FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1363468
1. CareFirst BlueCross BlueShield Associates' Federal PAC
10455 Mill Run CircleOwings Mill, MD 21117
Email: Adam.Jamison@carefirst.com,Debbie.Credito@carefirst.com
NOTE: Email address is different than previously reported
2. Date: 06/21/2016
3. FEC Committee ID #: C00286922 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated Committees/Organizations
CareFirst Blue Cross BlueShield10455 Mill Run Circle
01-960
Owings Mills, Maryland 21117
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Debbie Credito10455 Mill Run Circle, CT 10-04
Owings Mills, MD 21117
Phone # (410) 528-7061
Treasurer:
Adam Jamison10455 Mill Run Circle
Owings Mill, Maryland 21117
Title: Vice President, Corp
Phone # (410) 998-7019
Designated Agent(s):
Banks or Depositories
BB &TOperations Center
P.O. Box 819
Wilson, North Carolina 278940819