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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-22189

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1. CareFirst Associates' Federal PAC

    550 12th Street
    Washington, DC 20065
    Email: jeanne.kennedy@carefirst.com

2. Date: 01/05/1994

3. FEC Committee ID #: C00286922 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Blue Cross Blue Shield Association
1310 G Street NW
Washington, DC 20005
Relationship: Affiliated Committees
Organization Type: Corporation

CareFirst BlueCross BlueShield
10455 Mill Run Circle
Owings Mills, Maryland
Relationship: Connected Organizations
Organization Type: Corporation

Custodian of Records:

Linda Pierce
Blue Cross/Blue Shield Of Md.
10455 Mill Run Circle
Owings Mills, MD 21117
Phone # (410) 998-5488

Treasurer:

Jeanne Kennedy
550 12th Street
Washington, DC 20065
Title: Treasurer
Phone # (202) 479-8148

Designated Agent(s):

Linda Pierce
Blue Cross/Blue Shield Of Md.
10455 Mill Run Circle
Owings Mills, Maryland 21117
Phone # (410) 998-5488

Banks or Depositories

First Union National Bank
740 15th Street NW
Washington, DC 20005

Signed: Jeanne Kennedy
Date Signed: 12/10/2001

(End FEC FORM 1)

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