FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1026402
1. Blue Cross and Blue Shield of North Carolina Employee Political Action Committee
P.O. Box 2291Durham, NC 27702
Email: GovtAffairs@bcbsnc.com;katie.ward@bcbsnc.com
2. Date: 10/01/2015
3. FEC Committee ID #: C00312223 This committee is a separate segregated fund. Its connected organization is a Corporation W/O Capital StockAffiliated Committees/Organizations
Blue Cross and Blue Shield of North CarolinaPO Box 2291
Durham, North Carolina 277022291
Affiliated Relationship Code: Connected Organization
BCBSA BluePac
1310 G. Street N.W.
12th Floor
Washington, DC 20005
Affiliated Relationship Code: Affiliated Committee
Custodian of Records:
Treasurer:
Kathryn Millican1632 Lorraine Road
Raleigh, North Carolina 27607
Title: Dir of Public policy
Phone # (919) 765-3559
Designated Agent(s):
Banks or Depositories
BCBSNC Credit UnionP.O. Box 2291
Durham, North Carolina 27702