FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1007112
1. Premera Blue Cross Political Action Committee/Premera PAC
7001 220th Street SWMS 355
Mountlake Terrace, WA 98043
Email: slruhl@comerica.com
2. Date: 05/10/2015
3. FEC Committee ID #: C00409227 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated Committees/Organizations
Premera Blue Cross7001 220th Street SW
MS 355
Mountlake Terrace, Washington 98043
Affiliated Relationship Code: Connected Organization
The Political Action Cmte of BCBS Ariz
PO Box 13466
Phoenix, Arizona 85002
Affiliated Relationship Code: Affiliated Committee
Florida Health Political Action Commit
PO Box 6936
Jacksonville, Florida 32202
Affiliated Relationship Code: Affiliated Committee
Hawaii Medical Service Assn Empl Cmte
818 Keeaumoku
Honolulu, Hawaii 96814
Affiliated Relationship Code: Affiliated Committee
Regence BLUEPAC
330 9th Street SE
Washington, DC 20003
Affiliated Relationship Code: Affiliated Committee
Wellmark, Incorporated PAC, Well PAC
636 Grand Avenue
Station 13
Des Moines, Iowa 50309
Affiliated Relationship Code: Affiliated Committee
Blue Cross and Blue Shield of Kansas E
1133 Topeka Blvd
Topeka, Kansas 66629
Affiliated Relationship Code: Affiliated Committee
BLUEPAC, Capital Blue Cross
PO Box 60710 Elmerton Avenue
Harrisburg, Pennsylvania 17106
Affiliated Relationship Code: Affiliated Committee
Highmark Health PAC of Highmark Blue C
1800 Center Street
Camp Hill, Pennsylvania 17011
Affiliated Relationship Code: Affiliated Committee
BLUEPAC - Blue Cross Blue Shield Assn
1310 G Street NW
Washington, DC 20005
Affiliated Relationship Code: Affiliated Committee
Carefirst Associates Federal Political
10455 Mill Run Circle
Owen Mills, Maryland 21117
Affiliated Relationship Code: Affiliated Committee
Health Care Corporation Political Acti
330 East Randolph St
Chicago, Illinois 60601
Affiliated Relationship Code: Affiliated Committee
Federal CAREPAC - The Blue Cross Blue
401 Park Drive
Boston, Massachusetts 02115
Affiliated Relationship Code: Affiliated Committee
Blue Cross and Blue Shield of MI PAC
602 West Ionia
Lansing, Michigan 48933
Affiliated Relationship Code: Affiliated Committee
Blue Cross and Blue Shield of Kansas C
2301 Main
Kansas City, Missouri 64108
Affiliated Relationship Code: Affiliated Committee
Blue Cross and Blue Shield of NE PAC
7261 Mercy Road
Omaha, Nebraska 68180
Affiliated Relationship Code: Affiliated Committee
Blue Cross and Blue Shield of NC Emplo
5901 Chapel Hill Road
Box 2291
Durham, North Carolina 27702
Affiliated Relationship Code: Affiliated Committee
Blue Shield of California PAC
50 Beale Street
San Fransisco, California 94105
Affiliated Relationship Code: Affiliated Committee
Blue Cross and Blue Shield of AL PAC
2 North Jackson Street Ste 2
Montgomery, Alabama 36104
Affiliated Relationship Code: Affiliated Committee
Blue Cross Voice (Blue Cross of NE Pen
19 North Main Street
Wilkes Barre, Pennsylvania 18711
Affiliated Relationship Code: Affiliated Committee
IBC PAC Independence Blue Cross PAC
1901 Market Street
Philidelphia, Pennsylvania 19103
Affiliated Relationship Code: Affiliated Committee
Blue Cross and Blue Shield of SC Feder
Interstate 20 at Alpine Road
Columbia, South Carolina 29219
Affiliated Relationship Code: Affiliated Committee
Custodian of Records:
Comerica BankPAC Services, MC #2250
PO Box 75000
Detroit, MI 482752250
Title: Book Keeper
Phone # (248) 371-7271
Treasurer:
Leonard H. Sorrin7001 220th St SW, MS 355
Mountlake Terrace, Washington 98043
Title: Treasurer
Phone # (425) 918-5786
Designated Agent(s):
Heather Soto7001 220th Street SW
MS 355
Mountlake Terrace, Washington 98043
Title: Assistant Treasurer
Phone # (425) 918-5630
Banks or Depositories
Comerica BankPAC Service, MC 2250
PO Box 75000
Detroit, Michigan 48275