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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-459150

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1. Blue Cross Voice The Political Action Committee of Blue Cross of Northeastern Pennsylvania

    NOTE:Commmittee Name is different than previously reported

    19 NORTH MAIN STREET
    WILKES BARRE, PA 18711
    Email: Suzanne.Fletcher@bcnepa.com

2. Date: 04/05/2010

3. FEC Committee ID #: C00379537 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Blue Cross of Northeastern Pennsylvania
19 N. Main Street
Wilkes-Barre, Pennsylvania 18711
Affiliated Relationship Code: Connected Organization

BluePAC- Blue Cross Plans of Pennsylva
2500 Elmerton Avenue
Harrisburg, Pennsylvania 17177
Affiliated Relationship Code: Affiliated Committee

BLUE PAC
1310 G Street NW
Washington, DC 20005
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Kimberly Kockler
19 N. Main Street
Wilkes-Barre, PA 18711
Title: VP Govt Affairs
Phone # (717) 213-6912

Treasurer:

Suzanne Fletcher
19 N. Main Street
Wilkes-Barre, Pennsylvania 18711
Title: VP- Finance
Phone # (570) 200-6369

Designated Agent(s):

Bruce Sickel
19 N. Main Street
Wilkes-Barre, Pennsylvania 18711
Title: VP & Treasurer
Phone # (570) 200-6362

Banks or Depositories

PNC Bank
201 Penn Avenue
Scranton, Pennsylvania 18503

Signed: Suzanne Fletcher
Date Signed: 04/09/2010

(End FEC FORM 1)

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