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FEC Form 1 for Caremark Rx Inc. Employees Political Action CommitteeForm 1 for Caremark Rx Inc. Employees Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-208319


1. Caremark Rx Inc. Employees Political Action Committee

    2211 Sanders Road 10th Floor
    Northbrook, IL 60062
    Fax: 480-314-8429

2. Date: 03/28/2006

3. FEC Committee ID #: C00384818 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Caremark Rx Inc.
2211 Sanders Road 10th Floor
Northbrook, Illinois 60062
Relationship: Connected Organization
Organization Type: Corporation

Custodian of Records:

Chuck Jorgenson
9501 East Shea Boulevard
Mail Stop 102
Scottsdale, AZ 85260
Title: Assistant Treasurer
Phone # (480) 391-4254

Treasurer:

James C. Luthin
2211 Sanders Road 10th Floor
Northbrook, Illinois 60062
Title: Treasurer
Phone # (847) 559-4320

Designated Agent(s):

Chuck Jorgenson
9501 East Shea Boulevard
Mail Stop 102
Scottsdale, Arizona 85260
Title: Assistant Treasurer
Phone # (480) 391-4254

Banks or Depositories

Wells Fargo Bank
420 Montgomery Street
San Francisco, California 94104

Signed: James C. Luthin
Date Signed: 03/28/2006
Official Committee FAX: 480-314-8429

(End FEC FORM 1)


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