FEC Form 1 for Healthy Government Committee-The Political Action Committee of Blue Cross & Blue Shield of Arizona, Inc.Form 1 for Healthy Government Committee-The Political Action Committee of Blue Cross & Blue Shield of Arizona, Inc.

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1260817

1. Healthy Government Committee-The Political Action Committee of Blue Cross & Blue Shield of Arizona, Inc.

P.O. Box 13466
Phoenix, AZ 85002
Email: ashleymragan@cox.net;brandy.acquafredda@azblue.com

NOTE: Email address is different than previously reported

2. Date: 07/01/2018

3. FEC Committee ID #: C00215202 This committee is a separate segregated fund. Its connected organization is a Corporation W/O Capital Stock

Affiliated Committees/Organizations

Committee ID# C00194746
BLUEPAC - BLUE CROSS BLUE SHIELD ASSOCIATION PAC
1310 G Street NW
Washington, DC 20005
Affiliated Relationship Code: Affiliated Committee

Blue Cross & Blue Shield of Arizona, I
P.O. Box 13466
Phoenix, Arizona 85002
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mrs. Ashley M Ragan
2211 E Highland
210
Phoenix, AZ 85016
Title: Consultant
Phone # (602) 451-4292

Treasurer:

Mrs. Ashley M Ragan
2211 E Highland
210
Phoenix, Arizona 85016
Title: Consultant
Phone # (602) 451-4292

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1260817

1. Healthy Government Committee-The Political Action Committee of Blue Cross & Blue Shield of Arizona, Inc.

NOTE: Email address is different than previously reported

2. Date: 07/01/2018

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Mrs. Ashley M Ragan
Date Signed: 09/11/2018

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1260817

1. Healthy Government Committee-The Political Action Committee of Blue Cross & Blue Shield of Arizona, Inc.

NOTE: Email address is different than previously reported

2. Date: 07/01/2018

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Mrs. Ashley M Ragan Date Signed: 09/11/2018

(End FEC FORM 1)

Signed: Mrs. Ashley M Ragan
Date Signed: 09/11/2018