FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-1782757
1. BLUECROSS BLUESHIELD OF TENNESSEE INC POLITICAL ACTION COMMITTEE (BCBSTN PAC)
1 CAMERON HILL CIRCLECHATTANOOGA, TN 37402
Email: tavarski_hughes@bcbst.com;Daniel_Gregory@bcbst.com
2. Date: 05/14/2024
3. FEC Committee ID #: C00503003 This committee is a separate segregated fund. Its connected organization is a Corporation W/O Capital StockAffiliated Committees/Organizations
Committee ID# C00457242Blue Cross Blue Shield of Alabama PAC
2 North Jackson Street
Suite 202
Montgomery, Alabama 36104
Affiliated Relationship Code: Affiliated Committee
Committee ID# C00215202
Healthy Government Committee - the Pol
PO Box 13466
Phoeniz, Arizona 85002
Affiliated Relationship Code: Affiliated Committee
Committee ID# C00406850
Blue Cross Blue Shield of South Caroli
Interstate 20 at Alpine Road
Columbia, South Carolina 29219
Affiliated Relationship Code: Affiliated Committee
Committee ID# C00342022
Wellmark, Inc. Pac (WELLPAC)
1331 Grand Avenue
Sta. 5W570
Des Moines, Iowa 50309
Affiliated Relationship Code: Affiliated Committee
Committee ID# C00340364
Blue Shield of California Political Ac
50 Beale Street
17-C356
San Francisco, California 94105
Affiliated Relationship Code: Affiliated Committee
Committee ID# C00312223
Blue Cross and Blue Shield of North Ca
PO Box 2291
Durham, North Carolina 27702
Affiliated Relationship Code: Affiliated Committee
Committee ID# C00302844
Highmark Health PAC of Highmark Inc.
1800 Center Street
Camp Hill, Pennsylvania 17089
Affiliated Relationship Code: Affiliated Committee
Committee ID# C00286922
Carefirst BlueCross Blueshield Associa
10455 Mill Run Circle
Owings Mill, Maryland 21117
Affiliated Relationship Code: Affiliated Committee
Committee ID# C00276311
Blue Cross and Blue Shield of Nebraska
7261 Mercy Road
PO Box 3248
Omaha, Nebraska 68180
Affiliated Relationship Code: Affiliated Committee
Committee ID# C00084061
Blue Cross Blue Shield of Michigan PAC
232 S. Capitol
MC L10A
Lansing, Michigan 48933
Affiliated Relationship Code: Affiliated Committee
Committee ID# C00409227
Premera Blue Cross Political Action
7001 220th Street SW
Mountlake Terrace, Washington 98043
Affiliated Relationship Code: Affiliated Committee
Committee ID# C00503003
BLUECROSS BLUESHIELD OF TENNESSEE INC
1 CAMERON HILL CIRCLE
CHATTANOOGA, Tennessee 37402
Affiliated Relationship Code: Connected Organization
Committee ID# C00194746
BLUEPAC - BLUE CROSS BLUE SHIELD ASSOC
750 9TH STREET, NW
WASHINGTON, DC 20001
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
Committee ID# C00161141
GUIDEWELL MUTUAL HOLDING CORPORATION P
4800 DEERWOOD CAMPUS PARKWAY
DC1-7
JACKSONVILLE, Florida 32246
Affiliated Relationship Code: Affiliated Committee
Committee ID# C00301358
Blue Cross and Blue Shield of Kansas C
One Pershing Square
2301 Main Street
Kansas City, Missouri 64108
Affiliated Relationship Code: Affiliated Committee
Committee ID# C00197202
Blue Cross and Blue Shield of Kansas
1133 SW Topeka Blvd
Cc:855 - B3
Topeka, Kansas 66629
Affiliated Relationship Code: Affiliated Committee
Committee ID# C00270967
CAPITAL BLUEPAC, THE POLITICAL ACTION
P.O. BOX 60710
HARRISBURG, Pennsylvania 171060710
Affiliated Relationship Code: Affiliated Committee
Custodian of Records:
Leslie Phipps1 Cameron Hill
Chattanooga, TN 37402
Title: Sr. Financia Analyst
Treasurer:
Mr. Tavarski Hughes1 Cameron Hill Circle
Chattanooga, Tennessee 37402
Title: Director, Federal Re
Phone # (901) 417-2486
Designated Agent(s):
Daniel Gregory1 Cameron Hill Circle
Chattanooga, Tennessee 37402
Title: VP Control and Acc.
Phone # (423) 535-8224
Banks or Depositories
First Tennessee Bank701 Market Street
Chattanooga, Tennessee 37402