FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-960390
1. FLORIDA HEALTH POLITICAL ACTION COMMITTEE (THE PAC OF BLUE CROSS & BLUE SHIELD OF FL, INC)
P.O. Box 69364800 Deerwood Campus Parkwy, DC3-4
Jacksonville, FL 32246
Email: eric.vidrine@bcbsfl.com;tom.giles@bcbsfl.com
NOTE: Email address is different than previously reported
2. Date: 10/14/2014
3. FEC Committee ID #: C00161141 This committee is a separate segregated fund. Its connected organization is a CorporationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
BLUE CROSS & BLUE SHIELD OF FL, INCP.O. Box 6936
4800 Deerwood Campus Parkwy, DC3-4
Jacksonville, Florida 32246
Affiliated Relationship Code: Connected Organization
Blue Cross Blue Shield of Alabama
2 North Jackson St.
Suite 202
Montgomery, Alabama 36104
Affiliated Relationship Code: Affiliated Committee
HEALTHY GOVERNMENT COMMITTEE-THE POLIT
P.O. BOX 13466
PHOENIX, Arizona 85002
Affiliated Relationship Code: Affiliated Committee
BLUE SHIELD OF CALIFORNIA
50 BEALE STREET17-C356
SAN FRANCISCO, California 94105
Affiliated Relationship Code: Affiliated Committee
HAWAII MEDICAL SERVICE ASSOCIATION EMP
818 KEEAUMOKU STREET
HONOLULU, Hawaii 96814
Affiliated Relationship Code: Affiliated Committee
CAMBIA HEALTH SOLUTIONS INC PAC
200 SW MARKET STPO BOX 1271/MS E12
PORTLAND, Oregon 97207
Affiliated Relationship Code: Affiliated Committee
WELLMARK, INC. PAC (WELLPAC)
1331 GRAND AVENUESTA. 5W570
DES MOINES, Iowa 50309
Affiliated Relationship Code: Affiliated Committee
BLUE CROSS AND BLUE SHIELD OF NEBRASKA
7261 MERCY ROAD
PO BOX 3248
OMAHA, Nebraska 68180
Affiliated Relationship Code: Affiliated Committee
BLUE CROSS BLUE SHIELD OF SOUTH CAROLI
INTERSTATE 20 AT ALPINE ROAD
COLUMBIA, South Carolina 29214
Affiliated Relationship Code: Affiliated Committee
PREMERA BLUE CROSS POLITICAL ACTION CO
7001 220TH STREET SWMS 355
MOUNTLAKE TERRACE, Washington 98043
Affiliated Relationship Code: Affiliated Committee
CAREFIRST BLUECROSS BLUESHIELD ASSOCIA
10455 MILL RUN CIRCLE
OWINGS MILL, Maryland 21117
Affiliated Relationship Code: Affiliated Committee
FED CAREPAC, THE BLUE CROSS AND BLUE S
401 PARK DRIVE
LANDMARK CENTER
BOSTON, Massachusetts 02215
Affiliated Relationship Code: Affiliated Committee
BLUE CROSS BLUE SHIELD OF MICHIGAN PAC
232 S. CAPITOL
MC L10A
LANSING, Michigan 48933
Affiliated Relationship Code: Affiliated Committee
BLUE CROSS AND BLUE SHIELD OF KANSAS C
2301 MAIN STREET
KANSAS CITY, Missouri 64108
Affiliated Relationship Code: Affiliated Committee
BLUE CROSS AND BLUE SHIELD OF NORTH CA
P.O. Box 2291
Durham, North Carolina 27702
Affiliated Relationship Code: Affiliated Committee
HIGHMARK PAC OF HIGHMARK INC.
1800 Center Street
Camp Hill, Pennsylvania 17089
Affiliated Relationship Code: Affiliated Committee
BLUE CROSS VOICE THE POLITICAL ACTION
19 NORTH MAIN STREET
WILKES BARRE, Pennsylvania 18711
Affiliated Relationship Code: Affiliated Committee
INDEPENDENCE BLUE CROSS PAC (IBC PAC)
1901 MARKET STREET
PHILADELPHIA, Pennsylvania 19103
Affiliated Relationship Code: Affiliated Committee
BLUE CROSS AND BLUE SHIELD OF KANSAS,
1133 SW TOPEKA BLVD
CC:855 - B3
TOPEKA, Kansas 66629
Affiliated Relationship Code: Affiliated Committee
CAPITAL BLUEPAC, THE POLITICAL ACTION
PO BOX 60710
HARRISBURG, Pennsylvania 17177
Affiliated Relationship Code: Affiliated Committee
BLUEPAC - BLUE CROSS BLUE SHIELD ASSOC
1310 G STREET NW
WASHINGTON, DC 20005
Affiliated Relationship Code: Affiliated Committee
Custodian of Records:
Suzanne Horne12876 Plummer Grant Rd
Jacksonville, FL 32258
Title: President
Phone # (904) 905-8720
Treasurer:
Mr. Gary M. Healy285 Odoms Mill Blvd
Ponte Vedra Beach, Florida 32082
Title: Treasurer
Phone # (904) 905-4420
Designated Agent(s):
Banks or Depositories
Bank of America9000 Southside Boulevard
Jacksonville, Florida 32256