FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1708073
1. BLUE CROSS AND BLUE SHIELD OF NEBRASKA PAC
1919 AKSARBEN DRIVE PO BOX 3248OMAHA, NE 681800001
Email: David.Sederburg@nebraskablue.com
2. Date: 06/13/2023
3. FEC Committee ID #: C00276311 This committee is a separate segregated fund. Its connected organization is aAffiliated Committees/Organizations
NONE, ____
Custodian of Records:
David Sederburg10220 N 168TH STREET
BENNINGTON, NE 68007
Title: VP Finance
Phone # (402) 889-7046
Treasurer:
David Sederburg10220 N 168TH STREET
BENNINGTON, Nebraska 68007
Phone # (402) 889-7046
Designated Agent(s):
Denna Hodges1919 Aksarben Drive
Omaha, Nebraska 68180
Title: Accountant
Phone # (402) 999-3990
Erin Russell
1919 Aksarben Drive
Omaha, Nebraska 68180
Title: Manager
Phone # (208) 661-8286
Jennifer Davenport
1919 Aksarben Drive
Omaha, Nebraska 68180
Title: Accountant
Phone # (402) 321-2155
Banks or Depositories
First National Bank of Omaha1620 Dodge Street
Omaha, Nebraska 68197