FEC Form 1 for EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)Form 1 for EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-409645

1. EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)

One Express Way
St. Louis, MO 63121
Email: mmack1@express-scripts.com

2. Date: 03/26/2009

3. FEC Committee ID #: C00365072 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

Express Scripts, Inc.
One Express Way
St. Louis, Missouri 63121
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mary Rosado
601 Pennsylvania Ave. NW
South Bldg. - Ste. 780
Washington, DC 20004
Title: VP-Fed. Govt Affairs
Phone # (202) 347-6260

Treasurer:

Kelley Elliott Treasurer
One Express Way
Mail Route HQ2E04
St. Louis, Missouri 63121
Title: VP Chief Accounting
Phone # (314) 810-3152

Designated Agent(s):

Kelley Elliott, Asst. Treasurer
One Express Way
Maryland Heights, Missouri 63043
Title: VP Chief Acct Off
Phone # (314) 810-3152

Banks or Depositories

US Bank
1 US Bank Plaza
7th and Washington
St. Louis, Missouri 63101

Signed: Kelley Elliott Treasurer
Date Signed: 03/26/2009

FORM TEXT

(End FEC FORM 1)

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