FEC Form 1 for BLUE CROSS AND BLUE SHIELD OF NEBRASKA PACForm 1 for BLUE CROSS AND BLUE SHIELD OF NEBRASKA PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1793489

1. BLUE CROSS AND BLUE SHIELD OF NEBRASKA PAC

1919 AKSARBEN DRIVE PO BOX 3248
OMAHA, NE 68180
Email: david.sederburg@nebraskablue.com;jennifer.davenport@nebraskablue.com

2. Date: 07/14/2023

3. FEC Committee ID #: C00276311 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Committee ID# C00276311
BLUE CROSS AND BLUE SHIELD OF NEBRASKA PAC
1919 AKSARBEN DRIVE PO BOX 3248
OMAHA, Nebraska 68180
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Jennifer Davenport
1919 Aksarben Drive
Omaha, NE 68180
Title: Accountant
Phone # (402) 321-2155

Treasurer:

David Sederburg
1919 Aksarben Drive
Omaha, Nebraska 68180
Title: VP Finance and Acct
Phone # (402) 982-8170

Designated Agent(s):

Jennifer Davenport
1919 Aksarben Drive
Omaha, Nebraska 68180
Title: Accountant
Phone # (402) 321-2155

Erin Russell
1919 Aksarben Drive
Omaha, Nebraska 68180
Title: Manager of Finance
Phone # (208) 661-8286

Denna Hodges
1919 Aksarben Drive
Omaha, Nebraska 68180
Title: Accountant

Banks or Depositories

First National Bank of Omaha
1620 Dodge St
Omaha, Nebraska 68197

Signed: David Sederburg
Date Signed: 07/03/2024
Official Committee URL: www.nebraskablue.com

(End FEC FORM 1)

Generated Tue Aug 27 08:46:42 2024