I hereby certify that this submission is being made for a lawful purpose, and that the information contained in the submission is accurate and does not
contain misrepresentations or material omissions. Further, to the best of my knowledge, this submission is compliant with all applicable laws, regulations, and guidelines, and
is not presented to provide unlawful compensation, reimbursement, or remuneration to the requesting organization or individual. I understand that if this request is for a non-CME event,
the funds may be tracked and publicly disclosed per the responsibilities of Pharmacyclics, Inc. under federal and state laws.