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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1786743

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1. Highmark PAC of Highmark Inc.

    1800 Center Street
    Camp Hill, PA 17089
    Email: Stephen.Wojnaroski@highmark.com

2. Date: 05/31/2024

3. FEC Committee ID #: C00302844 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

Highmark Inc.
1800 Center Street
Camp Hill, Pennsylvania 17089
Affiliated Relationship Code: Connected Organization

BLUEPAC - Blue Cross Blue Shield Assoc
750 9th Street, NW
Washington, DC 20001
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Stephen J. Wojnaroski
1800 Center Street 1B L4
Camp Hill, PA 17089
Title: PAC Administrator
Phone # (412) 544-8910

Treasurer:

Douglas N. Callenberger
1800 Center Street 1A L4
Camp Hill, Pennsylvania 17011
Title: Director, Sales
Phone # (717) 302-2267

Designated Agent(s):

Craig Flemmens
1800 Center Street 1A L4
Camp Hill, Pennsylvania 17089
Title: Assistant Treasurer
Phone # (717) 302-2058

Banks or Depositories

Citizens Bank
4101 Carlisle Pike
Camp Hill, Pennsylvania 17011

Signed: Douglas N. Callenberger
Date Signed: 05/31/2024

(End FEC FORM 1)

Generated Wed Jun 26 20:15:06 2024