FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-905551
1. Independence Blue Cross PAC (IBC PAC)
1901 Market StreetPhiladelphia, PA 19103
Email: corinne.vile@ibx.com
2. Date: 01/31/2014
3. FEC Committee ID #: C00450056 This committee is a separate segregated fund. Its connected organization is a Corporation W/O Capital StockIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
Committee ID# C00450056Independence Blue Cross
1901 Market Street
Philadelphia, Pennsylvania 19103
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Juan Lopez1901 Market Street
Philadelphia, PA 19103
Title: Treasurer
Phone # (215) 241-2851
Treasurer:
Juan Lopez1901 Market Street
Philadelphia, Pennsylvania 19103
Title: Treasurer
Phone # (215) 241-2851
Designated Agent(s):
Stephen P. Fera1901 Market Street
Philadelphia, Pennsylvania 19103
Title: Assistant Treasurer
Phone # (215) 241-3027
Banks or Depositories
Wells Fargo1339 Chestnut Street
Philadelphia, Pennsylvania 19107