FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-20156
1. BLUEPAC - BLUE CROSS BLUE SHIELD ASSOCIATION POLITICAL ACTION COMMITTEE
1310 G STREET NWWASHINGTON, DC 20005
2. Date: 09/17/2001
3. FEC Committee ID #: C00194746 This committee is a Separate Segregated FundAffiliated Committees/Organizations
BLUE CROSS BLUE SHIELD ASSOCIATION1310 G STREET NW
WASHINGTON, DC 20005
Relationship: CONNECTED
Organization Type: Membership Organization
HEALTHY GOVERNMENT COMMITTEE - THE PAC
P.O. BOX 13466
PHOENIX, Arizona 85002
Relationship: AFFILIATED PAC
BLUE SHIELD OF CALIFORNIA
50 BEALE STREET
SAN FRANCISCO, California 94105
Relationship: AFFILIATED PAC
FLORIDA HEALTH POLITICAL ACTION COMMIT
532 RIVERSIDE AVENUE
JACKSONVILLE, Florida 92202
Relationship: AFFILIATED PAC
HAWAII MEDICAL SERVICE ASSOCIATION EMP
818 KEEAUMOKU
HONOLULU, Hawaii 96814
Relationship: AFFILIATED PAC
REGENCE BLUEPAC
2890 EAST COTTONWOOD PARKWAY
DEPT. #8
SALT LAKE CITY, Utah 84121
Relationship: AFFILIATED PAC
BLUE CROSS AND BLUE SHIELD OF ILLINOIS
233 NORTH MICHIGAN AVENUE
CHICAGO, Illinois 60690
Relationship: AFFILIATED PAC
ANTHEM INSURANCE COMPANIES INC. GOOD G
120 MONUMENT CIRCLE
INDIANAPOLIS, Indiana 462044903
Relationship: AFFILIATED PAC
WELLMARK INCORPORATED PAC WELLPAC
636 GRAND AVENUE
STATION 13
DES MOINES, Iowa 50309
Relationship: AFFILIATED PAC
BLUE CROSS AND BLUE SHIELD OF KANSAS E
1133 TOPEKA BLVD.
TOPEKA, Kansas 666290001
Relationship: AFFILIATED PAC
BLUE CROSS AND BLUE SHIELD OF MARYLAND
10455 MILL RUN CIRCLE
OWINGS MILLS, Maryland 21117
Relationship: AFFILIATED PAC
FEDERAL CAREPAC - THE BCBS OF MASSACHU
100 SUMMER STREET
BOSTON, Massachusetts 02110
Relationship: AFFILIATED PAC
BLUE CROSS AND BLUE SHIELD OF MICHIGAN
600 LAFAYETTE EAST
DETROIT, Michigan 482262298
Relationship: AFFILIATED PAC
BLUE CROSS AND BLUE SHIELD OF KANSAS C
2301 MAIN
KANSAS CITY, Missouri 641082488
Relationship: AFFILIATED PAC
BLUE CROSS AND BLUE SHIELD OF NEBRASKA
7261 MERCY ROAD
OMAHA, Nebraska 681800001
Relationship: AFFILIATED PAC
BLUE CROSS AND BLUE SHIELD OF NORTH CA
5901 CHAPEL HILL ROAD
BOX 2291
DURHAM, North Carolina 27702
Relationship: AFFILIATED PAC
BLUEPAC CAPITAL INDEPENDENCE NORTHEAST
2500 ELMERTON AVENUE
HARRISBURG, Pennsylvania 17177
Relationship: AFFILIATED PAC
HIGHMARK HEALTH PAC OF HIGHMARK BLUE C
1800 CENTER STREET
CAMP HILL, Pennsylvania 17011
Relationship: AFFILIATED PAC
BLUE CROSS AND BLUE SHIELD OF TEXAS IN
901 SOUTH CENTRAL EXPRESSWAY
RICHARDSON, Texas 75080
Relationship: AFFILIATED PAC
TRIGON BLUE CROSS BLUE SHIELD FEDERAL
2015 STAPLES MILLS ROAD
RICHMOND, Virginia 23230
Relationship: AFFILIATED PAC
BLUE CROSS AND BLUE SHIELD UNITED OF W
401 WEST MICHIGAN STREET
MILWAUKEE, Wisconsin 53203
Relationship: AFFILIATED PAC
AMERICAN MEDICAL SECURITY INC. PAC
3100 AMS BLVD.
P.O. BOX 19032
GREEN BAY, Wisconsin 54307
Relationship: AFFILIATED PAC
Custodian of Records:
COMERICA BANK MARTHA DENBAASPAC SERVICES
P.O. BOX 75000
DETROIT, MI 482752250
Title: RECORDKEEPER
Phone # (248) 371-5562
Treasurer:
KATHY DIDAWICK1310 G STREET NW
WASHINGTON, DC 20005
Title: TREASURER
Phone # (202) 626-4804
Designated Agent(s):
M.P. DRELLOW1310 G STREET NW
WASHINGTON, DC 20005
Title: ASST. TREASURER
Phone # (202) 686-4810
Banks or Depositories
COMERICA BANKP.O. BOX 75000
DETROIT, Michigan 482752250
FIRST NATIONAL BANK OF CHICAGO
ONE FIRST NATIONAL PLAZA
CHICAGO, Illinois 60670