FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-324615
1. The Regence Group BluePac
317 Massachusetts Avenue NESuite 300E
Washington, DC 20002
NOTE: Address is different than previously reported
Fax: 202-292-4609Email: jadaugh@regence.com
2. Date: 02/25/2008
3. FEC Committee ID #: C00252684 This committee is a Separate Segregated FundAffiliated Committees/Organizations
The Regence Group200 SW Market Street
PO Box 1271 M/S E12A
Portland, Oregon 972071271
Relationship: Connected Organization
Organization Type: Corporation W/O Capital Stock
Committee ID# C00194746
BluePAC-The Blue Cross and Blue Shield
1310 G Street NW
Washington, DC 20005
Relationship: Affiliated Cmte.
Committee ID# C00215202
Healthy Govt. Cmte.-The PAC of Blue Cr
PO Box 13466
Phoenix, Arizona 85002
Relationship: Affiliated Cmte.
Committee ID# C00340364
Blue Shield of California
50 Beale Street
San Francisco, California 94105
Relationship: Affiliated Cmte.
Committee ID# C00161141
Florida Health Political Action Commit
532 Riverside Avenue
Jacksonville, Florida 92202
Relationship: Affiliated Cmte.
Committee ID# C00321992
Hawaii Medical Svce. Assn. Employees'
818 Keeaumoku St.
Honolulu, Hawaii 96814
Relationship: Affiliated Cmte.
Committee ID# C00199711
Blue Cross and Blue Shield of Illinois
300 E. Randolph St.
Suite 1500
Chicago, Illinois 60601
Relationship: Affiliated Cmte.
Committee ID# C00342022
Wellmark Inc. PAC - Well PAC
636 Grand Avenue
Station 13
Des Moines, Iowa 50309
Relationship: Affiliated Cmte.
Committee ID# C00197202
Blue Cross and Blue Shield of Kansas E
1133 Topeka Blvd.
Topeka, Kansas 666290001
Relationship: Affiliated Cmte.
Committee ID# C00286922
CareFirst Associates Federal PAC
10455 Mill Run Circle
Owings Mills, Maryland 21117
Relationship: Affiliated Cmte.
Committee ID# C00199166
Federal CarePAC-The Blue Cross and Blu
401 Park Drive
Boston, Massachusetts 2215
Relationship: Affiliated Cmte.
Committee ID# C00084061
Blue Cross and Blue Shield of Michigan
602 West Ionia
Lansing, Michigan 48933
Relationship: Affiliated Cmte.
Committee ID# C00301358
Blue Cross and Blue Shield of Kansas C
2301 Main
Kansas City, Missouri 641082488
Relationship: Affiliated Cmte.
Committee ID# C00276311
Blue Cross and Blue Shield of Nebraska
7261 Mercy Road
Omaha, Nebraska 681800001
Relationship: Affiliated Cmte.
Committee ID# C00312223
Blue Cross and Blue Shield of North Ca
5901 Chapel Hill Road
Box 2291
Durham, North Carolina 27702
Relationship: Affiliated Cmte.
Committee ID# C00270967
BluePAC of Pennsylvania
P.O. Box 60710
Harrisburg, Pennsylvania 171060710
Relationship: Affiliated Cmte.
Committee ID# C00302844
Highmark Health PAC of Highmark Blue C
1800 Center Street
Camp Hill, Pennsylvania 17011
Relationship: Affiliated Cmte.
Committee ID# C00379537
Blue Cross Voice (Blue Cross of Northe
19 North Main Street
Wilkes Barre, Pennsylvania 18711
Relationship: Affiliated Cmte.
Committee ID# C00406850
Blue Cross and Blue Shield of South Ca
Interstate 20-Alpine Road
Columbia, South Carolina 29219
Relationship: Affiliated Cmte.
Committee ID# C00409227
Premera Blue Cross Political Action Co
7001 220th Street SW
MS355
Mountlake Terrace, Washington 98043
Relationship: Affiliated Cmte.
Custodian of Records:
Michael S Becker200 SW Market Street
Portland, OR 97207
Title: Asst. Treasurer
Phone # (503) 226-8766
Treasurer:
Jason A Daughn317 Massachusetts Ave. NE
Ste 300E
Washington, DC 20002
Title: Treasurer
Phone # (202) 292-4050
Designated Agent(s):
Kerry Barnett200 SW Market Street
PO Box 1271 M/S E15A
Portland, Oregon 972071271
Title: Assistant Treasurer
Phone # (503) 276-1814
Banks or Depositories
Wells Fargo Bank NAPO Box 63020
San Francisco, California 94163
Signed: Jason A Daughn
Date Signed: 02/25/2008
Official Committee URL: None
Official Committee FAX: 202-292-4609
FORM TEXT-1