FEC Form 1 for EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)Form 1 for EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1290957

1. EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)

300 New Jersey Avenue NW
Suite 600
Washington, DC 20001
Email: hcutler@express-scripts.com

2. Date: 11/08/2018

3. FEC Committee ID #: C00365072 This committee is a separate segregated fund. Its connected organization is a Corporation
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Express Scripts, Inc
One Express Way
St. Louis, Missouri 63121
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Heather Cutler
300 New Jersey Ave NW, Suite 600
Washington, DC 20001
Title: Custodian of Records
Phone # (202) 383-7989

Treasurer:

Timothy Smith
One Express Way
St. Louis, Missouri 63121
Title: Treasurer

Designated Agent(s):

Michelle Mack
300 New Jersey Ave NW
Suite 600
Washington, DC 20001
Title: Assistant Treasurer
Phone # (952) 837-5103

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1290957

1. EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)

2. Date: 11/08/2018

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Timothy Smith
Date Signed: 11/08/2018

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1290957

1. EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)

2. Date: 11/08/2018

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Timothy Smith Date Signed: 11/08/2018

(End FEC FORM 1)

Signed: Timothy Smith
Date Signed: 11/08/2018