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									State of Minnesota Payments to Practitioners Reporting Form - 2009

Wholesaler/Manufacturer Name                        EMD SERONO, INC.
Wholesaler/Manufacturer Address                     ONE TECHNOLOGY PLACE, ROCKLAND, MA 02370
Minnesota License Number                            N/A
Name of Individual Completing Report                ERIC SIEGEL
Phone number                                        781-681-2490


Background information and instructions: Minnesota Statutes require wholesale drug distributors and manufacturers to file with the Board of Pharmacy an annual report identifying certain payments made to practitioners. (Practitioners are those licensed health professsionals who are authorized to prescribe drugs.
Pharmacists are not practitioners). The payments that must be reported include: honoraria and payments for expenses of a practitioner who serves as a speaker at a professional or educational conference or meeting; and compensation for substantial professional or consulting services of a practitioner working on a
genuine research project. (See Minnesota Statutes 151.461 and 151.47). The report must identify the specific reason for payments totalling $100 or more. In the column marked "Specific reason for payment", please list the reason for the payment. (e.g. "honoraria and expenses for speaking", "payment
for research consultation", etc.). Do not list general reasons (e.g. "payments for consultation", "payments for services rendered"). Reports filed under this provision are public data. Reports must be filed in an electronic format, so please fill out this spreadsheet and return it to the Board either attached to an e-
mail (Pharmacy.Board@state.mn.us) or copied onto a CD-ROM.



                                                                                            Professional designation                                                 ADDRESS OF PRACTITIONER                                                                               PAYMENT INFORMATION
        LAST NAME OF PRACTITIONER                    FIRST NAME OF PRACTITIONER
                                                                                                (e.g. MD), if any
                                                                                                                          Street Address                                       City                       State          Zip Code              Value of Payment             Specific reason for payment
BEAVER                                              GARY                                 DO                               400 EAST 3RD STREET                                  DULUTH                     MN                            55805 $          7,500.00 HONORARIUM FOR SPEAKING
BEAVER                                              GARY                                 DO                               400 EAST 3RD STREET                                  DULUTH                     MN                            55805 $          2,562.79 SPEAKING EXPENSES
BERNARD                                             JACQUELINE                           MD                               3960 COON RAPIDS BLVD NW, STE 209                    MINNEAPOLIS                MN                            55433 $             2,500.00 HONORARIUM FOR SPEAKING
BIRNBAUM                                            GARY                                 MD                               4225 GOLDEN VALLEY ROAD                              GOLDEN VALLEY              MN                            55422 $             2,000.00 PAYMENT FOR ADVISORY BOARD CONSULTING
BIRNBAUM                                            GARY                                 MD                               4225 GOLDEN VALLEY ROAD                              GOLDEN VALLEY              MN                            55422 $             2,272.53 CONSULTING EXPENSES
BUCKNER                                             JAN                                  MD                               200 FIRST ST SW                                      ROCHESTER                  MN                            55905 $             2,625.00 PAYMENT FOR RESEARCH CONSULTING
BROWN                                               DAVID                                MD                               910 EAST 26TH STREET, STE 325                        MINNEAPOLIS                MN                            55404 $             3,550.00 PAYMENT FOR ROUNDTABLE PRESENTATION
BROWN                                               DAVID                                MD                               910 EAST 26TH STREET, STE 325                        MINNEAPOLIS                MN                            55404 $             8,675.00 PAYMENT FOR RESEARCH CONSULTING
CALKWOOD                                            JONATHAN                             MD                               4225 GOLDEN VALLEY ROAD                              GOLDEN VALLEY              MN                            55422 $             1,750.00 PAYMENT FOR ADVISORY BOARD CONSULTING
CALKWOOD                                            JONATHAN                             MD                               4225 GOLDEN VALLEY ROAD                              GOLDEN VALLEY              MN                            55422 $             2,804.69 CONSULTING EXPENSES
DAVIDSON                                            LISA                                 MD                               1230 E MAIN STREET                                   MANKATO                    MN                            56001 $             2,348.39 SPEAKING EXPENSES
DAVIDSON                                            LISA                                 MD                               1231 E MAIN STREET                                   MANKATO                    MN                            56001 $             3,000.00 HONORARIUM FOR SPEAKING
NELSON                                              MERLIN                               MD                               101 WILLMAR AVENUE, SOUTHWEST                        WILLMAR                    MN                            56201 $             2,954.47 SPEAKING EXPENSES
NELSON                                              MERLIN                               MD                               101 WILLMAR AVENUE, SOUTHWEST                        WILLMAR                    MN                            56201 $             4,500.00 HONORARIUM FOR SPEAKING
NORBACK                                             BRUCE                                MD                               4225 GOLDEN VALLEY ROAD                              GOLDEN VALLEY              MN                            55422 $             1,468.13 CONSULTING EXPENSES
PARRY                                               GARETH                               MD                               420 DELAWARE ST SE, NEUROLOGY DEPT                   MINNEAPOLIS                MN                            55455 $             1,687.42 CONSULTING EXPENSES
PARRY                                               GARETH                               MD                               420 DELAWARE ST SE, NEUROLOGY DEPT                   MINNEAPOLIS                MN                            55455 $             9,867.08 SPEAKING EXPENSES
PARRY                                               GARETH                               MD                               420 DELAWARE ST SE, NEUROLOGY DEPT                   MINNEAPOLIS                MN                            55455 $            34,000.00 HONORARIUM FOR SPEAKING
PARRY                                               GARETH                               MD                               420 DELAWARE ST SE, NEUROLOGY DEPT                   MINNEAPOLIS                MN                            55455 $             3,750.00 PAYMENT FOR ADVISORY BOARD CONSULTING
SCHAPIRO                                            RANDY                                MD                               4295 WESTON WAY                                      SHOREVIEW                  MN                            55126 $             9,253.86 CONSULTING EXPENSES
SCHAPIRO                                            RANDY                                MD                               4295 WESTON WAY                                      SHOREVIEW                  MN                            55126 $               953.95 EXPENSES FOR SPEAKING
SCHAPIRO                                            RANDY                                MD                               4295 WESTON WAY                                      SHOREVIEW                  MN                            55126 $           150,000.00 PAYMENT FOR SALES AND MARKETING CONSULTING
SCHAPIRO                                            RANDY                                MD                               4295 WESTON WAY                                      SHOREVIEW                  MN                            55126 $             2,000.00 PAYMENT FOR ADVISORY BOARD CONSULTING
SCHUNEMAN                                           RACHEL                               MD                               1900 CENTRCARE CIR, STE 2575                         SAINT CLOUD                MN                            56303 $             2,000.00 PAYMENT FOR ADVISORY BOARD CONSULTING

								
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