FEC Form 1 for Premera Blue Cross Political Action Committee/Premera PACForm 1 for Premera Blue Cross Political Action Committee/Premera PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-415129

1. Premera Blue Cross Political Action Committee/Premera PAC

7001 220th Street, SW
MS 355
Mountlake Terrace, WA 98043
Email: alcox@comerica.com

NOTE: Email address is different than previously reported

2. Date: 04/23/2009

3. FEC Committee ID #: C00409227 This committee is a separate segregated fund. Its connected organization is a Corporation W/O Capital Stock

Affiliated Committees/Organizations

Premera Blue Cross
7001 220th Street, SW
MS 355
Mountlake Terrace, Washington 980432124
Affiliated Relationship Code: Connected Organization

BLUEPAC-BCBS Assn PAC
1310 G Street NW
Washington, DC 20005
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

JAMES HOEBERLING
COMERICA BANK, PAC SERVICES
P.O. BOX 75000
DETROIT, MI 482752250
Title: RECORD KEEPER
Phone # (248) 371-5562

Treasurer:

Jack McRae
7001 220th Street, SW
MS 355
Mountlake Terrace, Washington 980432124
Title: TREASURER
Phone # (425) 918-5757

Designated Agent(s):

Denise Westmoreland
7001 200th Street, SW
MS 355
Mountlake Terrace, Washington 980432124
Title: Public Affairs Speci
Phone # (425) 918-5630

Banks or Depositories

Comerica Bank
P.O. Box 75000
PAC Services MC 2250
Detroit, Michigan 482752250

Signed: Jack McRae
Date Signed: 04/23/2009

(End FEC FORM 1)

Generated Tue Nov 26 21:35:48 2024