FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-996701
1. Cambia Health Solutions Inc. PAC
200 SW Market STPO Box 1271/MS E12C
Portland, OR 972071271
Email: chip.terhune@cambiahealth.com
NOTE: Email address is different than previously reported
2. Date: 03/13/2015
3. FEC Committee ID #: C00252684 This committee is a separate segregated fund. Its connected organization is a CorporationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
Cambia Health Solutions, Inc.200 SW Market St
PO Box 1271/MS E12C
Portland, Oregon 972071271
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Chip Terhune100 SW Market St
M/S E12A
Portland, OR 97201
Title: Custodian of Records
Phone # (503) 721-7059
Treasurer:
Chip Terhune100 SW Market St
M/S E12A
Portland, Oregon 97201
Title: Treasurer
Phone # (503) 721-7059
Designated Agent(s):
Kerry Barnett200 SW Market St
PO Box 1271/MS E15A
Portland, Oregon 972071271
Title: Assistant Treasurer
Phone # (503) 276-1814
Banks or Depositories
Wells Fargo Bank NAPO Box 63020
San Francisco, California 94163