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FEC Form 1 for Blue Cross and Blue Shield of North Carolina Employee Political Action CommitteeForm 1 for Blue Cross and Blue Shield of North Carolina Employee Political Action Committee

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 2291
    Durham, 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 Stock

Affiliated Committees/Organizations

Blue Cross and Blue Shield of North Carolina
PO 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 Millican
1632 Lorraine Road
Raleigh, North Carolina 27607
Title: Dir of Public policy
Phone # (919) 765-3559

Designated Agent(s):

Banks or Depositories

BCBSNC Credit Union
P.O. Box 2291
Durham, North Carolina 27702

Signed: Kathryn Millican
Date Signed: 10/01/2015

(End FEC FORM 1)


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