FEC Form 1 for BLUE ORIGIN LLC POLITICAL ACTION COMMITTEE (BLUE ORIGIN PAC)Form 1 for BLUE ORIGIN LLC POLITICAL ACTION COMMITTEE (BLUE ORIGIN PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1201389

1. BLUE ORIGIN LLC POLITICAL ACTION COMMITTEE (BLUE ORIGIN PAC)

21218-76TH AVENUE S
KENT, WA 98032
Email: BluePAC@blueorigin.com;outsourcing@aristotle.com

2. Date: 01/16/2018

3. FEC Committee ID #: C00557793 This committee is a separate segregated fund. Its connected organization is a Corporation W/O Capital Stock
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Blue, Inc.
21218 76th Ave S
Kent, Washington 980322442
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Cathleen Watkins
21218 76th Avenue S
Kent, WA 980322442
Title: Custodian of Records
Phone # (253) 437-9300

Treasurer:

Cathleen Watkins
21218 76th Avenue S
Kent, Washington 980322442
Title: Treasurer
Phone # (253) 437-9300

Designated Agent(s):

Cathleen Watkins
21218 76th Avenue S
Kent, Washington 980322442
Title: Designated Agent
Phone # (253) 437-9300

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1201389

1. BLUE ORIGIN LLC POLITICAL ACTION COMMITTEE (BLUE ORIGIN PAC)

2. Date: 01/16/2018

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Cathleen Watkins
Date Signed: 01/29/2018

FORM TEXT-1

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1201389

1. BLUE ORIGIN LLC POLITICAL ACTION COMMITTEE (BLUE ORIGIN PAC)

2. Date: 01/16/2018

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Cathleen Watkins Date Signed: 01/29/2018 function popup1201389F12() { plain_window = window.open('/dcdev/fectxt/1201389F12.txt','plain','scrollbars,resizable,width=500,height=500'); } FORM TEXT-1

(End FEC FORM 1)

Signed: Cathleen Watkins
Date Signed: 01/29/2018

FORM TEXT-1