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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-86899

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1. WellChoice Political Action Committee

    NOTE:Commmittee Name is different than previously reported

    11 West 42nd Street
    New York, NY 10036
    Fax: 2124761694
    Email: michael.fedyna@empireblue.com

2. Date: 06/13/2003

3. FEC Committee ID #: C00365064 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

WellChoice Inc.
11 W. 42nd St.
New York, New York 10036
Relationship: Connnected
Organization Type: Corporation

Custodian of Records:

MICHAEL FEDYNA
11 WEST 42ND ST.
NEW YORK, NY 10036
Title: TREASURER/PAC
Phone # (212) 476-3652

Treasurer:

MICHAEL FEDYNA
11 WEST 42ND ST.
NEW YORK, New York 10036
Title: TREASURER/PAC
Phone # (212) 476-3652

Designated Agent(s):

Banks or Depositories

BANK OF NEW YORK
1 WALL STREET
NEW YOKR, New York 10286

Signed: MICHAEL FEDYNA
Date Signed: 06/13/2003
Official Committee FAX: 2124761694

(End FEC FORM 1)

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