FEC Form 1 for eviCore healthcare PACForm 1 for eviCore healthcare PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1194907

1. eviCore healthcare PAC

NOTE:Commmittee Name is different than previously reported

400 Buckwalter Place Blvd
Bluffton, SC 29910
Email: matthew.ness@evicore.com;wgoodman2@evicore.com

NOTE: Email address is different than previously reported

2. Date: 12/20/2017

3. FEC Committee ID #: C00547018 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

eviCore healthcare
400 Buckwalter Place Blvd
Bluffton, South Carolina 29910
Affiliated Relationship Code: Connected Organization

Committee ID# C00365072
Express Scripts Inc. Political Fund (A
300 New Jersey Avenue NW
Suite 600
Washington, DC 20001
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Matthew Ness
730 Cool Springs Blvd
Franklin, TN 37067
Title: Custodian of Records
Phone # (615) 517-0501

Treasurer:

Matthew Ness
730 Cool Springs Blvd
Franklin, Tennessee 37067
Title: Treasurer
Phone # (615) 517-0501

Designated Agent(s):

William Goodman
400 Buckwalter Place Blvd
Bluffton, South Carolina 29910
Title: Assistant Treasurer
Phone # (843) 706-1658

Banks or Depositories

Sun Trust Bank
201 4th Ave North
Nashville, Tennessee 37219

Signed: Matthew Ness
Date Signed: 12/20/2017
Official Committee URL: www.evicore.com

NOTE: URL is different than previously reported

(End FEC FORM 1)

Generated Fri Sep 27 16:09:38 2024