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-1315475

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: 02/08/2019

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:

Treasurer:

Susan Michelle Knapp
21218 76th Ave S
Kent, Washington 980322442
Title: Treasurer
Phone # (253) 275-1781

Designated Agent(s):

Laverne Ramos Rojo
21218 76th Ave S
Kent, Washington 980322442
Title: Assistant Treasurer
Phone # (253) 437-5637

Banks or Depositories

Eagle Bank
7815 Woodmont Avenue
Bethesda, Maryland 20814

Signed: Susan Michelle Knapp
Date Signed: 02/12/2019

FORM TEXT-1

(End FEC FORM 1)

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