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-484686

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: 07/27/2010

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

Committee ID# C00215202
Healthy Government Cmte, The Policital
PO Box 13466
Phoenix, Arizona 85002
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00161141
Florida Health Political Action Commit
PO Box 6936
Jacksonville, Florida 32202
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00321992
Hawaii Medical Service Assn Empl Cmte
818 Keeaumoku
Honolulu, Hawaii 96814
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00252684
Regence BLUEPAC
330 9th Street SE
Washington, DC 20003
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00342022
Wellmark, Incorporated PAC, WELL PAC
636 Grand Avenue
Station 13
Des Moines, Iowa 50309
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00197202
Blue Cross and Blue Shield of Kansas E
1133 Topeka Blvd
Topeka, Kansas 66629
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00270967
BLUEPAC, Capital Blue Cross
PO Box 60710 Elmerton Avenue
Harrisburg, Pennsylvania 17106
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00302844
Highmark Health PAC of Highmark Blue C
1800 Center Street
Camp Hill, Pennsylvania 17011
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00194746
BLUEPAC - Blue Cross Blue Shield Assn
1310 G Street NW
Washington, DC 20005
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00286922
Carefirst Associates Federal Political
10455 Mill Run Circle
Owens Mills, Maryland 21117
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00199711
Health Care Service Corporation Politi
330 East Randolph Street
Chicago, Illinois 60601
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00199166
Federal CAREPAC-The Blue Cross Blue Sh
401 Park Drive
Boston, Massachusetts 02115
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00084061
Blue Cross and Blue Shield of MI PAC
602 West Ionia
Lansing, Michigan 48933
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00301358
Blue Cross and Blue Shield of Kansas C
2301 Main
Kansas City, Missouri 64108
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00276311
Blue Cross and Blue Shield of NE PAC
7261 Mercy Road
Omaha, Nebraska 68180
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00312223
Blue Cross and Blue Shield of NC Emplo
5901 Chapel Hill Road
Box 2291
Durham, North Carolina 27702
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00340364
Blue Shield of California PAC
50 Beale Street
San Fransisco, California 94105
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00457242
Blue Cross and Blue Shield of AL PAC
2 North Jackson Street Suite 2
Montgomery, Alabama 36104
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00379537
Blue Cross Voice (Blue Cross of NE Pen
19 North Main Street
Wilkes Barre, Pennsylvania 18711
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00450056
IBC PAC Independence Blue Cross PAC
1901 Market Street
Philidelphia, Pennsylvania 19103
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00406850
Blue Cross and Blue Shield of SC Feder
Interstate 20 at Alpine Road
Columbia, South Carolina 29219
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00409227
Premera Blue Cross PAC
7001 220th Street SW
Mountlake Terrace, Washington 98043
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

COMERICA BANK
PAC SERVICES MC#2250
P.O. BOX 75000
DETROIT, MI 482752250
Title: RECORD KEEPER
Phone # (248) 371-7271

Treasurer:

Nancy Cushman
Comerica Bank PAC Services MC #225
PO Box 75000
Detroit, Michigan 482752250
Title: TREASURER
Phone # (248) 371-7271

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: Nancy Cushman
Date Signed: 07/27/2010

FORM TEXT

(End FEC FORM 1)

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