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FEC Form 1 for Blue Cross Blue Shield of South Carolina Federal Government ProgramsForm 1 for Blue Cross Blue Shield of South Carolina Federal Government Programs

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-419848


1. Blue Cross Blue Shield of South Carolina Federal Government Programs

    Interstate 20 at Alpine Road
    Columbia, SC 29219
    Email: alcox@comerica.com

2. Date: 06/11/2009

3. FEC Committee ID #: C00406850 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

Blue Cross Blue Shield of South Carolina
Interstate 20 at Alpine Road
Columbia, South Carolina 29219
Affiliated Relationship Code: Connected Organization

BLUEPAC-BCBS Assn PAC
1310 G Street NW
Washington, DC 20005
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

JAMES HOEBERLING
COMERICA BANK, PAC SERVICES
P.O. BOX 75000
DETROIT, MI 482752250
Title: RECORD KEEPER
Phone # (248) 371-5562

Treasurer:

James Hoeberling
Comerica Bank PAC Services
PO Box 75000 - MC 2250
Detroit, Michigan 48275
Title: TREASURER
Phone # (425) 918-5757

Designated Agent(s):

James A. DAlessio
Interstate 20 at Alpine Road
Columbia, South Carolina 29219
Title: VP - Asst. Treas.
Phone # (803) 264-2644

Banks or Depositories

Comerica Bank
P.O. Box 75000
PAC Services MC 2250
Detroit, Michigan 482752250

Signed: James Hoeberling
Date Signed: 06/11/2009

(End FEC FORM 1)


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