FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-89116
1. WellChoice Political Action Committee
NOTE:Commmittee Name is different than previously reported
11 West 42nd StreetNew York, NY 10036
Fax: 2124761694
Email: michael.fedyna@empireblue.com
2. Date: 07/10/2003
3. FEC Committee ID #: C00365064 This committee is a Separate Segregated FundAffiliated Committees/Organizations
WellChoice11 W. 42nd St.
New York, New York 10036
Relationship: Connnected
Organization Type: Corporation
Custodian of Records:
MICHAEL FEDYNA11 WEST 42ND ST.
NEW YORK, NY 10036
Title: TREASURER/PAC
Phone # (212) 476-3652
Treasurer:
MICHAEL FEDYNA11 WEST 42ND ST.
NEW YORK, New York 10036
Title: TREASURER/PAC
Phone # (212) 476-3652
Designated Agent(s):
Banks or Depositories
BANK OF NEW YORK1 WALL STREET
NEW YOKR, New York 10286