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-1721241

1. Blue Origin LLC Political Action Committee (Blue Origin PAC)

21218 76th Avenue S
Kent, WA 98032
Email: bluepac@blueorigin.com;fecinfo@pass1.com

NOTE: Email address is different than previously reported

2. Date: 08/08/2023

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

Committee ID# C00557793
Blue Origin, LLC
21218 76th Avenue S
Kent, Washington 980322442
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Susan Michelle Knapp
21218 76th Ave S
Kent, WA 980322442
Title: 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

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1721241

1. Blue Origin LLC Political Action Committee (Blue Origin PAC)

NOTE: Email address is different than previously reported

2. Date: 08/08/2023

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Susan Michelle Knapp
Date Signed: 08/08/2023

FORM TEXT-1

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1721241

1. Blue Origin LLC Political Action Committee (Blue Origin PAC)

NOTE: Email address is different than previously reported

2. Date: 08/08/2023

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: Susan Michelle Knapp Date Signed: 08/08/2023 function popup1721241F12() { plain_window = window.open('/dcdev/fectxt/1721241F12.txt','plain','scrollbars,resizable,width=500,height=500'); } FORM TEXT-1

(End FEC FORM 1)

Signed: Susan Michelle Knapp
Date Signed: 08/08/2023

FORM TEXT-1