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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1301920

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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: 12/20/2018

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.
1 Express Way
St. Louis, Missouri 63121
Affiliated Relationship Code: Connected Organization

Cigna Corporation Political Action Com
701 Pennsylvania Avenue, NW
Suite 720
Washington, DC 20004
Affiliated Relationship Code: Affiliated Committee

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

Banks or Depositories

US Bank
1 US Bank Plaza
7th and Washington
St. Louis, Missouri 63101

Signed: Timothy Smith
Date Signed: 12/20/2018

(End FEC FORM 1)

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