FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1055522
1. CVS Health PAC
1275 Pennsylvania Avenue, NWSuite 700
Washington, DC 20004
Email: bill.raines@cvshealth.com
NOTE: Email address is different than previously reported
2. Date: 03/16/2016
3. FEC Committee ID #: C00384818 This committee is a separate segregated fund. Its connected organization is a CorporationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
CVS Health1 CVS Drive
Woonsocket, Rhode Island 02895
Affiliated Relationship Code: Connected Organization
Committee ID# C00392886
Omnicare, Inc. Political Action Commit
1275 Pennsylvania Avenue, NW
Suite 700
Washington, DC 20004
Affiliated Relationship Code: Affiliated Committee
Custodian of Records:
William Raines1275 Pennsylvania Avenue, NW
Suite 700
Washington, DC 20004
Title: Treasurer
Treasurer:
William Raines1275 Pennsylvania Avenue, NW
Suite 700
Washington, DC 20004
Title: Treasurer
Designated Agent(s):
Tracy Smith1 CVS Drive
Woonsocket, Rhode Island 02892
Title: Assistant Treasurer
Banks or Depositories
Wells Fargo Bank420 Montgomery Street
San Francisco, California 94104