FEC Form 1 for WellPoint, Inc. WELLPACForm 1 for WellPoint, Inc. WELLPAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-437692

1. WellPoint, Inc. WELLPAC

120 Monument Circle
Indianapolis, IN 46204
Email: Tracy.Winn@anthem.com

2. Date: 10/21/2009

3. FEC Committee ID #: C00197228 This committee is a separate segregated fund. Its connected organization is a Corporation
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

WellPoint, Inc.
120 Monument Circle
Indianapolis, Indiana 46204
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Tracy Winn
120 Monument Circle
Indianapolis, IN 46204
Title: Assistant Treasurer
Phone # (317) 488-6134

Treasurer:

John Willey
120 Monumnet Circle
Indianapolis, Indiana 46204
Title: Treasurer
Phone # (317) 488-6044

Designated Agent(s):

Tracy Winn
120 Monument Circle
Indianapolis, Indiana 46204
Title: Assistant Treasurer
Phone # (614) 488-6134

Banks or Depositories

JP Morgan Chase Bank N.A.
111 Monument Circle
Indianapolis, Indiana 46204

Signed: Mr. John Willey
Date Signed: 10/21/2009

(End FEC FORM 1)

Generated Mon Jul 8 00:56:43 2024