FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-302512
1. Blue Cross and Blue Shield of North Carolina Employee Political Action Committee
P.O. Box 2291Durham, NC 27702
2. Date: 11/18/2001
3. FEC Committee ID #: C00312223 This committee is a Separate Segregated FundAffiliated Committees/Organizations
BCBSA BluePac1310 G. Street N.W.
12th Floor
Washington, DC 20005
Relationship: Affiliated
Organization Type: Corporation W/O Capital Stock
Blue Cross and Blue Shield of North Ca
P.O. Box 2291
Durham, North Carolina 27707
Relationship: Connected
Organization Type: Corporation W/O Capital Stock
Custodian of Records:
Treasurer:
Kenneth Wright618 S. Wingate Dr.
Wake Forest, North Carolina 27587
Title: Treasurer
Phone # (919) 765-7404
Designated Agent(s):
Banks or Depositories
BCBSNC Credit UnionP.O. Box 2291
Durham, North Carolina 27702