FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-426820
1. Blue Cross Blue Shield of South Carolina Federal Government Programs
Interstate 20 at Alpine RoadColumbia, SC 29219
Email: alcox@comerica.com
2. Date: 07/24/2009
3. FEC Committee ID #: C00406850 This committee is a separate segregated fund. Its connected organization is a CorporationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
Blue Cross Blue Shield of South CarolinaInterstate 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:
COMERICA BANKPAC SERVICES MC#2250
P.O. BOX 75000
DETROIT, MI 482752250
Title: RECORD KEEPER
Phone # (248) 371-7271
Treasurer:
Ronald S. SiemiontkowskiComerica Bank PAC Services MC #225
PO Box 75000
Detroit, Michigan 482752250
Title: TREASURER
Phone # (248) 371-7271
Designated Agent(s):
James A. DAlessioInterstate 20 at Alpine Road
Columbia, South Carolina 29219
Title: VP-Asst. Treas.
Phone # (803) 264-2644
Banks or Depositories
Comerica BankP.O. Box 75000
PAC Services MC 2250
Detroit, Michigan 482752250