FEC Form 1 for Capital BluePAC, The Political Action Committee of Capital BlueCrossForm 1 for Capital BluePAC, The Political Action Committee of Capital BlueCross

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1783532

1. Capital BluePAC, The Political Action Committee of Capital BlueCross

1221 West Hamilton Street
Allentown, PA 181020710
Email: Brittany.Mako@CapBlueCross.com;outsourcing@aristotle.com

NOTE: Email address is different than previously reported

2. Date: 05/14/2024

3. FEC Committee ID #: C00270967 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Capital BlueCross
2500 Elmerton Ave
Harrisburg, Pennsylvania 171779764
Affiliated Relationship Code: Connected Organization

Committee ID# C00194746
BluePAC, The BlueCross and BlueShield
750 9th St NW
Washington, DC 200014524
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Brittany Mako
1221 West Hamilton Street
Allentown, PA 181024304
Title: Custodian of Records
Phone # (717) 541-6135

Treasurer:

Douglas Furness
1221 West Hamilton Street
Allentown, Pennsylvania 181024304
Title: Treasurer
Phone # (717) 541-6135

Designated Agent(s):

Banks or Depositories

M&T Bank
1002 North 7th Street
Harrisburg, Pennsylvania 17102

Signed: Douglas Furness
Date Signed: 05/14/2024

FORM TEXT-1

(End FEC FORM 1)

Generated Tue Jul 16 04:14:38 2024