FEC Form 1 for CVS/Caremark Corporation Employees PACForm 1 for CVS/Caremark Corporation Employees PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-392234

1. CVS/Caremark Corporation Employees PAC

1300 I Street, NW
Suite 525 West
Washington, DC 20005
Fax: 202-318-7421
Email: Heather.Cutler@Caremark.com

2. Date: 12/18/2008

3. FEC Committee ID #: C00384818 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

CVS/Caremark Corporation (formerly CaremarkRx, Inc.)
9501 East Shea Boulevard
Mail Stop 102
Scottsdale, Arizona 85260
Affiliated Relationship Code: Connected Organization

Committee ID# C00106609
Longs Drugs Good Govt Council
141 N. Civic Drive
Walnut Creek, California 94596
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Heather Cutler
1300 I Street, NW Suite 525 West
Washington, DC 20005
Title: Treasurer
Phone # (202) 772-3523

Treasurer:

Heather Cutler
1300 I Street, NW Suite 525 West
Washington, DC 20005
Title: Treasurer
Phone # (202) 772-3523

Designated Agent(s):

Banks or Depositories

Wells Fargo Bank
420 Montgomery Street
San Francisco, California 94104

Signed: Heather Cutler
Date Signed: 12/18/2008
Official Committee FAX: 202-318-7421

(End FEC FORM 1)

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