Document 1QNMDqo9oE4JZDxMKbDMEjdvj

CHEMICAL MANUFACTURERS ASSOCIATION Vinyl Chloride Health Committee Commitment Form My company, Formosa Plastics, commits $150,000 to the Vinyl Chloride Health Committee 1996 research program as outlined in the attached November 21,1995 correspondence. The Panel is conducted under the policies and procedures outlined in the CHEMSTAR Panel Guidelines, briefly noted on the reverse of this form. I understand that my company will be invoiced for the above commitment as follows: $ 11,550 in January 1996, $ 11,550 in July 1996. While appreciating the opportunity, my company declines to participate. CMA has estimated that 7% of the June 1,1995 - May 31,1996 fiscal year "dues and similar income" is allocable to lobbying and political expenditures to which Section 162 (e)(1) of the Internal Revenue Code of 1986, as amended, applies. Consequently, this portion of your commitment is not deductible as an ordinary and necessary business expense for federal income tax purposes. Further, contributions to CMA are not tax deductible as charitable contributions. Panel Representative Management Contact (Optional) Name (Signed) Name (Signed) Name (Typed) Name (Typed) Title Title Company Company Address Address Telephone Telephone Fax Fax Please return signed form to: Has Shah Manager, Biocides Panel 2501 M Street, NW Washington, DC 20037 CMA 117177