1 1b R1 1c f 12
`n
`n
`16 n17
`14
`13
`15
`Any Information copied from such Reports and Statements may not be sold or used by any person for the purpose o soliciting contributions
`or for commercial purposes, other than using the name and address of any political committee to solicit con ribudone from such committee.
`)NAME OF COMMITTEE (In Full)
`Mylan Inc. Political Action Committee (MYPAC)
`
`Use separate sciledule(s)
`tor each category of the
`Detailed Summary Page
`
`FOR LINE NUMBER:
`(check only one)
`
`I PAGE
`
`8 OF
`
`24
`
`Full Name (Last, First, Middle Initial)
`A. STEVEN H FLYNN
`Mailing Address 380 Long Cove Drive
`
`City
`Hilton Head
`
`FEC ID number of contributing
`federal political committee.
`
`Zip Code
`29928 -6143
`
`State
`SC
`
`C
`
`Date of Receipt
`
`r
`
`Y
`
`Y
`
`Y
`
`M
`
`l
`
`a
`
`n
`
`v
`M
`06
`2015
`30
`Transaction ID: PR1481912141608
`Amount of Each Receipt this Period
`
`r
`
`200'60
`
`P/R Deduction ($100.00 BI-Weekly)
`
`Date of Receipt
`
`M
`
`u
`
`r
`
`u
`
`n
`
`r Y71
`06
`2015
`30
`Transaction ID: PR1501373241006
`Amount of Each Receipt this Period
`
`Y
`
`Y
`
`200.00
`
`Occupation
`VP & GLOBAL ASSOC GEN COUNS IN
`
`Aggregate Yearto -Date
`
`r
`
`r
`
`1300.00
`
`Zip Code
`20003 -2107
`
`Stale
`DC
`
`C+
`
`Occupation
`
`VP US State Government Reiatlo
`
`Aggregate Year-to-Date
`
`1300.00
`
`P/R Deduction (6100.00131-Weekly)
`
`Date of Receipt
`
`M
`
`r
`
`o
`
`r
`
`Y
`
`M
`o
`Y
`Y
`06
`30
`2015
`Transaction ID: PR1531573341606
`Amount of Each Receipt this Period
`
`Y
`
`r
`
`r
`
`50.00
`
`Zip Codo
`15232 -2849
`
`State
`PA
`
`c
`
`Occupation
`
`ASSISTANT GC, GLOBAL LEGAL OPS
`Aggregate Year -to -Date Y
`
`325.00
`
`r
`
`P!R Deduction ($25.00 8i- Weekly)
`
`Name of Employer
`Mylan Inc.
`Receipt For:
`
`1 Primary C General
`
`Other (specify)
`
`Full Name (Last, First, Middle InitiaO
`B. Robert B Lott
`Mailing Address 232 8TH ST SE
`
`City
`WASHINGTON
`
`FEC ID number of contributing
`federal political committee.
`
`Name of Employer
`Mylan Inc.
`
`Receipt
`
`For:
`
`Primary C General
`$
`Other (specify) y
`
`Full Name (Last, First, Middle Initial)
`C. ERIK C NAFT
`Mailing Address 114 N. WOODLAND RD,
`
`City
`PITTSBURGH
`
`FEC ID number of contributing
`federal political committee.
`
`Name of Employer
`
`Mylan Inc.
`Receipt For.
`1. J General
`Primary
`Other (specify)
`
`SUBTOTAL of Receipts This Page (optional)
`
`TOTAL This Period (last page this line number only)
`
`9
`
`450.00
`
`>
`
`e
`
`,
`
`FEBANe26
`
`FEC Schedule A (Form 3%) Rev. 02/2003
`
`

`
`Imager{ 201507209000280128
`
`SCHEDULE A (FEC Form 3X)
`ITEMIZED RECEIPTS
`
`Use separate schedule(s)
`for each category of the
`Detailed Summary Page
`
`FOR LINE NUMBER:
`(check only one)
`X
`
`PAGE
`
`9 OF
`
`24
`
`3 n14
`5 n16 n17
`Any Information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
`or for commercial purposes, other than using the name and address of any political committee to sot cit contributions from such committee.
`NAME OF COMMITTEE (In Full)
`
`/) Mylan Inc. Political Action Committee (MYPAC)
`
`Full Name (Last, First, Middle Initial)
`A. Joseph F Haggerty
`Mailing Address 30 FOREST VIEW DR
`
`City
`CHESTER
`
`FEC ID number of contributing
`lederal political committee.
`
`Name of Employer
`
`Mylan Inc.
`Receipt For:
`Primary
`Other (specify) 1r
`
`General
`
`Full Name (Last, First, Middle Initial)
`B. Mark S Elek
`Mailing Address 208 PAPPAN DR
`
`City
`IMPERIAL
`
`FEC ID number of contributing
`federal political committee.
`
`Name of Employer
`Mylan Inc.
`
`Receipt For:
`
`Primary n General
`
`Other (specify) y
`
`Data of Receipt
`M M/ OD
`
`/
`
`Y
`
`V
`
`Y
`
`Y
`
`2015
`06
`30
`Transaction ID : PR1555280441606
`Amount of Each Receipt this Period
`
`100.00
`
`Zip Code
`07930 -2832
`
`Stete
`NJ
`
`C
`
`Occupation
`EVP CHIEF LEGAL OFFICER & CORP
`
`Aggregate Year -to -Date
`
`650.00
`
`P/R Deduction ($50.00 BI- Weekly)
`
`Date of Receipt
`
`M M/DIM Y
`
`Y
`
`Y
`
`30
`2015
`06
`Transaction IO : pR1555549641G06
`Amount of Each Receipt this Period
`
`100.00
`
`Zip Code
`15126 -1178
`
`State
`PA
`
`C
`
`Occupation
`ASSOCIATE OPERATIONS COUNSEL
`
`Aggregate Yearto -Date
`
`660.00
`
`P/R Deduction ($50.00 BI- Weekly)
`
`Date of Receipt
`
`e
`
`/
`
`Y
`
`M
`M
`Y
`Y
`D
`06
`2015
`30
`Transaction ID : PR16 481 3 9 8 41 60 6
`Amount of Each Receipt this Period
`
`Y
`
`50.00
`
`Full Name (Last, First, Middle Initial)
`c. Jeffrey R Smith
`Mailing Address 4963 SUMMIT DR
`
`City
`ALLISON PARK
`
`FEC ID number of contributing
`federal political committee.
`
`Zlp Code
`15101.1006
`
`State
`PA
`
`C
`
`Name of Employer
`
`Occupation
`
`Mylan Inc.
`Receipt For:
`Primary
`I_. General
`Other (specify) y
`
`DIRECTOR INDIRECT PROCUREMENT
`
`Aggregate Year-to -Date
`
`325.00
`
`P/R Deduction ($25.00 SI- Weekly)
`
`SUBTOTAL of Receipts This Page (optional)
`
`TOTAL This Period {last page this line number only
`
`250.00
`
`FE6AN020
`
`FEC Schedule A (Form 3 %) Rev. 02/2003
`
`

`
`Image# 201507209000280129
`
`SCHEDULE A (FEC Form 3X)
`ITEMIZED RECEIPTS
`
`Use separate schedute(s)
`for each category of the
`Detailed Summary Pago
`
`FOR LINE NUMBER:
`(check
`one)
`only
`X
`lia
`lib
`13
`Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
`or for commercial purposes, other than using the name and address of any political committee to solicit contdbutlons from such committee.
`NAME OF COMMITTEE (In Full)
`Mylan Inc. Political Action Committee (MYPAC)
`
`I PAGE 10 OF
`
`24
`
`11c
`
`14 15 Rle fl 17
`
`12
`
`Full Name (Last, First, Middle Initial)
`A. Lara a Ramsburg
`Mailing Address 232 MAPLE RIDGE DR
`
`City
`CANONSBURG
`
`FEC ID number o1 contributing
`federal political committee.
`
`Name of Employer
`
`Mylan Inc,
`Receipt For:
`Primary
`General
`Other (specify) y
`
`Full Name (Last, First. Middle Initial)
`B. ALAN T WRIGHT
`Mailing Address 2451 MERIDIAN DR
`
`City
`
`LODI
`
`FEC ID number et contributing
`federal political committee.
`
`Name of Employer
`Mylan Specialty L.P.
`
`For:
`Receipt
`Primary
`Other (specify)
`
`e e
`
`I
`
`V
`
`General
`
`Full Name (Last, First, Middle Initiai)
`C. JOHN D SHEEHAN
`Mailing Address 1422 Eagle Pointe Drive
`
`City
`Canonsburg
`
`FEC ID number of contributing
`federal political committee.
`
`Date of Receipt
`
`F
`
`Y
`
`V
`
`V
`
`Y
`
`m
`
`r
`
`o
`
`e
`n
`06
`30
`2015
`Transaction ID : PR1713464341606
`Amount of Each Receipt this Period
`
`100.00
`
`State
`PA
`
`Zip Code
`15317 -7300
`
`Occupation
`VP AND CHIEF OF STAFF
`
`Aggregate Year- to-Date V
`
`y
`
`y
`
`650.00
`
`P/R Deduction ($50.00 BI- Weekly)
`
`Date of Receipt
`
`M
`
`/
`
`D
`
`r
`
`v
`
`v
`
`r
`r
`o
`M
`06
`30
`2015
`Transaction II) PR1736998941606
`Amount of Each Receipt this Period
`
`5100
`
`y
`
`State
`CA
`
`Zip Code
`95242 -4790
`
`Occupation
`SENIOR DISTRICT MANAGER
`Aggregate Year- to-Date V
`
`325.00
`
`y
`
`P/R Deduction ($25.00 BI- Weekly)
`
`State
`PA
`
`Zip Code
`15317.7531
`
`Date of Receipt
`
`p /MV
`
`U
`
`/
`
`O
`
`M
`08
`30
`2015
`Transaction ID: PR1774669941606
`Amount of Each Receipt this Period
`
`I
`
`57.58
`
`Name of Employer
`
`Occupation
`
`Mylan Inc.
`Receipt For:
`
`Primary u General
`
`Other (specify)
`
`EVP & CHIEF FINANCIAL OFFICER
`
`Aggregate Year -to-Date V
`
`374.92
`
`P/R Deduction ($28.84 al- Weekly)
`
`SUBTOTAL of Receipts This Page (optional)
`
`TOTAL This Period (last page this line number only)
`
`1
`I
`
`20716
`
`y
`
`o
`
`9
`
`FE8AN328
`
`FEC Schedule A (Ferro 3X) Rev. 02/2003
`
`

`
`47.
`
`Imager( 201507203000280130
`
`SCHEDULE A
`(FEC Form 3X)
`ITEMIZED RECEIPTS
`
`Use separate schedule(s)
`for each category of the
`Detailed Summary Page
`
`FOR LINE NUMBER:
`(check
`one)
`only
`
`LEAGE
`
`11 OF
`
`-
`
`24
`
`15
`a
`
`b 14
`16
`113
`117
`i
`Any information copied from such Reports and Statements may not be sold or used by any person for the purpose a soliciting contributions
`or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee,
`NAME OF COMMITTEE (In Full)
`Mylan Inc. Political Action Committee (MYPAC)
`
`1
`
`Full Name (Last, First, Middle Initial)
`A. Kin J Cauchy
`Mailing Address 104 VISTA DR
`
`City
`CANONSBURG
`
`FEC ID number of contributing
`federal political committee.
`
`Name of Employer
`
`Mylan Inc.
`
`Receipt s For:
`Primary J General
`
`Other (specify)
`
`Full Name (Last, First, Middle Initial)
`B. COLIN R CHILES
`Mailing Address 110 E NELSON AVENUE
`
`City
`ALEXANDRIA
`
`FEC ID number of contributing
`federal political committee.
`
`Name of Employer
`M,lan Inc.
`
`Receipt - For:
`
`J] General
`Primary
`Other (specify) y
`
`Full Name (Last, First, Middle Initial)
`C. NIMISH SHAH
`Mailing Address 116 BERRY STREET, SE
`
`Date of Receipt MOD/ v
`
`Y
`Y
`06
`30
`2015
`Transaction ID: PR1816 6 50 7416 0 6
`Amount of Each Receipt this Period
`
`Y
`
`f
`
`f
`
`50.00
`
`P/R Deduction ($25.00 Si- Weekly)
`
`r
`
`a
`
`o
`
`r
`
`Y
`
`Date of Receipt
`!AM
`r
`r
`2015
`06
`30
`Transaction ID: PR2041525541606
`Amount of Each Receipt this Period
`
`Y
`
`I
`
`r
`
`100.00
`
`Zip Code
`15317 -0507
`
`State
`PA
`
`C
`
`Occupation
`VP GLOBAL SOURCING AND PURCHAS
`
`Aggregate Year -to -Date
`
`9
`
`325.00
`
`State
`VA
`
`,-
`
`Zip Code
`22301 -2036
`
`Occupation
`SENIOR DIRECTOR STATE GDVERNME
`Aggregate Year -to -Date Y
`
`650.00
`
`r
`
`P/R Deduction ($50.00 DI- Weekly)
`
`City
`VIENNA
`
`FEC 10 number of contributing
`federal political committee.
`
`7Jp Code
`22180.4805
`
`State
`VA
`
`C
`
`Name of Employer
`
`Occupation
`
`r
`
`o
`
`/ NM v
`
`r
`
`Date of Receipt
`Ma
`u
`30
`06
`2015
`Transaction ID : PR2074430041606
`Amount of Each Receipt this Period
`
`n
`
`r
`
`200.00
`
`Mylan Inc.
`Receipt
`For:
`
`I-
`¡
`
`Primary u General
`
`Other (specify)
`
`VP FEDERAL GOVERNMENT AFFAIRS
`
`Aggregate Year -to -Dale
`
`1050.00
`
`PR Deduction ($100.00 St- Weekly)
`
`SUBTOTAL of Receipts This Page (optional)
`
`TOTAL This Period (last page this line number only
`
`FE6ANU26
`
`350.00
`
`s
`
`FEC Schedule A (Form 3 %) Rev. 0212003
`
`

`
`art fra
`
`es. s
`
`Image# 201507209000280131
`
`SCHEDULE A (FEC Form 3X)
`ITEMIZED RECEIPTS
`
`Use separate schedule(s)
`Draach category of the
`Detailed Summary Page
`
`FOR LINE NUMBER.
`(check only
`one)
`Hitt n12
`vi11a
`n11ó
`n
`N 13
`16 n17
`16
`14
`Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
`or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
`NAME OF COMMITTEE (In Full)
`Mylan Inc. Political Action Committee (MYPAC)
`
`I PAGE
`
`12 OF
`
`24
`
`Full Name (Last, First, Middle Initial)
`A. CARMEN M SHEPARD
`Mailing Address 1342 NORTH CAROLINA AVE N.E
`
`City
`WASHINGTON
`
`FEC ID number of contributing
`federal political committee.
`
`Name of Employer
`
`Mylan Inc.
`Receipt
`For:
`
`1.
`
`Primary C General
`Other (specify) v
`
`Full Name (Last, First, Middle Initial)
`B, ROGER D GRAHAMJR JR
`Mailing Address 9 SOMERSET LN
`
`City
`MALVERN
`
`FEC ID number of contributing
`federal political committee.
`
`Name of Employer
`Mylan Specialty L.P.
`
`v For:
`
`Receipt
`Primary
`Other (specify)
`
`i
`
`General
`y
`
`Zip Code
`20002 -6424
`
`State
`DC
`
`C
`
`Occupation
`GLOBAL HEAD OF POLICY, REGULAT
`
`Aggregate Year -to-Dale
`
`r
`
`2498.00
`
`Zip Code
`19355-8512
`
`State
`PA
`
`C
`
`Occupation
`PRESIDENT SPECIALTY
`
`Aggregate Year -to -Date
`
`Date of Receipt
`
`nr
`
`M
`
`I
`
`e
`
`o
`
`,
`
`Y
`
`V
`Y
`2015
`06
`30
`Transaction ID : PR2074431241608
`Amount of Each Receipt this Period
`
`Y
`
`r
`
`r
`
`304.00
`
`P/R Deduction ($192.00 Bi- Weekly)
`
`Date of Receipt
`
`,
`
`Y
`
`Y
`
`Y
`
`Y
`
`M
`
`,
`
`n
`
`o
`M
`06
`2015
`30
`Transaction ID : PR2206433041606
`Amount of Each Receipt this Period
`
`sum
`
`Full Name (Last, First, Middle Initial)
`C. Adele M Gulfo
`Mailing Address 300 East79th PHB
`
`City
`NY
`
`FEC ID number of contributing
`federal political committee.
`
`Zip Code
`10075
`
`State
`NE
`
`G.
`
`Name of Employer
`
`Occupation
`
`Mylan Inc.
`Receipt
`For:
`L] General
`Primary
`Other (specify) y
`
`_1
`
`CHIEF STRATEGY OFFICER
`
`Aggregate Year-to-Date
`
`SUBTOTAL of Receipts This Page (optional)
`
`TOTAL This Period (last page this line number only)
`
`325.00
`
`P/R Deduction ($25.00 BI- Weekly)
`
`Date of Receipt
`
`M
`
`M
`
`,
`
`o
`
`,
`
`Y
`
`v
`V
`S
`2015
`06
`30
`Transaction ID: PR2277389541608
`Amount of Each Receipt this Period
`
`Y
`
`200.00
`
`1000.00
`
`P/R Deduction ($100.00 Si- Weekly)
`
`634.00
`
`FESAN026
`
`FEC Schedule A (Famr 3X) Rev. 02/2003
`
`

`
`Image# 201507209000280132
`
`SCHEDULE A (FEC Form 3X)
`ITEMIZED RECEIPTS
`
`'11b r11 c 12
`14 H 15
`H
`i6 Fl 17
`3
`Any Information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
`or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
`
`Use separate schedule(s)
`for each category of the
`Detailed Summary Pago
`
`FOR LINE NUMBER:
`only one
`(check
`
`11a
`
`I PAGE 13 OF
`
`24
`
`NAME OF COMMITTEE (In Full)
`Mylan Inc. Political Action Committee (MYPAC)
`
`Date of Receipt WOO/11M
`
`08
`2015
`30
`Transaction ID: PR575593641606
`Amount of Each Receipt this Period
`
`50.00
`
`Zip Code
`26508.4508
`
`Stale
`WV
`
`C
`
`Occupation
`SENIOR MANAGER PURCHASING AND
`
`Aggregate Year -to -Date
`
`325.00
`
`PIR Deduction ($25.00 SI- Weekly)
`
`Date of Receipt
`
`/Y V
`
`Y
`
`rr
`
`r
`
`D
`
`o
`M
`Y
`06
`2015
`30
`Transaction ID: Pß575595441606
`Amount of Each Receipt this Period
`
`,
`
`r
`
`50.00
`
`P/R Deduction ($25.00 BI- Weakly)
`
`Date of Receipt
`
`a
`
`rn
`08
`2015
`30
`Transaction ID: PR575801241606
`Amount of Each Receipt this Period
`
`Y
`
`r Oa my Y
`
`v
`
`Full Name (Last, First, Middle Initial)
`A. Donald A Bruyetta
`Mailing Address 12 CARDIFF DRIVE
`
`City
`MORGANTOWN
`
`FEC ID number of contributing
`federal political committee.
`
`Name of Employer
`
`Mylan Pharmaceuticals Inc.
`Receipt Far:
`
`ElPrimary E General
`Other (specify) y
`
`Full Name (Lest, First, Middle Initial)
`B. PAUL B CAMPBELL
`Mailing Address 1036 BREEZEWOOD DR
`
`City
`CANONSBURG
`
`FEC ID number of contributing
`federal political committee.
`
`Name of Employer
`Myten Inc.
`
`Receipt
`II For:
`II General
`Primary
`Other (specify) y
`
`Full Name (Last, First, Middle Initial)
`e. William J Comm
`Mailing Address 24 PROSPECT ST
`
`City
`SAINT ALBANS
`
`FEC ID number of contributing
`federal political committee.
`
`Neme of Employer
`Mylan Technologies. Inc.
`Receipt For:
`
`r Primary
`
`Li General
`Other (specify) I.
`
`Zip Code
`15317 -8556
`
`State
`PA
`
`C
`
`Occupation
`
`HEAD GLOBAL OPERATIONS FINANCE
`
`Aggregate Year-to-Date
`
`y
`
`f
`
`325.00
`
`e
`
`Zip Code
`05478 -1509
`
`State
`VT
`
`c
`
`Occupation
`
`INFORMATION SYSTEMS DIRECTOR
`
`Aggregate Year -to -Date
`
`S
`
`650.00
`.
`
`r
`
`e
`
`100.00
`,
`
`P/R Deduction ($50,00 BI- Weekly)
`
`Ir
`
`.
`
`1
`
`200.00
`
`SUBTOTAL of Receipts This Page (optional)
`
`TOTAL This Period (last page this line number only)
`
`FE6AN02a
`
`FEC Schedule A (Farm 3X) Rev. 02/2003
`
`

`
`Image# 201507209000280133
`
`(FEC Form 3X)
`SCHEDULE A
`ITEMIZED RECEIPTS
`
`Use separate schedule(s)
`for each category at the
`Detailed Summary Page
`
`(check - only
`
`I
`
`[ 11c
`
`i
`
`I
`
`FOR LINE NUMBER:
`one)
`lib
`lia
`13
`14
`i 15
`Any Information copied from such Reports and Statements may not be sold or used by any person for the purpose o soliciting contributions
`or for commercial purposes, other than using the name and address of any political committee to solicit contributions Worn such committee.
`NAME OF COMMITTEE (In Full)
`Mylan Inc. Political Action Committee (MYPAC)
`
`( PAGE 14 OF
`
`24
`
`-12 ^ 18 ri 17
`
`Full Name (Last, First, Middle Initial)
`A. Virginia C Cosner
`Mailing Address 110 LOUGH ST
`
`City
`WESTOVER
`
`FEC ID number of contributing
`federal pellical committee,
`
`Name of Employer
`Myian Pharmaceuticals Inc.
`Receipt For:
`Primary
`Other (specify) I.
`
`General
`
`Full Name (Last, First, Middle Initial)
`B. Eric H Davis
`Mailing Address 12 COBUN RIDGE
`
`Clly
`MORGANTOWN
`
`FEC ID number of contributing
`federal political committee.
`
`Name of Employer
`Mylan Pharmaceuticals Inc.
`
`L j General
`Receipt
`For.
`_I
`Primary
`Other (specify) v
`
`Full Name (Last, First, Middle Initial)
`e. James J Dotson
`Mailing Address 1222 CORVET AVE
`
`City
`MORGANTOWN
`
`FEC ID number of contributing
`federal political committee.
`
`Date of Receipt
`
`5
`
`V
`
`V
`
`M
`
`r
`
`u
`
`v
`e
`M
`06
`30
`2015
`Transaction ID: PR575 6 013 41 6 0 6
`Amount of Each Receipt this Period.
`
`V
`
`r
`
`60.00
`
`Zip Code
`26501 -3805
`
`State
`WV
`
`C
`
`I Occupation
`
`DIRECTOR LABEL CONTROL
`
`Aggregate Year-to -Date
`
`9
`
`P
`
`390.00
`
`P/R Deduction ($30.00 BI- Weekly)
`
`Date of Receipt
`
`Zip Code
`26508 -4015
`
`State
`WV
`c.
`
`Occupation
`
`DIRECTOR MEDICAL SERVICES
`
`Aggregate Year -to -Date
`
`9
`
`520.00
`
`Stale
`WV
`
`Zip Code
`26505 -3334
`
`5
`
`v
`
`Y
`
`M
`
`M
`
`5
`
`0
`
`0
`Y
`2015
`30
`06
`Transaction ID: PR575603641806
`Amount of Each Receipt this Period
`
`Y
`
`)
`
`r
`
`80.00
`,
`
`P/R Deduction ($40.00 8i- Weakly)
`
`Date of Receipt
`
`u
`
`5
`
`u
`
`r
`
`V
`
`V
`
`r
`u
`u
`2015
`30
`06
`Transaction ID: PR57 56 0 67416 0 6
`Amount of Each Receipt this Period
`
`v
`
`>
`
`40.00
`
`PR Deduction ($20.00 Bi- Weekly)
`
`.
`I
`
`180.00
`
`r
`
`e
`
`s
`
`Name of Employer
`
`Occupation
`
`Mylan Pharmaceuticals Inc.
`Receipt For:
`EH General
`Primary
`Other (specify) y
`
`SENIOR DIRECTOR PLANT ENGINEER
`
`ggregale Year -lo -Date
`Aggregate
`
`260.00
`
`f
`
`SUBTOTAL of Receipts This Page (optional)
`
`TOTAL This Period (last page this line number only)
`
`EBAn028
`
`FEC Schedule A (Form 3X) Rev, 02/2003
`
`

`
`Image# 201507209000280134
`
`SCHEDULE A (FEC Form 3X)
`ITEMIZED RECEIPTS
`
`FOR LINE NUMBER:
`(check
`only
`one)
`na
`nb
`14
`13
`18
`15
`Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
`or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
`NAME OF COMMITTEE (In Full)
`MyIan Inc. Political Action Committee (MYPAC)
`
`Use separate schedules)
`for each category of the
`Detailed Summary Page
`
`í
`
`I
`
`[ PAGE 16 OF
`
`24
`
`t1c
`
`-12 _
`
`Full Name (Last, First, Middle Initial)
`A. Joseph P Duda
`Mailing Address 4003 GREYSTONE DR
`
`City
`MORGANTOWN
`
`FEC ID number of contributing
`federal political committee.
`
`Name of Employer
`
`Mylan Pharmaceuticals Inc.
`Receipt For:
`Primary
`General
`Other (specify) 7
`
`Fill Name (Last, First, Middle Initial)
`B. SHIRLEY J FALK
`Mailing Address 8446 CRESTVIEW RD
`
`City
`STILLMAN VALLEY
`
`FEC ID number of contributing
`federal political committee.
`
`Name of Employer
`Mylan Institutional Inc. (Rockford)
`
`Receipt For:
`I General
`EiPrimary
`Other (specify) 7
`
`I
`
`Full Name (Last, First, Middle Initial)
`c. Richard D Forsythe
`Mailing Address 75 DONALDSON CT
`
`City
`MORGANTOWN
`
`FEC ID number of contributing
`federal political committee.
`
`Name of Employer
`
`Mylan Pharmaceuticals Inc.
`For:
`General
`Primary
`Other (specify) y
`
`Receipt v
`a
`
`Date of Receipt
`
`M
`
`I
`
`O
`
`C I
`
`I
`
`Y
`
`I A
`Y
`Y
`06
`2015
`30
`Transaction ID: PR575607441606
`Amount of Each Receipt this Period
`
`Y
`
`200.00
`
`r
`
`PIR Deduction ($100,00 BI- Weekly)
`
`Date of Receipt
`
`r
`
`Y
`
`Y
`
`N
`
`M
`
`I
`
`o
`
`r
`o
`2015
`30
`06
`Transaction ID: PH575609841606
`Amount of Each Receipt this Period
`
`Y
`
`Y
`
`40.00
`
`Zip Code
`26508.8681