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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1783993

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1. Blue Cross Blue Shield of South Carolina Federal Government Programs

    Interstate 20 at Alpine Road
    Columbia, SC 292140001
    Email: outsourcing@aristotle.com;victoria.halydier@bcbssc.com

    NOTE: Email address is different than previously reported

2. Date: 05/09/2024

3. FEC Committee ID #: C00406850 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

Blue Cross Blue Shield of South Carolina
Interstate 20 at Alpine Road
Columbia, South Carolina 292190001
Affiliated Relationship Code: Connected Organization

Committee ID# C00457242
Blue Cross Blue Shield of Alabama PAC
2 North Jackson Street Suite 2
Montgomery, Alabama 361043803
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00270967
Capital BluePAC, The Political Action
PO Box 60710
Harrisburg, Pennsylvania 171060710
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00302844
Highmark PAC of Highmark Inc.
1800 Center Street
Camp Hill, Pennsylvania 170111702
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00342022
Wellmark, Inc. PAC (WellPac)
1331 Grand Avenue
Des Moines, Iowa 503092901
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00161141
Guidewell Mutual Holding Corporation P
PO Box 6936
Jacksonville, Florida 322366936
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00409227
Premera Blue Cross PAC
7001 220th Street SW
Mountlake Terrace, Washington 98043
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00084061
Blue Cross Blue Shield of Michigan PAC
232 S. Capital Ave.
Lansing, Michigan 489331536
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00286922
CareFirst BlueCross BlueShield Associa
10455 Mill Run Circle
Owings Mills, Maryland 211174208
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00301358
Blue Cross and Blue Shield of Kansas C
2301 Main
Kansas City, Missouri 64108
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00340364
Blue Shield of California PAC (Shield
601 12th Street
Oakland, California 946073613
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00312223
Blue Cross and Blue Shield of North Ca
Box 2291
Durham, North Carolina 277022291
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00215202
Healthy Government Committee-The Polit
PO Box 13466
Phoenix, Arizona 850023466
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00194746
Bluepac - Blue Cross Blue Shield Assoc
750 9th Street, NW
Washington, DC 200014524
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00197202
Blue Cross and Blue Shield of Kansas,
1133 Topeka Blvd
Topeka, Kansas 66629
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00276311
Blue Cross and Blue Shield of Nebraska
1919Aksarben Drive
PO Box 3248
Omaha, Nebraska 681800001
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00503003
BLUECROSS BLUESHIELD OF TENNESSEE INC
1 CAMERON HILL CIRCLE
CHATTANOOGA, Tennessee 37402
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00651265
LOUISIANA HEALTH SERVICE & INDEMNITY C
5525 REITZ AVENUE
BATON ROUGE, Louisiana 70809
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00639245
HORIZON HEALTHCARE SERVICES, INC.-HORI
THREE PENN PLAZA EAST
PP-11G
NEWARK, New Jersey 07105
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Justin Phillips
205 Pennsylvania Ave SE
Washington, DC 200031164
Title: Custodian of Records

Treasurer:

Justin Phillips
205 Pennsylvania Ave SE
Washington, DC 200031164
Title: Treasurer

Designated Agent(s):

James D'Alessio
209 Fetterbush Rd
Elgin, South Carolina 290459185
Title: Designated Agent
Phone # (803) 264-2644

Banks or Depositories

Truist
8910 Two Notch Rd
Columbia, South Carolina 29223

Signed: Justin Phillips
Date Signed: 05/19/2024

FORM TEXT-1

(End FEC FORM 1)

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