FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-980964
1. Healthy Government Committee-The Political Action Committee of Blue Cross & Blue Shield of Arizona, Inc.
P.O. Box 13466Phoenix, AZ 85002
Email: karen.abraham@azblue.com;linda.hallman-webb@azblue.com
NOTE: Email address is different than previously reported
2. Date: 12/15/2014
3. FEC Committee ID #: C00215202 This committee is a separate segregated fund. Its connected organization is a Corporation W/O Capital StockAffiliated Committees/Organizations
Committee ID# C00194746BLUEPAC - 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. Karen Abraham2444 W. Las Palmaritas Drive
Phoenix, AZ 85021
Title: Senior VP & CFO
Phone # (602) 864-5700
Treasurer:
Mrs. Karen Abraham2444 W. Las Palmaritas Drive
Phoenix, Arizona 85021
Title: Senior VP & CFO
Phone # (602) 864-5700
Designated Agent(s):
Banks or Depositories
Wells Fargo100 W. Washington
Phoenix, Arizona 85003