FEC Form 1 for Blue Cross and Blue Shield of Kansas, Inc. Employee PACForm 1 for Blue Cross and Blue Shield of Kansas, Inc. Employee PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-876547

1. Blue Cross and Blue Shield of Kansas, Inc. Employee PAC

1133 SW Topeka Blvd.
CC:855 - B3
Topeka, KS 66629
Email: jason.droge@bcbsks.com

NOTE: Email address is different than previously reported

2. Date: 07/10/2013

3. FEC Committee ID #: C00197202 This committee is a separate segregated fund. Its connected organization is a Corporation W/O Capital Stock
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Blue Cross and Blue Shield of Kansas, Inc.
1133 SW Topeka Blvd.
Topeka, Kansas 66629
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Jason Droge
1133 SW Topeka Blvd
Topeka, Kansas 66629
Title: PAC Treasurer
Phone # (785) 291-8171

Designated Agent(s):

Banks or Depositories

Intrust Bank
105 N. Main
Wichita, Kansas 67202

Signed: Ann M. Shelton
Date Signed: 07/10/2013

(End FEC FORM 1)

Generated Tue Oct 1 16:32:03 2024