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REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3X For Other Than An Authorized Committee Office Use Only

1. NAME OF TYPE OR PRINT ▼ Example: If typing, type COMMITTEE (in full) over the lines. 12FE4M5 Independence Blue Cross PAC

1901 Market Street ADDRESS (number and street) ▼

Check if different than previously Philadelphia PA 19103

reported. (ACC)

▼ ▼

2. FEC IDENTIFICATION NUMBER ▼ CITY ▼ STATE ZIP CODE

C00450056 3. IS THIS NEW ✘ AMENDED C REPORT (N) OR (A)

4. TYPE OF REPORT (b) Monthly Feb 20 (M2) May 20 (M5) Aug 20 (M8) Nov 20 (M11) (Non-Election (Choose One) Report Year Only) Due On: Mar 20 (M3) Jun 20 (M6) Sep 20 (M9) Dec 20 (M12) (Non-Election (a) Quarterly Reports: Year Only) Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) ✘ Jan 31 (YE) April 15 Quarterly Report (Q1) (c) 12-Day Primary (12P) General (12G) Runoff (12R) July 15 PRE-Election Quarterly Report (Q2) Report for the: Convention (12C) Special (12S) October 15 Quarterly Report (Q3) M M / D D / Y Y Y Y in the January 31 Year-End Report (YE) Election on State of

July 31 Mid-Year (d) 30-Day Report (Non-election Year Only) (MY) POST-Election General (30G) Runoff (30R) Special (30S) Report for the: Termination Report (TER) M M / D D / Y Y Y Y in the Election on State of

M M / D D / Y Y Y Y M M / D D / Y Y Y Y 5. Covering Period 07 01 2019 through 12 31 2019

I certify that I have examined this Report and to the best of my knowledge and belief it is true, correct and complete. Lopez, Juan, , , Type or Print Name of Treasurer

Lopez, Juan, , , M M / D D / Y Y Y Y Signature of Treasurer [Electronically Filed] Date 02 17 2020

NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 52 U.S.C. § 30109.

Office FEC FORM 3X Use Rev. 05/2016 Only Image# 202002179186508001

SUMMARY PAGE OF RECEIPTS AND DISBURSEMENTS FEC Form 3X (Rev. 05/2016 ) Page 2 Write or Type Committee Name Independence Blue Cross PAC

M M / D D / Y Y Y Y M M / D D / Y Y Y Y Report Covering the Period: From: 07 01 2019 To: 12 31 2019

COLUMN A COLUMN B This Period Calendar Year-to-Date

6. (a) Cash on Hand Y Y Y Y 144552.19 January 1, 2019 ▲ , ▲ , ▲.

(b) Cash on Hand at Beginning of Reporting Period...... ▲ , ▲ , 149132.64 ▲.

169351.25 (c) Total Receipts (from Line 19)...... ▲ , ▲ , ▲. ▲ , ▲ , 373756.70 ▲.

(d) Subtotal (add Lines 6(b) and 6(c) for Column A and Lines 518308.89 6(a) and 6(c) for Column B)...... ▲ , ▲ , 318483.89 ▲. ▲ , ▲ , ▲.

370345.00 7. Total Disbursements (from Line 31)...... ▲ , ▲ , 170520.00 ▲. ▲ , ▲ , ▲.

8. Cash on Hand at Close of Reporting Period 147963.89 147963.89 (subtract Line 7 from Line 6(d))...... ▲ , ▲ , ▲. ▲ , ▲ , ▲.

9. Debts and Obligations Owed TO the Committee (Itemize all on 0.00 Schedule C and/or Schedule D)...... ▲ , ▲ , ▲.

10. Debts and Obligations Owed BY the Committee (Itemize all on 0.00 Schedule C and/or Schedule D)...... ▲ , ▲ , ▲.

✘ This committee has qualified as a multicandidate committee. (see FEC FORM 1M)

For further information contact:

Federal Election Commission 999 E Street, NW Washington, DC 20463

Toll Free 800-424-9530 Local 202-694-1100 Image# 202002179186508002

DETAILED SUMMARY PAGE of Receipts FEC Form 3X (Rev. 05/2016 ) Page 3 Write or Type Committee Name Independence Blue Cross PAC

M M / D D / Y Y Y Y M M / D D / Y Y Y Y 07 01 2019 Report Covering the Period: From: To: 12 31 2019

COLUMN A COLUMN B I. Receipts Total This Period Calendar Year-to-Date 11. Contributions (other than loans) From: (a) Individuals/Persons Other Than Political Committees 165286.45 344598.10 (i) Itemized (use Schedule A)...... ▲ , ▲ , ▲. , , .

(ii) Unitemized...... ▲ , ▲ , 4064.80 ▲. ▲ , ▲ , 29158.60 ▲. (iii) TOTAL (add 169351.25 373756.70 Lines 11(a)(i) and (ii)...... ▼ ▲ , ▲ , ▲. ▲ , ▲ , ▲. 0.00 0.00 (b) Political Party Committees...... ▲ , ▲ , ▲. ▲ , ▲ , ▲. (c) Other Political Committees 0.00 0.00 (such as PACs)...... ▲ , ▲ , ▲. ▲ , ▲ , ▲. (d) Total Contributions (add Lines 11(a)(iii), (b), and (c)) (Carry 169351.25 373756.70 Totals to Line 33, page 5)...... ▼ ▲ , ▲ , ▲. ▲ , ▲ , ▲. 12. Transfers From Affiliated/Other Party Committees...... ▲ , ▲ , 0.00 ▲. ▲ , ▲ , 0.00 ▲. 0.00 0.00 13. All Loans Received...... ▲ , ▲ , ▲. ▲ , ▲ , ▲.

0.00 14. Loan Repayments Received...... ▲ , ▲ , 0.00 ▲. ▲ , ▲ , ▲. 15. Offsets To Operating Expenditures (Refunds, Rebates, etc.) (Carry Totals to Line 37, page 5)...... ▲ , ▲ , 0.00 ▲. ▲ , ▲ , 0.00 ▲. 16. Refunds of Contributions Made to Federal Candidates and Other Political Committees...... ▲ , ▲ , 0.00 ▲. ▲ , ▲ , 0.00 ▲. 17. Other Federal Receipts (Dividends, Interest, etc.)...... ▲ , ▲ , 0.00 ▲. ▲ , ▲ , 0.00 ▲. 18. Transfers from Non-Federal and Levin Funds (a) Non-Federal Account (from Schedule H3)...... ▲ , ▲ , ▲0.00. ▲ , ▲ , 0.00 ▲.

0.00 0.00 (b) Levin Funds (from Schedule H5)...... ▲ , ▲ , ▲. ▲ , ▲ , ▲. (c) Total Transfers (add 18(a) and 18(b))... ▲ , ▲ , 0.00 ▲. ▲ , ▲ , 0.00 ▲.

19. Total Receipts (add Lines 11(d), 12, 13, 14, 15, 16, 17, and 18(c))...... ▲ , ▲ , 169351.25 ▲. ▲ , ▲ , 373756.70 ▲. 20. Total Federal Receipts 169351.25 373756.70 (subtract Line 18(c) from Line 19)...... ▼ ▼ ▲ , ▲ , ▲. ▲ , ▲ , ▲. Image# 202002179186508003

DETAILED SUMMARY PAGE of Disbursements FEC Form 3X (Rev. 05/2016 ) Page 4 II. Disbursements COLUMN A COLUMN B Total This Period Calendar Year-to-Date 21. Operating Expenditures: (a) Allocated Federal/Non-Federal Activity (from Schedule H4) 0.00 0.00 (i) Federal Share...... ▲ , ▲ , ▲. ▲ , ▲ , ▲. (ii) Non-Federal Share...... ▲ , ▲ , 0.00 ▲. ▲ , ▲ , 0.00 ▲. (b) Other Federal Operating Expenditures...... ▲ , ▲ , 0.00 ▲. ▲ , ▲ , 0.00 ▲. (c) Total Operating Expenditures 0.00 0.00 (add 21(a)(i), (a)(ii), and (b))...... ▼ ▲ , ▲ , ▲. ▲ , ▲ , ▲. 22. Transfers to Affiliated/Other Party Committees...... ▲ ▲ 40000.00 ▲ ▲ ▲ 40000.00 ▲ 23. Contributions to , , . , , . Federal Candidates/Committees and Other Political Committees...... ▲ , ▲ , 49000.00 ▲. ▲ , ▲ , 108300.00 ▲. 24. Independent Expenditures (use Schedule E)...... ▲ ▲ 0.00 ▲ ▲ ▲ 0.00 ▲ 25. Coordinated Party Expenditures , , . , , . (52 U.S.C. § 30116(d)) (use Schedule F)...... ▲ , ▲ , 0.00 ▲. ▲ , ▲ , 0.00 ▲. 26. Loan Repayments Made...... ▲ , ▲ , 0.00 ▲. ▲ , ▲ , 0.00 ▲. 27. Loans Made...... ▲ ▲ 0.00 ▲ ▲ ▲ 0.00 ▲ 28. Refunds of Contributions To: , , . , , . (a) Individuals/Persons Other Than Political Committees...... ▲ , ▲ , 0.00 ▲. ▲ , ▲ , 0.00 ▲. (b) Political Party Committees...... ▲ ▲ 500.00 ▲ ▲ ▲ 1250.00 ▲ (c) Other Political Committees , , . , , . (such as PACs)...... , , 0.00. ▲ , ▲ , 0.00 ▲. (d) Total Contribution Refunds 500.00 1250.00 (add Lines 28(a), (b), and (c))...... ▼ ▲ , ▲ , ▲. ▲ , ▲ , ▲. 29. Other Disbursements (Including Non-Federal Donations)...... ▲ , ▲ , 81020.00 ▲. ▲ , ▲ , 220795.00 ▲. 30. Federal Election Activity (52 U.S.C. § 30101(20)) (a) Allocated Federal Election Activity (from Schedule H6) (i) Federal Share...... ▲ , ▲ , 0.00 ▲. ▲ , ▲ , 0.00 ▲. (ii) "Levin" Share...... ▲ ▲ 0.00 ▲ ▲ ▲ 0.00 ▲ (b) Federal Election Activity Paid , , . , , . Entirely With Federal Funds...... ▲ ▲ 0.00 ▲ ▲ ▲ 0.00 ▲ (c) Total Federal Election Activity (add , , . , , . 0.00 Lines 30(a)(i), 30(a)(ii) and 30(b))...... ▼ ▲ , ▲ , ▲. ▲ , ▲ , 0.00 ▲.

31. Total Disbursements (add Lines 21(c), 22, 23, 24, 25, 26, 27, 28(d), 29 and 30(c))... ▲ , ▲ , 170520.00 ▲. ▲ , ▲ , 370345.00 ▲. 32. Total Federal Disbursements (subtract Line 21(a)(ii) and Line 30(a)(ii)

from Line 31)...... ▼ ▲ , ▲ , 170520.00 ▲. ▲ , ▲ , 370345.00 ▲. Image# 202002179186508004

DETAILED SUMMARY PAGE of Disbursements FEC Form 3X (Rev. 05/2016 ) Page 5 III. Net Contributions/ COLUMN A COLUMN B Operating Expenditures Total This Period Calendar Year-to-Date

33. Total Contributions (other than loans) 169351.25 373756.70 (from Line 11(d), page 3)...... ▲ , ▲ , ▲. ▲ , ▲ , ▲. 34. Total Contribution Refunds 500.00 1250.00 (from Line 28(d))...... ▲ , ▲ , ▲. ▲ , ▲ , ▲. 35. Net Contributions (other than loans) 168851.25 372506.70 (subtract Line 34 from Line 33)...... ▲ , ▲ , ▲. ▲ , ▲ , ▲. 36. Total Federal Operating Expenditures 0.00 0.00 (add Line 21(a)(i) and Line 21(b))...... ▼ ▲ , ▲ , ▲. ▲ , ▲ , ▲. 37. Offsets to Operating Expenditures 0.00 0.00 (from Line 15, page 3)...... ▲ , ▲ , ▲. ▲ , ▲ , ▲. 38. Net Operating Expenditures 0.00 0.00 (subtract Line 37 from Line 36)...... ▼ ▲ , ▲ , ▲. ▲ , ▲ , ▲. Image# 202002179186508005

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 6 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Leonard, Thomas, , , Date of Receipt

Mailing Address 1500 Market St M M / D D / Y Y Y Y 12 24 2019 City State Zip Code Transaction ID : C8022490 Philadelphia PA 19102 Amount of Each Receipt this Period

FEC ID number of contributing 3000.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross Board of Directors

Receipt For: Aggregate Year-to-Date ▼ Primary General Other (specify) ▼ ▲ , ▲ , 3000.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Mitses, Christine, , , Date of Receipt

Mailing Address 2441 Huntingdon Road M M / D D / Y Y Y Y 07 20 2019 City State Zip Code Transaction ID : C7984771 PA Huntingdon Valley 19006 Amount of Each Receipt this Period

FEC ID number of contributing 40.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir Public Policy

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 20 Other (specify) ▼ ▲ , ▲ , 300.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Pingue, Adelaide, P, , Date of Receipt

Mailing Address 24035 Harvest Circle M M / D D / Y Y Y Y 07 12 2019 City State Zip Code Transaction ID : C7983814 Milton DE 19968 Amount of Each Receipt this Period

FEC ID number of contributing 35.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Dir Prov Reimb Policies & RAR

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $35.00 Other (specify) ▲ , ▲ , 490.00 ▲.

3075.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508006 PAGE 7 / 194 FEC MISCELLANEOUS TEXT RELATED TO A REPORT, SCHEDULE OR ITEMIZATION

Form/Schedule: SA11AI Transaction ID : C8022490

Partnership attribution from Obermayer Rebmann Maxwell & Hippel LLP

Form/Schedule: Transaction ID: Image# 202002179186508007

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 8 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Rann, Theresa, , , Date of Receipt

Mailing Address 1105 Oakland Court M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022455 Newark DE 19711 Amount of Each Receipt this Period

FEC ID number of contributing 315.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Information Requested Dir Svs Ctr Ops Train

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $35.00 Other (specify) ▼ ▲ , ▲ , 420.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Snyder, Richard, L., , Date of Receipt

Mailing Address 636 Olympia Hills Circle M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022716 PA Berwyn 19312 Amount of Each Receipt this Period

FEC ID number of contributing 1249.95 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC CMO and EVP Facilitated Health

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 96.15 Other (specify) ▼ ▲ , ▲ , 2499.90 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Silberstein, Efram, , , Date of Receipt

Mailing Address 12 Levering Circle M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022707 Bala Cynwyd PA 19004-2610 Amount of Each Receipt this Period

FEC ID number of contributing 780.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC VP Audit,Cmpliance&Privcy Ofcr

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 60 Other (specify) ▲ , ▲ , 1560.00 ▲.

2344.95 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508008

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 9 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Sherry, Mary Pat, , , Date of Receipt

Mailing Address 710 Hirst Avenue M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022470 Havertown PA 19083 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Market Development Dir

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $35.00 Other (specify) ▼ ▲ , ▲ , 910.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Gibbons, Karen, C., , Date of Receipt

Mailing Address 525 Mullin Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022571 PA Ambler 19002 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir Comm Planning & Client Ser

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Herzog, Laura, J., , Date of Receipt

Mailing Address 216 Edith Rd. M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022405 West Chester PA 19380 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Dir Comp & Reg Affairs PA

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $10.00 Other (specify) ▲ , ▲ , 260.00 ▲.

715.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508009

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 10 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Mensah-Akman, John, K. A., , Date of Receipt

Mailing Address 116 West Mermaid Lane M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022435 Philadelphia PA 19118 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Finance Mgr Mktg

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $15.00 Other (specify) ▼ ▲ , ▲ , 390.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Heffernan, Regina, , , Date of Receipt

Mailing Address 117 Wellington Drive M M / D D / Y Y Y Y 12 07 2019 City State Zip Code Transaction ID : C8015517 PA Media 19063 Amount of Each Receipt this Period

FEC ID number of contributing 96.15 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Govt & External Affairs Mgr

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 96.15 Other (specify) ▼ ▲ , ▲ , 317.30 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. George-Bretz, Rose, , , Date of Receipt

Mailing Address 2021 Carter Rd M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022390 Folcroft PA 19032 Amount of Each Receipt this Period

FEC ID number of contributing 169.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Business Systems Analyst Sr

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $13.00 Other (specify) ▲ , ▲ , 329.00 ▲.

460.15 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508010

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 11 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Thattarkunnel, Jessiemol, , , Date of Receipt

Mailing Address 162 Kayla Drive M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022732 Mount Royal NJ 08061 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Mgr Product Management

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Smith-McLallen, Aaron, , , Date of Receipt

Mailing Address 549 Midvale Rd M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022712 PA Upper Darby 19082 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Director, Health Informatics &

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 35 Other (specify) ▼ ▲ , ▲ , 910.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Simone, Christina, , , Date of Receipt

Mailing Address 303 Marplewood Dr M M / D D / Y Y Y Y Apt C 12 21 2019 City State Zip Code Transaction ID : C8022708 Springfield PA 19064 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Manager Analytics

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▲ , ▲ , 260.00 ▲.

715.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508011

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 12 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Cross, Jennifer, K., , Date of Receipt

Mailing Address 425 Wheatsheaf Rd. M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022536 Springfield PA 19064 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Govt Mkts SpecialPrograms Lead

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Kobylowski, Kenneth, , , Date of Receipt

Mailing Address 85 Constitution Drive M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022613 NJ Shrewsbury 07702 Amount of Each Receipt this Period

FEC ID number of contributing 1249.95 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Insurance Co. NJ SVPProvCont&NetwkOps-AHNJ-AHA

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 96.15 Other (specify) ▼ ▲ , ▲ , 2499.90 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Smith, Robert, J., , Date of Receipt

Mailing Address 475 Plymouth Road M M / D D / Y Y Y Y Apt 1 08 31 2019 City State Zip Code Transaction ID : C7985526 Glenside PA 19038 Amount of Each Receipt this Period

FEC ID number of contributing 300.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC VP Sales & Marketing-Medicare

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 60 Other (specify) ▲ , ▲ , 1080.00 ▲.

1679.95 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508012

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 13 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Lobley, Brian, , , Date of Receipt

Mailing Address 1035 Waverly Road M M / D D / Y Y Y Y 10 26 2019 City State Zip Code Transaction ID : C7997047 Gladwyne PA 19035 Amount of Each Receipt this Period

FEC ID number of contributing 865.35 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC EVP Health Markets

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 96.15 Other (specify) ▼ ▲ , ▲ , 2115.30 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Hudson, Michael, , , Date of Receipt

Mailing Address 1913 Beechwood Drive M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022594 DE Wilmington 19810 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir Sales-Consumer Business

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 35 Other (specify) ▼ ▲ , ▲ , 910.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Taliaferro, Lilton, R., , Date of Receipt

Mailing Address 17 Pikes Way M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022727 Cheltenham PA 19012 Amount of Each Receipt this Period

FEC ID number of contributing 780.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC VP DGC, Asst Sec & GC - AHNJ

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 60 Other (specify) ▲ , ▲ , 1560.00 ▲.

2100.35 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508013

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 14 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Hoos, David, C., , Date of Receipt

Mailing Address 39 Silverthrone Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022590 High Bridge NJ 08829 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Strategic Sourcing Mgr

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Goddard, Charles, R., , Date of Receipt

Mailing Address 110 Raymar Drive M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022575 NJ Franklinville 08322 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Mgr Application Develpmnt Svcs

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Kalina, John, C., , Date of Receipt

Mailing Address 23 Stoneham Drive M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022605 Delran NJ 08075 Amount of Each Receipt this Period

FEC ID number of contributing 780.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC VP Administrative Services

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 60 Other (specify) ▲ , ▲ , 1560.00 ▲.

1040.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508014

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 15 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Malone, Mary, E., , Date of Receipt

Mailing Address 274 Glen Riddle Road M M / D D / Y Y Y Y Apt B204 12 21 2019 City State Zip Code Transaction ID : C8022633 Media PA 19063 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir Mktg Sales Admin-Medicare

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 35 Other (specify) ▼ ▲ , ▲ , 910.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Hughes, Anne Muldoon, Muldoon, , Date of Receipt

Mailing Address 139 Mill Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022595 PA Havertown 19083 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Provider Contracting Negotiato

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 15 Other (specify) ▼ ▲ , ▲ , 390.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Sweeney, Deborah, , , Date of Receipt

Mailing Address 113 Ferguson Lane M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022475 Newark DE 19702 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Information Requested Dir Corporate Quality

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $35.00 Other (specify) ▲ , ▲ , 595.00 ▲.

1105.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508015

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 16 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Mitchell, Gregory, , , Date of Receipt

Mailing Address 7 West? Glen Circle M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022653 Media PA 19063 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Mgr PMO

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Ottinger, Mark, C., , Date of Receipt

Mailing Address 6036 Buckingham Drive M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022663 PA Bensalem 19020-1801 Amount of Each Receipt this Period

FEC ID number of contributing 390.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC VP Business Solutions

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 30 Other (specify) ▼ ▲ , ▲ , 780.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Deitz, Christopher, , , Date of Receipt

Mailing Address 100 North 3rd Street M M / D D / Y Y Y Y Apartment 3B 10 26 2019 City State Zip Code Transaction ID : C7996964 Philadelphia PA 19106 Amount of Each Receipt this Period

FEC ID number of contributing 135.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Lead Cash Mgmt&Invest Analyst

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 15 Other (specify) ▲ , ▲ , 330.00 ▲.

655.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508016

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 17 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Chan, Heidi, , , Date of Receipt

Mailing Address 1041 Fairbrooke Terrace M M / D D / Y Y Y Y #205 12 27 2019 City State Zip Code Transaction ID : C8022360 Raleigh NC 10413 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Market President North Carolin

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $35.00 Other (specify) ▼ ▲ , ▲ , 910.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Blomer, Tyrina, , , Date of Receipt

Mailing Address 600 North Swarthmore Avenue M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022350 PA Swarthmore 19081 Amount of Each Receipt this Period

FEC ID number of contributing 780.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas VP Corp Compliance Officer

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $60.00 Other (specify) ▼ ▲ , ▲ , 1560.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Mullin, Kathleen, , , Date of Receipt

Mailing Address 215 Tasker Street M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022440 Philadelphia PA 19148 Amount of Each Receipt this Period

FEC ID number of contributing 250.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Information Requested LTSS Housing Initiatives Dir

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $25.00 Other (specify) ▲ , ▲ , 250.00 ▲.

1485.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508017

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 18 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Baker, Ellen, M, , Date of Receipt

Mailing Address 735 Ashbourne Road M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022342 Cheltenham PA 19012 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Dir Member Engagement

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $35.00 Other (specify) ▼ ▲ , ▲ , 910.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Jacobs, Mark, , , Date of Receipt

Mailing Address 2222 Manor Avenue M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022411 PA Upper Darby 19082 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Project Manager III

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $10.00 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Booker, Evan, T., , Date of Receipt

Mailing Address 31 Woodale Road M M / D D / Y Y Y Y Apt B918 12 21 2019 City State Zip Code Transaction ID : C8022505 Philadelphia PA 19118 Amount of Each Receipt this Period

FEC ID number of contributing 1249.95 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC VP Corp Development&Innovation

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 96.15 Other (specify) ▲ , ▲ , 2499.90 ▲.

1834.95 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508018

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 19 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Pettit, Suanne, , , Date of Receipt

Mailing Address 32 Fowler Avenue M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022450 Millville NJ 08332 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Dir Capture Planning

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $35.00 Other (specify) ▼ ▲ , ▲ , 910.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Rose, Kellie, , , Date of Receipt

Mailing Address 4 Boulder Creek Lane M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022461 PA Newtown Square 19073 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Market Development Manager

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $15.00 Other (specify) ▼ ▲ , ▲ , 390.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Wachtman, Kelly, M., , Date of Receipt

Mailing Address 404 Osborne Lane M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022482 Wallingford PA 19086 Amount of Each Receipt this Period

FEC ID number of contributing 780.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas VP Transformation

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $60.00 Other (specify) ▲ , ▲ , 1560.00 ▲.

1430.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508019

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 20 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Robak, Michael, C., , Date of Receipt

Mailing Address 204 Fairfield Drive M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022688 Wallingford PA 19086 Amount of Each Receipt this Period

FEC ID number of contributing 845.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Administrators VP Operations - AHA

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 65 Other (specify) ▼ ▲ , ▲ , 1690.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Baumgartner, Ellan, L., , Date of Receipt

Mailing Address 107 Forelle Court M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022346 PA Telford 18969 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Dir Regulatory Affairs (Key)

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $25.00 Other (specify) ▼ ▲ , ▲ , 650.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Sanbe, Charles, A, , Date of Receipt

Mailing Address 57 Deerfield Drive M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022465 Malvern PA 19355 Amount of Each Receipt this Period

FEC ID number of contributing 585.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Dir Finance

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $45.00 Other (specify) ▲ , ▲ , 1170.00 ▲.

1755.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508020

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 21 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Hayes, Bernadine, , , Date of Receipt

Mailing Address 5941 Cobbs Creek Parkway M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022403 Philadelphia PA 19143 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Mgr Provider Network Mgmt

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $10.00 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Heys, Carole, A., , Date of Receipt

Mailing Address 234 Federal Street M M / D D / Y Y Y Y 10 26 2019 City State Zip Code Transaction ID : C7997008 PA Philadelphia 19147 Amount of Each Receipt this Period

FEC ID number of contributing 90.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Human Resources Mgr

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▼ ▲ , ▲ , 220.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Curran, Janine, , , Date of Receipt

Mailing Address 247 Delaware St M M / D D / Y Y Y Y 1st Floor 12 27 2019 City State Zip Code Transaction ID : C8022370 Lester PA 19029 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Mgr Community Investment

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $25.00 Other (specify) ▲ , ▲ , 650.00 ▲.

545.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508021

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 22 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. D'Onofrio, Joanne, , , Date of Receipt

Mailing Address 1013 Squires Drive M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022371 West Chester PA 19382 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Dir Fin Plng_Analysis

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $35.00 Other (specify) ▼ ▲ , ▲ , 910.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Burgoyne, Michael, , , Date of Receipt

Mailing Address 4617 Flower Valley Drive M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022356 MD Rockville 20853 Amount of Each Receipt this Period

FEC ID number of contributing 1249.95 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Information Requested SVP Finance/CFO

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $96.15 Other (specify) ▼ ▲ , ▲ , 1634.55 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Garrison, Michael, , , Date of Receipt

Mailing Address 1520 Brandywine Drive M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022388 West Chester PA 19382 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Risk and Controls Mgr

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $10.00 Other (specify) ▲ , ▲ , 260.00 ▲.

1834.95 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508022

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 23 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Roker, Stephan, , , Date of Receipt

Mailing Address 25 Cameron Court M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022460 Exton PA 19341 Amount of Each Receipt this Period

FEC ID number of contributing 780.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas VP Health Mkt Solutions

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $60.00 Other (specify) ▼ ▲ , ▲ , 1560.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Alsaadhl, Aliyma, , , Date of Receipt

Mailing Address 1939 Audubon Drive M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022493 PA Dresher 19025 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Sr Business Systems Analyst

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Connolly, Erin, , , Date of Receipt

Mailing Address 310 Ivy Drive M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022533 Woodbury Heights NJ 08097 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Contract Analyst

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▲ , ▲ , 260.00 ▲.

1040.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508023

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 24 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Drahus, Tina, M, , Date of Receipt

Mailing Address 540 Fifth Street Manor M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022376 West Wyoming PA 18644 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Mgr Provider Network Mgmt

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $25.00 Other (specify) ▼ ▲ , ▲ , 650.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Lehman, Diana, , , Date of Receipt

Mailing Address 3589 Gray Fox Drive M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022620 PA Chalfont 18914 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir Case & Condition Mgt.

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 15 Other (specify) ▼ ▲ , ▲ , 390.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Miller, Michael, D., , Date of Receipt

Mailing Address 120 Galway Circle M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022650 Chalfont PA 18914 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir Data Warehouse Operations

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 35 Other (specify) ▲ , ▲ , 910.00 ▲.

975.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508024

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 25 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. O'Meara, Christie, , , Date of Receipt

Mailing Address 926 Georgetown Rd M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022660 Swarthmore PA 19081 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Administrators Account Manager - AHA

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 15 Other (specify) ▼ ▲ , ▲ , 390.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Sindoni, Marion, A, , Date of Receipt

Mailing Address 831 North 21st Street M M / D D / Y Y Y Y 11 23 2019 City State Zip Code Transaction ID : C8008362 PA Philadelphia 19130 Amount of Each Receipt this Period

FEC ID number of contributing 110.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir Assoc Comm & Engagement

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▼ ▲ , ▲ , 240.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Tremblay, Steven, , , Date of Receipt

Mailing Address 46 Cochise Circle M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022737 Medford NJ 08055 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Mgr Sales -N

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 25 Other (specify) ▲ , ▲ , 650.00 ▲.

630.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508025

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 26 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. McGlone, Gerard, , , Date of Receipt

Mailing Address 300 E. Evans Street P279 M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022646 West Chester PA 19380 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Sr Benefits Consultant -N

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 25 Other (specify) ▼ ▲ , ▲ , 650.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Rost, Marcy, , , Date of Receipt

Mailing Address 700 Thomas Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022695 PA Lafayette Hill 19444 Amount of Each Receipt this Period

FEC ID number of contributing 1249.95 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC EVP Chief Strategy & Comm Of

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 96.15 Other (specify) ▼ ▲ , ▲ , 2499.90 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Kenyon, Nancy, , , Date of Receipt

Mailing Address 272 Butler Road M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022416 Springfield PA 19064 Amount of Each Receipt this Period

FEC ID number of contributing 104.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Med Mgmt Initia Spl

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $8.00 Other (specify) ▲ , ▲ , 208.00 ▲.

1678.95 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508026

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 27 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Menta, Jonathan, P., , Date of Receipt

Mailing Address 227 N. Bishop Avenue M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022436 Clifton Heights PA 19018 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas External Audit Mgr

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $15.00 Other (specify) ▼ ▲ , ▲ , 390.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Tegenu, Mesfin, , , Date of Receipt

Mailing Address 105 Blackshire Rd M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022476 PA Kennett Square 19348 Amount of Each Receipt this Period

FEC ID number of contributing 2499.90 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas President PerformRx Division

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $192.30 Other (specify) ▼ ▲ , ▲ , 4999.80 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Barrett, Colin, , , Date of Receipt

Mailing Address 2335 Greenwich St M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022497 Philadelphia PA 19146 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Account Executive - R

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 15 Other (specify) ▲ , ▲ , 390.00 ▲.

2889.90 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508027

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 28 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Paris, Corinne, Elise, , Date of Receipt

Mailing Address 9974 Bridle Road M M / D D / Y Y Y Y 09 17 2019 City State Zip Code Transaction ID : C7991112 Philadelphia PA 19115 Amount of Each Receipt this Period

FEC ID number of contributing 150.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Public Affairs Mgr

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 25 Other (specify) ▼ ▲ , ▲ , 475.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Crow, Kevin, , , Date of Receipt

Mailing Address 313 E. Central Ave M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022537 NJ Moorestown 08057 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Provider Contracting Negotiato

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 25 Other (specify) ▼ ▲ , ▲ , 650.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Close, Anthony, , , Date of Receipt

Mailing Address 38 S Forge Manor Drive M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022363 Phoenixville PA 19460 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Dir Quality Assurance IS

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $35.00 Other (specify) ▲ , ▲ , 910.00 ▲.

930.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508028

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 29 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. James, Jill, , , Date of Receipt

Mailing Address 243 Baily Road M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022413 Yeadon PA 19050 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Strat Acct Mgmt Corp Comm Mgr

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $10.00 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Potts, Michele, , , Date of Receipt

Mailing Address 232 Williamson Lane M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022452 NJ Mullica Hill 08062 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Risk Adj Data Analyst 3

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $15.00 Other (specify) ▼ ▲ , ▲ , 345.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Razzi, Michael, , , Date of Receipt

Mailing Address 1737 Chestnut Street M M / D D / Y Y Y Y Apt 501 12 21 2019 City State Zip Code Transaction ID : C8022683 Philadelphia PA 19103 Amount of Each Receipt this Period

FEC ID number of contributing 585.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Administrators Sr Dir App Development Svc-AHA

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 45 Other (specify) ▲ , ▲ , 1170.00 ▲.

910.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508029

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 30 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Vidovich, Mitch, , , Date of Receipt

Mailing Address 231 Valley View Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022742 Media PA 19063 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir Government Affairs

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 35 Other (specify) ▼ ▲ , ▲ , 910.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Bass, Scott, , , Date of Receipt

Mailing Address 1 Cotton Street M M / D D / Y Y Y Y Apt 312 12 27 2019 City State Zip Code Transaction ID : C8022345 PA Philadelphia 19127 Amount of Each Receipt this Period

FEC ID number of contributing 780.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas VP Portfolio Mgmt & Execution

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $60.00 Other (specify) ▼ ▲ , ▲ , 1560.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Myers, Stephanie, , , Date of Receipt

Mailing Address 107 Helen Drive M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022441 Cinnaminson NJ 08077 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Policy Analyst Sr

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $15.00 Other (specify) ▲ , ▲ , 390.00 ▲.

1430.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508030

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 31 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Wickenheiser, Chad, , , Date of Receipt

Mailing Address 203 Evans Road M M / D D / Y Y Y Y 11 29 2019 City State Zip Code Transaction ID : C8015417 Lititz PA 17543 Amount of Each Receipt this Period

FEC ID number of contributing 275.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Information Requested Mgr Quality Management

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $25.00 Other (specify) ▼ ▲ , ▲ , 350.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Petrone, Michele, C., , Date of Receipt

Mailing Address 1315 Ardsley Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022674 PA Swarthmore 19081 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Change Management Manager

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 25 Other (specify) ▼ ▲ , ▲ , 650.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Gallagher, Patrick, M., , Date of Receipt

Mailing Address 2 Todmorden Drive M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022385 Rose Valley PA 19086 Amount of Each Receipt this Period

FEC ID number of contributing 780.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas VP Operations Rx

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $60.00 Other (specify) ▲ , ▲ , 1560.00 ▲.

1380.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508031

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 32 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Langston, Rae, , , Date of Receipt

Mailing Address 708 13th Ave M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022420 Prospect Park PA 19076 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Enterprise Risk Mgmt Mgr

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $25.00 Other (specify) ▼ ▲ , ▲ , 650.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Reid, Kimberly, D., , Date of Receipt

Mailing Address 785 W. Providence Rd M M / D D / Y Y Y Y D203 12 27 2019 City State Zip Code Transaction ID : C8022456 PA Lansdowne 19050 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Business Systems Analyst II

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $15.00 Other (specify) ▼ ▲ , ▲ , 390.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Laughman, James, A, , Date of Receipt

Mailing Address 12 Hurst Boulevard M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022421 Lititz PA 17543 Amount of Each Receipt this Period

FEC ID number of contributing 1249.95 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas President PerformCare

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $96.15 Other (specify) ▲ , ▲ , 2138.40 ▲.

1769.95 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508032

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 33 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Lunkenheimer, Ashley, , , Date of Receipt

Mailing Address 1960 Dog Kennel Road M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022426 Media PA 19063 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas VP Deputy General Counsel

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $35.00 Other (specify) ▼ ▲ , ▲ , 875.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Zayon, Sean, , , Date of Receipt

Mailing Address 1153 E. Passyunk Ave. M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022486 PA Philadelphia 19147 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Mgr Claims

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $15.00 Other (specify) ▼ ▲ , ▲ , 390.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Baldino, Anna, R., , Date of Receipt

Mailing Address 24 Harrowgate Drive M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022495 Cherry Hill NJ 08003 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Medical Director

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▲ , ▲ , 260.00 ▲.

780.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508033

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 34 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. White, Jessica, , , Date of Receipt

Mailing Address 1679 Dyre Street M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022747 Philadelphia PA 19124 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Appeals Specialist Senior

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 15 Other (specify) ▼ ▲ , ▲ , 390.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Wardlow, James, , , Date of Receipt

Mailing Address 725 E Butler Pike M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022746 PA Ambler 19002 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir Health Markets Performance

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 35 Other (specify) ▼ ▲ , ▲ , 910.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Trainor, Thomas, , , Date of Receipt

Mailing Address 200 Laurel Lane M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022735 Broomall PA 19008 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Mgr PMO

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 25 Other (specify) ▲ , ▲ , 650.00 ▲.

975.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508034

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 35 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Tolles, Laura, D., , Date of Receipt

Mailing Address 110 Sequoia Court M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022733 Flemington NJ 08822-2044 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Sr Market Research Analyst

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Brovero, Donald, , , Date of Receipt

Mailing Address 122 A Spring Garden Street M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022511 NJ Woodstown 08098 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Product Mgr

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 25 Other (specify) ▼ ▲ , ▲ , 650.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Hopkins, Kathleen, Elizabeth, , Date of Receipt

Mailing Address 45 N Sylvania Avenue M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022408 Rockledge PA 19046 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Govt & Ext Aff Dir State

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $35.00 Other (specify) ▲ , ▲ , 910.00 ▲.

910.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508035

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 36 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. King, Alovett, , , Date of Receipt

Mailing Address 43 Lexington Circle M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022418 Marlton NJ 08053 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Enterprise Architect

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $15.00 Other (specify) ▼ ▲ , ▲ , 390.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Maiorini, Andrew, F., , Date of Receipt

Mailing Address 1442 Wynnemoor Way M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022428 PA Fort Washington 19034 Amount of Each Receipt this Period

FEC ID number of contributing 780.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas VP Clinical Programs Rx

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $60.00 Other (specify) ▼ ▲ , ▲ , 1560.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Robinson, Margo, B., , Date of Receipt

Mailing Address 2308 Spruce Street M M / D D / Y Y Y Y Apt. C 12 27 2019 City State Zip Code Transaction ID : C8022458 Philadelphia PA 19103 Amount of Each Receipt this Period

FEC ID number of contributing 520.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas VP Office of the CEO

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $40.00 Other (specify) ▲ , ▲ , 1040.00 ▲.

1495.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508036

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 37 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Panageas, Peter, S., , Date of Receipt

Mailing Address 1 High Point Drive M M / D D / Y Y Y Y 12 24 2019 City State Zip Code Transaction ID : C8022488 Medford NJ 08055 Amount of Each Receipt this Period

FEC ID number of contributing 2500.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross VP Sales

Receipt For: Aggregate Year-to-Date ▼ Primary General Other (specify) ▼ ▲ , ▲ , 2500.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Wright, Mark, F., , Date of Receipt

Mailing Address 509 Springhill Drive M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022752 PA Harleysville 19438 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir Product Administration

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Lopez, Juan, A., , Date of Receipt

Mailing Address 100 Church Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022628 Merchantville NJ 08109 Amount of Each Receipt this Period

FEC ID number of contributing 780.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC SVP Finance Shared Services

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 60 Other (specify) ▲ , ▲ , 1560.00 ▲.

3410.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508037

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 38 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Meehan, John, , , Date of Receipt

Mailing Address 415 Conlin Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022648 Plymouth Meeting PA 19462 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir Broker Experience

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 15 Other (specify) ▼ ▲ , ▲ , 390.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Johnson, Mark, , , Date of Receipt

Mailing Address 55 Candytuft Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022601 PA Levittown 19057 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Mgr Underwriting

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 25 Other (specify) ▼ ▲ , ▲ , 650.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Byrnes, Patricia, Danielle, , Date of Receipt

Mailing Address 2915 Ogden Street M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022358 Philadelphia PA 19130 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Govt & Ext Aff Dir Federal

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $35.00 Other (specify) ▲ , ▲ , 910.00 ▲.

975.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508038

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 39 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Sherlock, Laura, A., , Date of Receipt

Mailing Address 807 Pierce Street M M / D D / Y Y Y Y Apartment 203 12 21 2019 City State Zip Code Transaction ID : C8022705 Philadelphia PA 19148 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Provider Performance Mgr

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 25 Other (specify) ▼ ▲ , ▲ , 650.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Sayers, Carrie, R., , Date of Receipt

Mailing Address 1171 Brians Way M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022699 PA Wayne 19087 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir Real Estate Planning

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Heffernan, Regina, , , Date of Receipt

Mailing Address 117 Wellington Drive M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022585 Media, PA 19063 Amount of Each Receipt this Period

FEC ID number of contributing 1153.80 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC EVP & Chief HR Officer

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 96.15 Other (specify) ▲ , ▲ , 2307.60 ▲.

1608.80 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508039

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 40 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Robinson III, G. Kenneth, , , Date of Receipt

Mailing Address 610 N BODINE STREET M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022691 Philadelphia PA 19123 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC VP Tax

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 15 Other (specify) ▼ ▲ , ▲ , 390.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Whitman, Maureen, , , Date of Receipt

Mailing Address 109 Kitty Hawk Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022749 NJ Cherry Hill 08034 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Director & Actuary

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 25 Other (specify) ▼ ▲ , ▲ , 650.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. McClure, Mike, , , Date of Receipt

Mailing Address 2001 Hamilton Street M M / D D / Y Y Y Y 1409 12 21 2019 City State Zip Code Transaction ID : C8022643 Philadelphia PA 19130 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Administrators Mgr Business Configuration-AHA

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 25 Other (specify) ▲ , ▲ , 650.00 ▲.

845.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508040

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 41 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Falck, Heather, , , Date of Receipt

Mailing Address 1440 Mount Vernon St M M / D D / Y Y Y Y #109 12 21 2019 City State Zip Code Transaction ID : C8022556 Philadelphia PA 19130 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir IBC Foundation Programs

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 35 Other (specify) ▼ ▲ , ▲ , 910.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Daye, Portia, , , Date of Receipt

Mailing Address 3329 N. Rockfield Drive M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022542 DE Wilmington 19810 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir Support Services-BTS

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 25 Other (specify) ▼ ▲ , ▲ , 650.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Muth, Robert, , , Date of Receipt

Mailing Address 536 S. 8th Street M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022656 Philadelphia PA 19147 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Administrators Specialty Sales Executive-AHA

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▲ , ▲ , 260.00 ▲.

910.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508041

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 42 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Liburd, Lisa, , , Date of Receipt

Mailing Address 1111 Tannerie Run Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022623 Ambler PA 19002 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Director, Clinical Pharmacy

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 25 Other (specify) ▼ ▲ , ▲ , 650.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Loeper, Francis, J., , Date of Receipt

Mailing Address 59 Paul Lane M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022626 PA Glen Mills 19342 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Lead HRIS Analyst

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 25 Other (specify) ▼ ▲ , ▲ , 650.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Robb, Benjamin, J., , Date of Receipt

Mailing Address 271 Watch Hill Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022689 Exton PA 19341 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC DIR PROV NETWORK MANAGEMENT

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▲ , ▲ , 260.00 ▲.

780.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508042

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 43 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Kilgore, Marie, A., , Date of Receipt

Mailing Address 1621Brookwood Drive M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022610 Bensalem PA 19020 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Administrators Mgr App Development Servcs-AHA

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Horton, Damita, S., , Date of Receipt

Mailing Address 1320 N. 56th Street M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022591 PA Philadelphia 19131 Amount of Each Receipt this Period

FEC ID number of contributing 390.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Mgr Operations

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 30 Other (specify) ▼ ▲ , ▲ , 780.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Heid, Russell, , , Date of Receipt

Mailing Address 1912 Webster Street M M / D D / Y Y Y Y Apartment 710 12 21 2019 City State Zip Code Transaction ID : C8022586 Philadelphia PA 19146 Amount of Each Receipt this Period

FEC ID number of contributing 780.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC VP Corporate Accounting

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 60 Other (specify) ▲ , ▲ , 1560.00 ▲.

1300.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508043

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 44 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Kockler, Kimberly, , , Date of Receipt

Mailing Address 4326 N. Victoria Way M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022614 Harrisburg PA 17112 Amount of Each Receipt this Period

FEC ID number of contributing 780.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC VP Government Affairs

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 60 Other (specify) ▼ ▲ , ▲ , 1560.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Sunshine, Paula, J., , Date of Receipt

Mailing Address 209 North Latches Lane M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022726 PA Merion 19066 Amount of Each Receipt this Period

FEC ID number of contributing 1300.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC SVP & Chief MarketingExecutive

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 100 Other (specify) ▼ ▲ , ▲ , 2600.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Davidson Stewart, Detra, D., , Date of Receipt

Mailing Address 204 W. Essex Ave M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022540 Lansdowne PA 19050 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Mgr Executive Inquiries

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 15 Other (specify) ▲ , ▲ , 390.00 ▲.

2275.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508044

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 45 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Rosenblatt, Joseph, , , Date of Receipt

Mailing Address 856 Sullivan Drive M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022694 Lansdale PA 19446 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC HR Information Solutions Mgr

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 15 Other (specify) ▼ ▲ , ▲ , 390.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Fick, Seth, , , Date of Receipt

Mailing Address 205 Yellowstone Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022562 PA Plymouth Meeting 19462 Amount of Each Receipt this Period

FEC ID number of contributing 260.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir Financial Reporting

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 20 Other (specify) ▼ ▲ , ▲ , 520.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Orezechowski, Christopher, , , Date of Receipt

Mailing Address 14 Tweed Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022662 Levittown PA 19056 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Associate Account Executive B

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 15 Other (specify) ▲ , ▲ , 390.00 ▲.

650.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508045

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 46 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Mattera, Joseph, W., , Date of Receipt

Mailing Address 352 Britt Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022640 North Wales PA 19454 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir GM Performnce&RiskAnlytics

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 15 Other (specify) ▼ ▲ , ▲ , 390.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Santos-Galarza, Eileen, E., , Date of Receipt

Mailing Address 4924 Rorer Street M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022697 PA Philadelphia 19120 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Sr Business Systems Analyst

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 25 Other (specify) ▼ ▲ , ▲ , 650.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Phan, Martha, , , Date of Receipt

Mailing Address 6340 Woodbine Avenue M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022676 Philadelphia PA 19151 Amount of Each Receipt this Period

FEC ID number of contributing 481.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Director, Special Projects

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 37 Other (specify) ▲ , ▲ , 962.00 ▲.

1001.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508046

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 47 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Marth, Robert, C, , Date of Receipt

Mailing Address 100 Bishop Dr. M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022638 Aston PA 19014 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Mgr Hosp & Ancillary Reimb Ana

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Gallagher, Jennifer, , , Date of Receipt

Mailing Address 106 Black Walnut Lane M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022567 PA Plymouth Meeting 19462 Amount of Each Receipt this Period

FEC ID number of contributing 585.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Assoc Deputy Ge

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 45 Other (specify) ▼ ▲ , ▲ , 1170.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Hunter, Harold, L., , Date of Receipt

Mailing Address 120 Mohawk Trail M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022596 Medford Lakes NJ 08055 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Acctg Proj & Prod Supp Mgr

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 25 Other (specify) ▲ , ▲ , 650.00 ▲.

1040.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508047

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 48 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Kane, Paul, J., , Date of Receipt

Mailing Address 1564? Surrey Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022606 Bethlehem PA 18015 Amount of Each Receipt this Period

FEC ID number of contributing 780.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC SVP Actuarial, Underwrtg & CRO

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 60 Other (specify) ▼ ▲ , ▲ , 1560.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. McDade, Courtney, S., , Date of Receipt

Mailing Address 628 Olde Farm Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022644 PA Media 19063 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir Public Affairs Programs

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Grant, Margaret, M, , Date of Receipt

Mailing Address 119 Lori Lane M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022398 Broomall PA 19008 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Dir Public Affairs & Marketing

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $15.00 Other (specify) ▲ , ▲ , 390.00 ▲.

1105.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508048

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 49 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. DeAbreu, Ronald, A., , Date of Receipt

Mailing Address 296 Sadler Avenue M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022543 Lawnside NJ 08045 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Sr. Emp. Relations Partner

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 15 Other (specify) ▼ ▲ , ▲ , 390.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Angello, Margaret, C., , Date of Receipt

Mailing Address 3429 Alinda Cr. M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022341 PA Camp Hill 17011 Amount of Each Receipt this Period

FEC ID number of contributing 1249.95 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Market President ACPA ACNE

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $96.15 Other (specify) ▼ ▲ , ▲ , 2499.90 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Roe, Kevin, , , Date of Receipt

Mailing Address 40 Upland Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022693 Havertown PA 19083 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Account Executive 2-99-R

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▲ , ▲ , 260.00 ▲.

1574.95 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508049

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 50 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Rockenbach Jr., John, , , Date of Receipt

Mailing Address 2518 Parke Lane M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022692 Broomall PA 19008 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir IS Audit

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 35 Other (specify) ▼ ▲ , ▲ , 910.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Higgins, Ying, , , Date of Receipt

Mailing Address 108 Park View Circle M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022406 PA Media 19063 Amount of Each Receipt this Period

FEC ID number of contributing 585.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Information Requested Market CMO

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $45.00 Other (specify) ▼ ▲ , ▲ , 765.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Sheehan, Lisa, M., , Date of Receipt

Mailing Address 109 4th Avenue M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022702 Haddon Heights NJ 08035 Amount of Each Receipt this Period

FEC ID number of contributing 156.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Product Mgr

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 12 Other (specify) ▲ , ▲ , 312.00 ▲.

1196.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508050

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 51 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Seewagen, Christine, , , Date of Receipt

Mailing Address 207 Hastings Ave M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022701 Havertown PA 19083 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Provider Performance Mgr

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Smith, William, R., , Date of Receipt

Mailing Address 54 Victoria Drive M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022711 PA Aston 19014 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Actuarial Associate & Mgr.

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 25 Other (specify) ▼ ▲ , ▲ , 650.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Burke, Annemarie, , , Date of Receipt

Mailing Address 32 Brandywine Way M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022515 Sicklerville NJ 08081 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Lead Accountant

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▲ , ▲ , 260.00 ▲.

585.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508051

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 52 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Stevenson, LaTanya, , , Date of Receipt

Mailing Address 7443 Euston Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022721 Elkins Park PA 19027 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Administrators Supv Operations AHA

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 15 Other (specify) ▼ ▲ , ▲ , 390.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Colgan, Erin, , , Date of Receipt

Mailing Address 1300 Chestnut Street M M / D D / Y Y Y Y Apt 403 12 27 2019 City State Zip Code Transaction ID : C8022365 PA Philadelphia 19107 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Market Development Dir

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $25.00 Other (specify) ▼ ▲ , ▲ , 650.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Dickson, Fred, A., , Date of Receipt

Mailing Address 6755 Brendan Court M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022375 Edina MN 55439 Amount of Each Receipt this Period

FEC ID number of contributing 2499.90 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas EVP Chief Information Officer

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $192.30 Other (specify) ▲ , ▲ , 4134.45 ▲.

3019.90 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508052

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 53 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Boivin, Rejean, , , Date of Receipt

Mailing Address 7 Kirkwood Drive M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022351 Mount Laurel NJ 08054 Amount of Each Receipt this Period

FEC ID number of contributing 520.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas VP Chief Actuary

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $40.00 Other (specify) ▼ ▲ , ▲ , 1040.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Witherspoon, Cyd, L., , Date of Receipt

Mailing Address 125 Starboard Way M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022750 NJ Mount Laurel 08054 Amount of Each Receipt this Period

FEC ID number of contributing 585.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Sr Dir Prof Network Optns

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 45 Other (specify) ▼ ▲ , ▲ , 1170.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Sawant, Kalika, , , Date of Receipt

Mailing Address 3658 Waynesfield Dr M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022466 Newtown Square PA 19073 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Dir Enterprise Perf Mgmt

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $35.00 Other (specify) ▲ , ▲ , 910.00 ▲.

1560.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508053

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 54 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. McKendry, Elizabeth, , , Date of Receipt

Mailing Address 670 Kirkwood Ave. M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022433 Jenkintown PA 19046 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas HR Business Partner Sr

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $10.00 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Miller, Chrystal, , , Date of Receipt

Mailing Address 209 Cricket Drive M M / D D / Y Y Y Y Bldg KI 12 27 2019 City State Zip Code Transaction ID : C8022438 PA Malvern 19355 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Facets Bus Systems Analyst

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $10.00 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Pandza, Carol, , , Date of Receipt

Mailing Address 14 Rolling Road M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022447 Stratford NJ 08084 Amount of Each Receipt this Period

FEC ID number of contributing 1300.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas SVP Chief Human Resource Ofcr

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $100.00 Other (specify) ▲ , ▲ , 2565.35 ▲.

1560.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508054

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 55 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Paul, Lawrence, , , Date of Receipt

Mailing Address 4 Cottonwood Court M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022448 Lafayette Hill PA 19444 Amount of Each Receipt this Period

FEC ID number of contributing 780.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas VP Corp Dental

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $60.00 Other (specify) ▼ ▲ , ▲ , 1560.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Jachimowicz, Valerie, , , Date of Receipt

Mailing Address 616 South 21st Street M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022410 PA Philadelphia 19146 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Dir Implem & Contract Complian

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $35.00 Other (specify) ▼ ▲ , ▲ , 910.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Golinkoff, Michael, , , Date of Receipt

Mailing Address 100 St. Georges Road M M / D D / Y Y Y Y Unit G-1 12 27 2019 City State Zip Code Transaction ID : C8022395 Ardmore PA 19003 Amount of Each Receipt this Period

FEC ID number of contributing 1249.95 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas SVP Innovation Advisor

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $96.15 Other (specify) ▲ , ▲ , 2499.90 ▲.

2484.95 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508055

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 56 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Gibson, Brent, , , Date of Receipt

Mailing Address 1412 S. Chadwick Street M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022393 Philadelphia PA 19146 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Strat & Planning Analyst Sr

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $10.00 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Bullock, Mark, , , Date of Receipt

Mailing Address 511 Maplewood Avenue M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022355 PA Wayne 19087 Amount of Each Receipt this Period

FEC ID number of contributing 2499.90 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas EVP Chief Admin & Compl Offcr

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $192.30 Other (specify) ▼ ▲ , ▲ , 4134.45 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Barrett, John, C, , Date of Receipt

Mailing Address 2932 N. Wales Road M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022344 Norristown PA 19403 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas VP Account Mgt & Bus Developme

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $25.00 Other (specify) ▲ , ▲ , 605.00 ▲.

2954.90 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508056

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 57 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Baldwin, Ronald, B., , Date of Receipt

Mailing Address 286 Birch Drive M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022343 Lafayette Hill PA 19444 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Dir Supplier Management

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $35.00 Other (specify) ▼ ▲ , ▲ , 910.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Borow, Todd, , , Date of Receipt

Mailing Address 400 Walnut Street M M / D D / Y Y Y Y Apt. 9D 12 27 2019 City State Zip Code Transaction ID : C8022352 PA Philadelphia 19106 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Legal Counsel

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $10.00 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Choi, Nancy, , , Date of Receipt

Mailing Address 1 Market Street M M / D D / Y Y Y Y Apt 253 12 27 2019 City State Zip Code Transaction ID : C8022362 Camden NJ 08102 Amount of Each Receipt this Period

FEC ID number of contributing 780.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas VP Corp Provider Network Ops

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $60.00 Other (specify) ▲ , ▲ , 1560.00 ▲.

1365.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508057

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 58 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Gianforcaro, Russell, , , Date of Receipt

Mailing Address 8 Dara Circle M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022392 Broomall PA 19008 Amount of Each Receipt this Period

FEC ID number of contributing 910.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas President Region 2

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $70.00 Other (specify) ▼ ▲ , ▲ , 1820.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Hanzel, Lisa, , , Date of Receipt

Mailing Address 170 Conley Road M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022402 PA Lewisberry 17339 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Exec Director PerformCare

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $35.00 Other (specify) ▼ ▲ , ▲ , 910.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Leal, Avelina, R., , Date of Receipt

Mailing Address 7636 Waters Road M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022422 Cheltenham PA 19012 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Dir Service Ops & Cont Improve

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $35.00 Other (specify) ▲ , ▲ , 910.00 ▲.

1820.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508058

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 59 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Myrick, Brenda, , , Date of Receipt

Mailing Address 274 Gravelly Run Branch M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022442 Clayton DE 19938 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas VP Quality Prgms & Accred

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $35.00 Other (specify) ▼ ▲ , ▲ , 910.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Poletti, David, , , Date of Receipt

Mailing Address 1025 Mason Avenue M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022451 PA Drexel Hill 19026 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas VP Facilities

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $35.00 Other (specify) ▼ ▲ , ▲ , 910.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Buscher, Harry, W., , Date of Receipt

Mailing Address 2 Alyse Court M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022516 Barrington NJ 08007 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir GM Risk Adjmnt&DataDelivry

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 15 Other (specify) ▲ , ▲ , 390.00 ▲.

1105.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508059

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 60 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Roybal, Helene, , , Date of Receipt

Mailing Address 1500 Locust Street M M / D D / Y Y Y Y Apartment 1813 12 27 2019 City State Zip Code Transaction ID : C8022462 Philadelphia PA 19102 Amount of Each Receipt this Period

FEC ID number of contributing 1249.95 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Information Requested SVP Chief Transformation Offcr

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $96.15 Other (specify) ▼ ▲ , ▲ , 1634.55 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Smerling, Morey, S., , Date of Receipt

Mailing Address 49 Wynmere Drive M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022472 PA Horsham 19044 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Mgr Pharm Informatic Projects

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $25.00 Other (specify) ▼ ▲ , ▲ , 650.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Settle, Eric, , , Date of Receipt

Mailing Address 829 Waverly Road M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022469 Bryn Mawr PA 19010 Amount of Each Receipt this Period

FEC ID number of contributing 520.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Legal Counsel Sr

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $40.00 Other (specify) ▲ , ▲ , 1040.00 ▲.

2094.95 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508060

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 61 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Deery, Christopher, E, , Date of Receipt

Mailing Address 618 Park Avenue M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022545 Collingswood NJ 08108 Amount of Each Receipt this Period

FEC ID number of contributing 520.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir Crp Financial Investigatin

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 40 Other (specify) ▼ ▲ , ▲ , 1040.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Edwards, Keith, , , Date of Receipt

Mailing Address 2050 Wharton Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022554 PA Glenside 19038 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Sr Account Executive-R Premier

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 25 Other (specify) ▼ ▲ , ▲ , 650.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Norton, Kenneth, , , Date of Receipt

Mailing Address 63 Overlook Circle M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022659 Garnet Valley PA 19060 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir Sales -R

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 35 Other (specify) ▲ , ▲ , 910.00 ▲.

1300.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508061

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 62 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Frankel, Deena, , , Date of Receipt

Mailing Address 101 Morgan Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022564 Aston PA 19014 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Administrators Mgr Learning - AHA

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 25 Other (specify) ▼ ▲ , ▲ , 650.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Tufano, Paul, A., , Date of Receipt

Mailing Address 919 Castlehill Lane M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022739 PA Devon 19333 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Pres IHG&Chairman&CEO Caritas

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 25 Other (specify) ▼ ▲ , ▲ , 650.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Frasciello, Mary, M., , Date of Receipt

Mailing Address 5309 Gramercy Drive M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022382 Clifton Heights PA 19018 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Graphic Designer Sr

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $15.00 Other (specify) ▲ , ▲ , 345.00 ▲.

845.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508062

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 63 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Giuliano, Steven, , , Date of Receipt

Mailing Address 1352 South Street M M / D D / Y Y Y Y #301 12 21 2019 City State Zip Code Transaction ID : C8022574 Philadelphia PA 19147 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC VP Technology

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 35 Other (specify) ▼ ▲ , ▲ , 910.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Jones, Adele, L., , Date of Receipt

Mailing Address 300 W. Bradford Ct. M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022415 DE Middletown 19709 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Dir Portfolio Mgmt & Execution

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $35.00 Other (specify) ▼ ▲ , ▲ , 910.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Berenato, Andrew, N., , Date of Receipt

Mailing Address 801 Lawrence Lane M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022348 Newtown Square PA PA 19073 Amount of Each Receipt this Period

FEC ID number of contributing 546.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Dir GR Strategic Initiatives

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $42.00 Other (specify) ▲ , ▲ , 1092.00 ▲.

1456.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508063

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 64 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Zepka, John, F., , Date of Receipt

Mailing Address 2221 Ardmore Ave. M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022487 Drexel Hill PA 19026 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Mgr Prod and Change Control

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $35.00 Other (specify) ▼ ▲ , ▲ , 910.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Becker, Norbert, , , Date of Receipt

Mailing Address 517 Hoffman Street M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022347 PA Philadelphia 19148 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Pharmacist (R)

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $15.00 Other (specify) ▼ ▲ , ▲ , 390.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Klausner, Daphne, , , Date of Receipt

Mailing Address 725 North 26th Street M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022612 Philadelphia PA 19130-3153 Amount of Each Receipt this Period

FEC ID number of contributing 975.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC SVP Senior Markets

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 75 Other (specify) ▲ , ▲ , 1950.00 ▲.

1625.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508064

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 65 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Fera, Stephen, P., , Date of Receipt

Mailing Address 3208 Denfield Place M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022560 Philadelphia PA 19145-4544 Amount of Each Receipt this Period

FEC ID number of contributing 1249.95 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC SVP Public Affairs

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 96.15 Other (specify) ▼ ▲ , ▲ , 2499.90 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Gonzales, Jillian, , , Date of Receipt

Mailing Address 1320 S. Broad St. M M / D D / Y Y Y Y Apt. B 12 27 2019 City State Zip Code Transaction ID : C8022396 PA Philadelphia 19146 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Enterprise Communications Dir

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $35.00 Other (specify) ▼ ▲ , ▲ , 820.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Gegwich, Grant, , , Date of Receipt

Mailing Address 322 West? 2nd Street M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022570 Media PA 19063 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir Corporate Communications

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 35 Other (specify) ▲ , ▲ , 910.00 ▲.

2159.95 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508065

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 66 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Boyer, Joseph, Patrick, , Date of Receipt

Mailing Address 120 Woodlawn Avenue M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022353 Upper Darby PA 19082 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Dir Claims

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $10.00 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Ryan, Melissa, , , Date of Receipt

Mailing Address 5201 Westbrook Drive M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022464 PA Clifton Heights 19018 Amount of Each Receipt this Period

FEC ID number of contributing 280.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Dir Quality_Risk Mgmt

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $40.00 Other (specify) ▼ ▲ , ▲ , 280.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Kelly, James, P, , Date of Receipt

Mailing Address 39 Wordsworth Drive M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022608 Ivyland PA 18974 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Mgr Sales - R Premier

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 25 Other (specify) ▲ , ▲ , 650.00 ▲.

735.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508066

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 67 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Vijapurapu, Anantharao, , , Date of Receipt

Mailing Address 53 Chapman Lane M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022481 Chesterfield NJ 08515 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Mgr Information Services

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $15.00 Other (specify) ▼ ▲ , ▲ , 480.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Fazio, Jeffrey, , , Date of Receipt

Mailing Address 111 S. 7th Street M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022381 PA North Wales 19454 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas GRC Analyst

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $10.00 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Butts, John, C, , Date of Receipt

Mailing Address 1313 Roosevelt Ave M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022357 Havertown PA 19083 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Dir Market Dev & Pub Relations

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $35.00 Other (specify) ▲ , ▲ , 910.00 ▲.

780.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508067

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 68 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Wilkinson, Lauren, , , Date of Receipt

Mailing Address 220 Ivy Lane M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022484 Haverford PA 19041 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Corp Support Spl

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $10.00 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Rafferty, Sean, , , Date of Receipt

Mailing Address 1810 Brooks Road M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022454 PA West Chester 19382 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Investigator

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $10.00 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Bailey, Julie, M., , Date of Receipt

Mailing Address 11 Lamplighter Lane M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022494 Woodstown NJ 08098 Amount of Each Receipt this Period

FEC ID number of contributing 260.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Director, Med Cost Initiatives

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 20 Other (specify) ▲ , ▲ , 520.00 ▲.

520.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508068

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 69 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Cooper, Robert, E., , Date of Receipt

Mailing Address 50 Bitternut Rd. M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022367 Mt. Wolf PA 17347 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Corp Marketing Director

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $10.00 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Boltz, Keli, , , Date of Receipt

Mailing Address 16 Edinburgh Lane M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022504 NJ Mount Laurel 08054 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir Business Solutions

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 25 Other (specify) ▼ ▲ , ▲ , 650.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Buck, Marissa, , , Date of Receipt

Mailing Address 439 W 11th Avenue M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022514 Conshohocken PA 19428 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Account Executive - R

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▲ , ▲ , 260.00 ▲.

585.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508069

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 70 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Constantine, John, J., , Date of Receipt

Mailing Address 1691 Beaver Hollow Dr M M / D D / Y Y Y Y 11 23 2019 City State Zip Code Transaction ID : C8008183 Jeffersonville PA 19403 Amount of Each Receipt this Period

FEC ID number of contributing 110.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Administrators Change Manager - AHA

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▼ ▲ , ▲ , 240.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Dunleavy, Carol, , , Date of Receipt

Mailing Address 647 Sheffield Drive M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022553 PA Springfield 19064 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Sr. Emp. Relations Partner

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 15 Other (specify) ▼ ▲ , ▲ , 390.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Foley, Dennis, , , Date of Receipt

Mailing Address 760 Shearer Street M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022563 North Wales PA 19454 Amount of Each Receipt this Period

FEC ID number of contributing 520.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir Specialty Svcs Partnershps

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 40 Other (specify) ▲ , ▲ , 1040.00 ▲.

825.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508070

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 71 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Harris, Wayne, A., , Date of Receipt

Mailing Address 7729 Washington Lane M M / D D / Y Y Y Y Apt. A 12 21 2019 City State Zip Code Transaction ID : C8022582 Elkins Park PA 19027 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Sr Learning Specialist

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Howitz, Terri, , , Date of Receipt

Mailing Address 1025 Stokes Avenue M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022592 NJ Collingswood 08108 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Mgr Claims Optns

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Drumm, Christopher, W., , Date of Receipt

Mailing Address 919 Coates Road M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022377 Jenkintown PA 19046 Amount of Each Receipt this Period

FEC ID number of contributing 1249.95 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas SVP Gov't & External Affairs

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $96.15 Other (specify) ▲ , ▲ , 2499.90 ▲.

1509.95 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508071

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 72 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Kinn, Patricia, A., , Date of Receipt

Mailing Address 438 Liberty Lane M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022611 Marlton NJ 08053 Amount of Each Receipt this Period

FEC ID number of contributing 585.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Sr Dir Claim Payment Policy

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 45 Other (specify) ▼ ▲ , ▲ , 1170.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Macdougall, Cheryl, , , Date of Receipt

Mailing Address 3255 Hedwig Lane M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022631 PA Collegeville 19426 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Manager Provider Audit

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 25 Other (specify) ▼ ▲ , ▲ , 650.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Mayfield, Brett, A., , Date of Receipt

Mailing Address 1515 Aidenn Lair Rd M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022641 Maple Glen PA 19002 Amount of Each Receipt this Period

FEC ID number of contributing 780.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC SVP Sales

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 60 Other (specify) ▲ , ▲ , 1560.00 ▲.

1690.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508072

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 73 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Ordonez, Maria, E., , Date of Receipt

Mailing Address 3912 Gateway Drive M M / D D / Y Y Y Y Apt A2 12 21 2019 City State Zip Code Transaction ID : C8022661 Philadelphia PA 19145 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Supv Provider Roster

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 15 Other (specify) ▼ ▲ , ▲ , 390.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Roberts-Graham, Tanya, , , Date of Receipt

Mailing Address 1504 Rainer Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022690 PA Brookhaven 19015 Amount of Each Receipt this Period

FEC ID number of contributing 260.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Director Corp Compensation

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 20 Other (specify) ▼ ▲ , ▲ , 520.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Garbarino-Quinn, Lorraine, , , Date of Receipt

Mailing Address 203 Woodline Court M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022387 Mullica Hill NJ 08062 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Dir Applications Develop

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $10.00 Other (specify) ▲ , ▲ , 260.00 ▲.

585.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508073

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 74 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Schluckebier, Barbara, M., , Date of Receipt

Mailing Address 623 Malvern Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022700 Ardmore PA 19003-1132 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir Accounting

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Slaughter, Linda, , , Date of Receipt

Mailing Address 9205 A Ambassador Place M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022709 PA Philadelphia 19115 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Mgr Health Resource Center

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 25 Other (specify) ▼ ▲ , ▲ , 650.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Stefanosky, Charles, P., , Date of Receipt

Mailing Address 5673 Strasburg Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022719 Atglen PA 19310 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir Strategic Sourcing & Procu

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 35 Other (specify) ▲ , ▲ , 910.00 ▲.

910.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508074

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 75 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Trujillo, Geralyn, , , Date of Receipt

Mailing Address 807 Darby Road M M / D D / Y Y Y Y Apartment 319 12 21 2019 City State Zip Code Transaction ID : C8022738 Havertown PA 19083 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir Office of Public Policy

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 35 Other (specify) ▼ ▲ , ▲ , 910.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. White, Matthew, , , Date of Receipt

Mailing Address 1109 Charleston Grn M M / D D / Y Y Y Y Apartment 116 12 21 2019 City State Zip Code Transaction ID : C8022748 PA Malvern 19355 Amount of Each Receipt this Period

FEC ID number of contributing 390.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Lead Business Systems Analyst

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 30 Other (specify) ▼ ▲ , ▲ , 780.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Zoia Gold, Nicole, M., , Date of Receipt

Mailing Address 2045 Arch Street M M / D D / Y Y Y Y Apt B 12 21 2019 City State Zip Code Transaction ID : C8022758 Philadelphia PA 19103 Amount of Each Receipt this Period

FEC ID number of contributing 780.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC VP Ops- Cust Ser & Client Set

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 60 Other (specify) ▲ , ▲ , 1560.00 ▲.

1625.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508075

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 76 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Brooks, Ronald, J., , Date of Receipt

Mailing Address 220 Ridings Way M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022510 Ambler PA 19002 Amount of Each Receipt this Period

FEC ID number of contributing 390.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Sr Medical Director

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 30 Other (specify) ▼ ▲ , ▲ , 780.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Grova, Christopher, M., , Date of Receipt

Mailing Address 501 Pelham Rd. M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022578 NJ Cherry Hill 08034 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Sr Info Security Risk Analyst

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 15 Other (specify) ▼ ▲ , ▲ , 390.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Hutton, Thomas, A., , Date of Receipt

Mailing Address 4341 Annandale Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022598 Schwenksville PA 19473 Amount of Each Receipt this Period

FEC ID number of contributing 1300.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC EVP, General Counsel & Corp Se

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 100 Other (specify) ▲ , ▲ , 2600.00 ▲.

1885.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508076

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 77 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Kumar, Reetika, , , Date of Receipt

Mailing Address 16 Hunters Creek Circle M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022617 Mullica Hill NJ 08062 Amount of Each Receipt this Period

FEC ID number of contributing 780.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Administrators VP Clinical Services AHA & CSI

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 60 Other (specify) ▼ ▲ , ▲ , 1560.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Hill, Fred, , , Date of Receipt

Mailing Address 1033 Jervey Point Rd M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022407 SC Charleston 29492 Amount of Each Receipt this Period

FEC ID number of contributing 961.50 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Information Requested SVP Population Health

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $96.15 Other (specify) ▼ ▲ , ▲ , 961.50 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Lokuta, Lisa, , , Date of Receipt

Mailing Address 107 Nicholas Drive M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022627 Hatfield PA 19440 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Health Coach

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▲ , ▲ , 260.00 ▲.

1871.50 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508077

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 78 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Marshall-Blake, Lorina, L., , Date of Receipt

Mailing Address 3111 W. Coulter Street M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022637 Philadelphia PA 19129 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC VP Community Affairs

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 15 Other (specify) ▼ ▲ , ▲ , 390.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Riccobene, Ellen, , , Date of Receipt

Mailing Address 407 Gate Lane M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022686 PA Philadelphia 19119 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Medical Director

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 15 Other (specify) ▼ ▲ , ▲ , 390.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Sanders, Sean, , , Date of Receipt

Mailing Address 705 Green Street M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022696 Bridgeport PA 19405 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Mgr Risk Analytics

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 25 Other (specify) ▲ , ▲ , 650.00 ▲.

715.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508078

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 79 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Killian, Catherine, B., , Date of Receipt

Mailing Address 325 Twin Oaks Drive M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022417 Havertown PA 19083 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Dir Provider Network Ops

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $35.00 Other (specify) ▼ ▲ , ▲ , 910.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Walters Mayer, Karen, J., , Date of Receipt

Mailing Address 126 Richmond Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022744 PA Paoli 19301 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Clinical Services Support Dire

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 15 Other (specify) ▼ ▲ , ▲ , 390.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Lyman, Thomas, G, , Date of Receipt

Mailing Address 1139 Dodgson Ct. M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022427 West Chester PA 19382 Amount of Each Receipt this Period

FEC ID number of contributing 1249.95 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas SVP Market Development

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $96.15 Other (specify) ▲ , ▲ , 2499.90 ▲.

1899.95 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508079

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 80 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. O'Brien, Nicole, , , Date of Receipt

Mailing Address 31 Rickland Drive M M / D D / Y Y Y Y 12 13 2019 City State Zip Code Transaction ID : C8020962 Sewell NJ 08080 Amount of Each Receipt this Period

FEC ID number of contributing 180.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Information Requested Infor Security Consultan

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $15.00 Other (specify) ▼ ▲ , ▲ , 240.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Rim, Thomas, B., , Date of Receipt

Mailing Address 840 Doe Run Road M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022457 DE Newark 19711 Amount of Each Receipt this Period

FEC ID number of contributing 780.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas VP Product Development

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $60.00 Other (specify) ▼ ▲ , ▲ , 1560.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Scanlon, Richard, J, , Date of Receipt

Mailing Address 853 Colony Road M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022467 Bryn Mawr PA 19010 Amount of Each Receipt this Period

FEC ID number of contributing 390.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas VP Risk Management

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $30.00 Other (specify) ▲ , ▲ , 780.00 ▲.

1350.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508080

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 81 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Thompson, Sharon, , , Date of Receipt

Mailing Address 3752 Lankenau Avenue M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022477 Philadelphia PA 19131 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Mgr Corp Events & Program Mgmt

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $10.00 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Haywood, Julie, E., , Date of Receipt

Mailing Address 443 Rices Mill Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022584 PA Wyncote 19095 Amount of Each Receipt this Period

FEC ID number of contributing 585.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Assoc Deputy Gen. Counsel

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 45 Other (specify) ▼ ▲ , ▲ , 1170.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Wann, Bond, , , Date of Receipt

Mailing Address 2121 Market St. M M / D D / Y Y Y Y Apt 811 12 21 2019 City State Zip Code Transaction ID : C8022745 Philadelphia PA 19103 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Mgr ConsumrSales Broker/Retail

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 25 Other (specify) ▲ , ▲ , 650.00 ▲.

1040.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508081

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 82 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Dianno, Mark, J., , Date of Receipt

Mailing Address 1764 Terrace Drive M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022546 Maple Glen PA 19002 Amount of Each Receipt this Period

FEC ID number of contributing 585.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Assoc Deputy Gen. Counsel

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 45 Other (specify) ▼ ▲ , ▲ , 1170.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Patrylak, G. David, David, , Date of Receipt

Mailing Address 6020 Goldfinch Circle M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022670 PA Audubon 19403 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Nat'l Network Analy Exec

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 25 Other (specify) ▼ ▲ , ▲ , 650.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Brna, John, , , Date of Receipt

Mailing Address 612 Farmhouse Circle M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022508 Swarthmore PA 19081 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Mgr Accounts Receivable

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▲ , ▲ , 260.00 ▲.

1040.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508082

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 83 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Chawla, Charaninder, S., , Date of Receipt

Mailing Address 20 Cameo Drive M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022525 Cherry Hill NJ 08003 Amount of Each Receipt this Period

FEC ID number of contributing 780.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC VP Advnced Anlytics&Client Sol

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 60 Other (specify) ▼ ▲ , ▲ , 1560.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Rieben, Laura, , , Date of Receipt

Mailing Address 851 Durant Court M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022687 PA West Chester 19380 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Deputy Privacy Officer

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 35 Other (specify) ▼ ▲ , ▲ , 910.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Adams, Christopher, D., , Date of Receipt

Mailing Address 3 Hunters Lane M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022491 Telford PA 18969 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Govt Mkts Development Director

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▲ , ▲ , 260.00 ▲.

1365.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508083

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 84 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Chortanoff, Arielle, , , Date of Receipt

Mailing Address 1 Fox Chase Circle M M / D D / Y Y Y Y Apt. A 12 21 2019 City State Zip Code Transaction ID : C8022528 Harrisburg PA 17111 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Government Affairs Dr

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 35 Other (specify) ▼ ▲ , ▲ , 910.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Cruz, Kortney, , , Date of Receipt

Mailing Address 1152 Willowdale Drive M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022538 NJ Cherry Hill 08003 Amount of Each Receipt this Period

FEC ID number of contributing 585.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC VP Sales & Marketing-Medicare

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 45 Other (specify) ▼ ▲ , ▲ , 1170.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Farrell, Donna, , , Date of Receipt

Mailing Address 231 Lewis Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022558 Springfield PA 19064 Amount of Each Receipt this Period

FEC ID number of contributing 780.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC VP Corporate Communications

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 60 Other (specify) ▲ , ▲ , 1560.00 ▲.

1820.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508084

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 85 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Farmer, Tatum, , , Date of Receipt

Mailing Address 4722 Conshohocken Avenue M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022557 Philadelphia PA 19131 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Manager UNIX Server Admin

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 25 Other (specify) ▼ ▲ , ▲ , 650.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Tweer, Susan, , , Date of Receipt

Mailing Address 5138 Central Avenue M M / D D / Y Y Y Y Apartment 11B 12 21 2019 City State Zip Code Transaction ID : C8022740 NJ Ocean City 08226 Amount of Each Receipt this Period

FEC ID number of contributing 260.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir, Talent Management

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 20 Other (specify) ▼ ▲ , ▲ , 520.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Gallo, Amy, M., , Date of Receipt

Mailing Address 19 Blossom Hill Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022568 Glen Mills PA 19342 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir Sales -R

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 35 Other (specify) ▲ , ▲ , 910.00 ▲.

1040.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508085

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 86 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Neri, Philip, A., , Date of Receipt

Mailing Address 1715 Stocker St M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022657 Philadelphia PA 19145-4718 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC PMO Analyst

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 25 Other (specify) ▼ ▲ , ▲ , 650.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Barbato, Geralyn, M., , Date of Receipt

Mailing Address 1013 Nicholas Drive M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022496 PA West Chester 19380 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Administrators Dir Claims Processing AHA

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 35 Other (specify) ▼ ▲ , ▲ , 910.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Jones, Barbara, , , Date of Receipt

Mailing Address 7902 Froebel Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022603 Laverock PA 19038 Amount of Each Receipt this Period

FEC ID number of contributing 520.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Corporate Planning Director

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 40 Other (specify) ▲ , ▲ , 1040.00 ▲.

1300.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508086

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 87 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Donley, Kenyatta, , , Date of Receipt

Mailing Address 120 N. Fairview Avenue M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022548 Upper Darby PA 19082 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Mgr Marketing

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 25 Other (specify) ▼ ▲ , ▲ , 650.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Brown, Dikeeta, , , Date of Receipt

Mailing Address 6620 Lebanon Avenue M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022354 PA Philadelphia 19151 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Information Requested Mgr LTSS PA CHC

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $25.00 Other (specify) ▼ ▲ , ▲ , 425.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Greenfield, Adrienne, I., , Date of Receipt

Mailing Address 241 S. 6th Street M M / D D / Y Y Y Y Apt. 1305 12 21 2019 City State Zip Code Transaction ID : C8022577 Philadelphia PA 19106 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Assoc Deputy Gen. Counsel

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 35 Other (specify) ▲ , ▲ , 910.00 ▲.

1105.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508087

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 88 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. DeVuono, Jennifer, , , Date of Receipt

Mailing Address 112 W. Madison Ave M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022374 Clifton Heights PA 19018 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Data Analyst Sr

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $25.00 Other (specify) ▼ ▲ , ▲ , 650.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Gach, Nathaniel, , , Date of Receipt

Mailing Address 307 Walnut Hill Lane M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022384 PA Havertown 19083 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Dir Product Development

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $35.00 Other (specify) ▼ ▲ , ▲ , 910.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. McHenry, Kathleen, A, , Date of Receipt

Mailing Address 5000 Village Way M M / D D / Y Y Y Y #304 12 27 2019 City State Zip Code Transaction ID : C8022431 Boothwyn PA 19061 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Business Analysis Mgr COE

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $25.00 Other (specify) ▲ , ▲ , 650.00 ▲.

1105.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508088

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 89 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Kearney, Henry, M., , Date of Receipt

Mailing Address 4019 K Street M M / D D / Y Y Y Y 12 07 2019 City State Zip Code Transaction ID : C8015540 Philadelphia PA 19124-5218 Amount of Each Receipt this Period

FEC ID number of contributing 315.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Sr Dir Association Affairs

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 45 Other (specify) ▼ ▲ , ▲ , 900.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Gitkos, Stephen, M., , Date of Receipt

Mailing Address 311 Corvus Circle M M / D D / Y Y Y Y Apt. 707 12 27 2019 City State Zip Code Transaction ID : C8022394 PA Media 19063 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Mgr Payment Integrity Analysis

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $25.00 Other (specify) ▼ ▲ , ▲ , 650.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Pszoniak, Veronica, , , Date of Receipt

Mailing Address 2122 6th Ave M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022453 Morton PA 19070 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Information Requested Project Manager Sr

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $25.00 Other (specify) ▲ , ▲ , 425.00 ▲.

965.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508089

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 90 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Hurst, Robert, P, , Date of Receipt

Mailing Address 418 Ryers Avenue M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022597 Cheltenham PA 19012 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Lead Business Systems Analyst

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Heffernan, Regina, , , Date of Receipt

Mailing Address 117 Wellington Drive M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022404 PA Media 19063 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Information Requested Govt & External Affairs Mgr

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $25.00 Other (specify) ▼ ▲ , ▲ , 525.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Johnson, Billy, , , Date of Receipt

Mailing Address 3844 Stonecrest Drive M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022414 Columbia TN 38401 Amount of Each Receipt this Period

FEC ID number of contributing 780.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas VP Corp Prov Netwrk Mgmt

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $60.00 Other (specify) ▲ , ▲ , 1560.00 ▲.

1235.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508090

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 91 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. DeBenedetto, Jonna, M, , Date of Receipt

Mailing Address 3218 South 13th St. M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022373 Philadelphia PA 19148 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Business Systems Analyst Sr

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $10.00 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Manning, Edward, , , Date of Receipt

Mailing Address 27 Saint Davids Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022635 PA Springfield 19064 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Financial Investigator III

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Lewis, Monica, , , Date of Receipt

Mailing Address 2468 Norwood Avenue M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022424 Roslyn PA 19001 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Information Requested Regional Media Relations Mgr

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $25.00 Other (specify) ▲ , ▲ , 425.00 ▲.

585.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508091

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 92 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. McLaughlin, Richard, , , Date of Receipt

Mailing Address 11 Camp Edge Road M M / D D / Y Y Y Y PO Box 318 12 27 2019 City State Zip Code Transaction ID : C8022434 Alloway NJ 08001 Amount of Each Receipt this Period

FEC ID number of contributing 780.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas VP Applications

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $60.00 Other (specify) ▼ ▲ , ▲ , 1560.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Negron, Victor, , , Date of Receipt

Mailing Address 968 Taylor St M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022444 PA Folcroft 19032 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas VP Public Affairs & Marketing

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $25.00 Other (specify) ▼ ▲ , ▲ , 1000.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Slack, Senna, , , Date of Receipt

Mailing Address 1126 Webster Avenue M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022471 Allentown PA 18103 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Dir Provider Network Mgmt

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $10.00 Other (specify) ▲ , ▲ , 260.00 ▲.

1235.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508092

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 93 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Waters, Jeniece, , , Date of Receipt

Mailing Address 220 McCallmont Road M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022483 New Castle DE 19720 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Dir Payment Integrity Ops Mgmt

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $35.00 Other (specify) ▼ ▲ , ▲ , 910.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Sullivan, Michael, , , Date of Receipt

Mailing Address 4709 Sheldon Street M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022724 PA Philadelphia 19127 Amount of Each Receipt this Period

FEC ID number of contributing 1249.95 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Administrators Pres & SVP DivrsfiedBusinesses

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 96.15 Other (specify) ▼ ▲ , ▲ , 2499.90 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Koller, Teresa, , , Date of Receipt

Mailing Address 145 Calderwood Lane M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022615 Mt. Laurel NJ 08054 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Mgr. Risk & Integrity

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▲ , ▲ , 260.00 ▲.

1834.95 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508093

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 94 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Stokes, Tanika, Nicole, , Date of Receipt

Mailing Address 600 Valley Road M M / D D / Y Y Y Y C68 12 27 2019 City State Zip Code Transaction ID : C8022474 Warrington PA 18976 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Mgr Contact Center

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $25.00 Other (specify) ▼ ▲ , ▲ , 650.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Scarcelli, Mary, E, , Date of Receipt

Mailing Address 1840 Thornbury Drive M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022468 PA Maple Glen 19002 Amount of Each Receipt this Period

FEC ID number of contributing 780.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas VP Market Entry

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $60.00 Other (specify) ▼ ▲ , ▲ , 960.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Dubner, Helaine, J., , Date of Receipt

Mailing Address 112 Blueberry Lane M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022378 Elkins Park PA 19027 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Mgr Information Services

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $10.00 Other (specify) ▲ , ▲ , 260.00 ▲.

1235.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508094

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 95 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Jakuc, Peter, A., , Date of Receipt

Mailing Address 16 Harrison Drive M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022412 Newtown Square PA 19073 Amount of Each Receipt this Period

FEC ID number of contributing 1249.95 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas SVP Chief Development Officer

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $96.15 Other (specify) ▼ ▲ , ▲ , 2499.90 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Casal, Kerri, , , Date of Receipt

Mailing Address 1236 Arwyn Lane M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022522 PA Gladwyne 19035 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir Support Services-BTS

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Siejak, Kimberly, K., , Date of Receipt

Mailing Address 862 Old State Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022706 Berwyn PA 19312 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC National Programs Executive

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 35 Other (specify) ▲ , ▲ , 910.00 ▲.

1834.95 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508095

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 96 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Stipcevich, Philip, , , Date of Receipt

Mailing Address 114 Hampton Road M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022473 Westmont NJ 08108 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Bus Architecture Design Dir

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $35.00 Other (specify) ▼ ▲ , ▲ , 910.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Royer-Marek, Kelley, B, , Date of Receipt

Mailing Address 40 Emily Lane M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022463 PA New Holland 17557 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Dir Risk Adj Programs

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $25.00 Other (specify) ▼ ▲ , ▲ , 650.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. McDaid, John, B., , Date of Receipt

Mailing Address 1414 Robinson Ave M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022645 Havertown PA 19083 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Administrators Dir Revenue Optimization - AHA

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 35 Other (specify) ▲ , ▲ , 910.00 ▲.

1235.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508096

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 97 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Musselman, Walter, R., , Date of Receipt

Mailing Address 120 Caroline Dr M M / D D / Y Y Y Y P.O. Box 58 12 21 2019 City State Zip Code Transaction ID : C8022655 Oaks PA 19456 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Advisory Application Developer

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Egan, Lori, A., , Date of Receipt

Mailing Address 56 Cherry Blossom Dr M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022380 PA Churchville 18966 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Corp Dir Clinical Platfo & Trg

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $35.00 Other (specify) ▼ ▲ , ▲ , 910.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Verbosky, James, , , Date of Receipt

Mailing Address 1901 Callowhill Street M M / D D / Y Y Y Y Apt. 710 11 29 2019 City State Zip Code Transaction ID : C8015412 Philadelphia PA 19130 Amount of Each Receipt this Period

FEC ID number of contributing 660.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas VP Infrastructure

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $60.00 Other (specify) ▲ , ▲ , 1440.00 ▲.

1245.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508097

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 98 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Canavan, Neil, , , Date of Receipt

Mailing Address 502 Preston Court M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022359 Exton PA 19341 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas VP Claims

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $10.00 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Wright, Patricia, , , Date of Receipt

Mailing Address 290 Greenwood Street M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022485 MD Elkton 21921 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas VP Community Health Choices

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $10.00 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Hall, John, , , Date of Receipt

Mailing Address 322 Beechwood Avenue M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022401 Haddonfield NJ 08033 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Dir Mkt Insight_Comp Intell

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $35.00 Other (specify) ▲ , ▲ , 1000.00 ▲.

715.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508098

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 99 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Vickers, Charlene, , , Date of Receipt

Mailing Address 21 Jennifer Lane M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022480 Aston PA 19014 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Dir Community Investment

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $35.00 Other (specify) ▼ ▲ , ▲ , 910.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Gallmon, Darlene, Naugle, , Date of Receipt

Mailing Address 1703 Arch St. M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022386 PA Norristown 19401 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Learning & Onboarding Consltnt

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $15.00 Other (specify) ▼ ▲ , ▲ , 390.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Nathans, Elizabeth, , , Date of Receipt

Mailing Address 205 E. Meade St. M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022443 Philadelphia PA 19118 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Mgr Community Investment

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $25.00 Other (specify) ▲ , ▲ , 650.00 ▲.

975.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508099

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 100 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Berenato, Hillary, , , Date of Receipt

Mailing Address 801 Lawrence Ln. M M / D D / Y Y Y Y 11 29 2019 City State Zip Code Transaction ID : C8015280 Newtown Square PA 19073 Amount of Each Receipt this Period

FEC ID number of contributing 225.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Comm_Stakeholder Engage Mgr

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $25.00 Other (specify) ▼ ▲ , ▲ , 650.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Tootle, Robert, E., , Date of Receipt

Mailing Address 744 S. Warnock St. M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022478 PA Philadelphia 19147 Amount of Each Receipt this Period

FEC ID number of contributing 975.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas VP Deputy General Counsel

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $75.00 Other (specify) ▼ ▲ , ▲ , 1950.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Chance, Darren, P., , Date of Receipt

Mailing Address 117 Wayside Ct. M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022361 Cherry Hill NJ 08034 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Dir Strategic Portfolio

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $35.00 Other (specify) ▲ , ▲ , 910.00 ▲.

1655.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508100

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 101 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Freimiller, Louis, Robert, , Date of Receipt

Mailing Address 407 Myrtle Ave M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022383 Cheltenham PA 19012 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Dir Govt & Ext Aff

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $35.00 Other (specify) ▼ ▲ , ▲ , 910.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Coggins, Eileen, M., , Date of Receipt

Mailing Address 1030 Spruce St. M M / D D / Y Y Y Y Unit 100 12 27 2019 City State Zip Code Transaction ID : C8022364 PA Philadelphia 19107 Amount of Each Receipt this Period

FEC ID number of contributing 2499.90 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas General Counsel/EVP Lgl Affair

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $192.30 Other (specify) ▼ ▲ , ▲ , 4999.80 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Daubert, Scott, , , Date of Receipt

Mailing Address 410 Clearview Road M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022372 Hanover PA 17331 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas VP Operations

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $10.00 Other (specify) ▲ , ▲ , 260.00 ▲.

3084.90 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508101

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 102 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Grabowy, Christopher, , , Date of Receipt

Mailing Address 1502 Cloverhill Road M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022397 Pottstown PA 19464 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Sr Lead Database Engineer

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $10.00 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Lewis, Anita, , , Date of Receipt

Mailing Address 7612 Brentwood Road M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022423 PA Philadelphia 19151 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Dir Govt & Ext Aff

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $35.00 Other (specify) ▼ ▲ , ▲ , 910.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Geraci, Gaspere, , , Date of Receipt

Mailing Address 1582 Holtz Road M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022391 Enola PA 17025 Amount of Each Receipt this Period

FEC ID number of contributing 780.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Market CMO

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $60.00 Other (specify) ▲ , ▲ , 1560.00 ▲.

1365.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508102

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 103 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. McHale, Shawn, P., , Date of Receipt

Mailing Address 49 Meadows Lane M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022430 Haverford PA 19041 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Mgr Pharm Prior Authorization

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $15.00 Other (specify) ▼ ▲ , ▲ , 390.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Miles, Wayne, , , Date of Receipt

Mailing Address 45530 Havenridge St. M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022437 MD California 20619 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Business Systems Analyst Lead

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $10.00 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Sheppard, John, , , Date of Receipt

Mailing Address 3009 Park Avenue M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022704 Lafayette Hill PA 19444 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Mgr Product Management

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 25 Other (specify) ▲ , ▲ , 650.00 ▲.

650.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508103

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 104 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Varghese, John, , , Date of Receipt

Mailing Address 6 Manor House Dr M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022741 Cherry Hill NJ 08003 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir Enterprise Info Mgmt

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Panek, Jill, M., , Date of Receipt

Mailing Address 26 Douglass Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022666 PA Lansdale 19446 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC DIR PROV NETWORK MANAGEMENT

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Smyth, James, L., , Date of Receipt

Mailing Address 19 Belmont Boulevard M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022714 Sewell NJ 08080 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir Underwriting Operations

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▲ , ▲ , 260.00 ▲.

390.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508104

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 105 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Bernard, Cathleen, A, , Date of Receipt

Mailing Address 520 Wildwood Avenue M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022501 Pitman NJ 08071 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Mgr Case Management

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Rathke, Christopher, T., , Date of Receipt

Mailing Address 1425 Penllyn Blue Bell Pike M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022681 PA Blue Bell 19422 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Mgr Advertising&Video Productn

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 15 Other (specify) ▼ ▲ , ▲ , 390.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Caraballo, Victor, , , Date of Receipt

Mailing Address 9400 Meadowbrook Avenue M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022521 Philadelphia PA 19118 Amount of Each Receipt this Period

FEC ID number of contributing 585.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC VP Quality Management

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 45 Other (specify) ▲ , ▲ , 1170.00 ▲.

910.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508105

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 106 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Coletta, Anthony, , , Date of Receipt

Mailing Address 247 Valley Ridge Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022531 Haverford PA 19041 Amount of Each Receipt this Period

FEC ID number of contributing 2499.90 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC CEO Tandigm Health

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 192.3 Other (specify) ▼ ▲ , ▲ , 4999.80 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Chisholm, Christopher, , , Date of Receipt

Mailing Address 48 Weaver Drive M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022527 NJ Marlton 08053 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Sys Specialist

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 25 Other (specify) ▼ ▲ , ▲ , 650.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Calega, Virginia, , , Date of Receipt

Mailing Address 95 Hunters Run Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022518 Honey Brook PA 19344 Amount of Each Receipt this Period

FEC ID number of contributing 780.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC VP Medical Affairs

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 60 Other (specify) ▲ , ▲ , 1560.00 ▲.

3604.90 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508106

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 107 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Gilbert, Carla, , , Date of Receipt

Mailing Address 136 Acorn Drive M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022573 Mt. Royal NJ 08061 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Account Manager -R

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 25 Other (specify) ▼ ▲ , ▲ , 650.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Levins, Richard, F., , Date of Receipt

Mailing Address 1334 E. Montgomery Avenue M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022622 PA Philadelphia 19125-2702 Amount of Each Receipt this Period

FEC ID number of contributing 780.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC VP DGC & General Counsel - PA

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 60 Other (specify) ▼ ▲ , ▲ , 1560.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Maleno, Anthony, J., , Date of Receipt

Mailing Address 28 Jamie Drive M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022632 Sewell NJ 08080 Amount of Each Receipt this Period

FEC ID number of contributing 780.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC SVP Operations

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 60 Other (specify) ▲ , ▲ , 1560.00 ▲.

1885.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508107

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 108 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Ferguson, Stacey, , , Date of Receipt

Mailing Address 611 Primos Ave M M / D D / Y Y Y Y apartment 12204 12 21 2019 City State Zip Code Transaction ID : C8022561 Folcroft PA 19032 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Sr Learning Specialist

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Snyder, David, P., , Date of Receipt

Mailing Address 1125 Sansom Street M M / D D / Y Y Y Y Apt 406 12 21 2019 City State Zip Code Transaction ID : C8022715 PA Philadelphia 19107 Amount of Each Receipt this Period

FEC ID number of contributing 650.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Chief Info Security Leader

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 50 Other (specify) ▼ ▲ , ▲ , 1300.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Tenaglio, Stephen, R, , Date of Receipt

Mailing Address 4064 Oak Lane M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022729 Lafayette Hill PA 19444 Amount of Each Receipt this Period

FEC ID number of contributing 260.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Sr Actuary Capital & Planning

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 20 Other (specify) ▲ , ▲ , 520.00 ▲.

1040.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508108

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 109 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Polss, Rebecca, , , Date of Receipt

Mailing Address 868 Delmont Drive M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022677 Wynnewood PA 19096 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Clinical Program Manager

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 25 Other (specify) ▼ ▲ , ▲ , 650.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Toner, Robert, J., , Date of Receipt

Mailing Address 15 Forest Hill Drive M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022734 PA Garnet Valley 19060 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir Sales - R Premier

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 35 Other (specify) ▼ ▲ , ▲ , 910.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Donohue, Kathleen, , , Date of Receipt

Mailing Address 3594 Muirwood Drive M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022549 Newtown Square PA 19073 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Director Quality Mangement

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 35 Other (specify) ▲ , ▲ , 910.00 ▲.

1235.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508109

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 110 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. McGuire, Owen, F., , Date of Receipt

Mailing Address 348 Highland Terrace M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022647 Holmes PA 19043-1311 Amount of Each Receipt this Period

FEC ID number of contributing 169.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir Medicare Operations

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 13 Other (specify) ▼ ▲ , ▲ , 338.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Yamate, Dana, Lee, , Date of Receipt

Mailing Address 45 Lisa Ln M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022754 PA Conshohocken 19428 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir Market Research & Intel

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Alexander-Keilly, Sharon, , , Date of Receipt

Mailing Address 320 Chandlers Way M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022339 Lititz PA 17543 Amount of Each Receipt this Period

FEC ID number of contributing 650.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas President LTSS Solutions

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $50.00 Other (specify) ▲ , ▲ , 1300.00 ▲.

949.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508110

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 111 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Parr, Jason, D., , Date of Receipt

Mailing Address 247 Parkview Boulevard M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022667 Spring City PA 19475 Amount of Each Receipt this Period

FEC ID number of contributing 650.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir Sales- B

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 50 Other (specify) ▼ ▲ , ▲ , 1300.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Blackstock, Eric, , , Date of Receipt

Mailing Address 604 Hillside Ave. M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022349 PA Brookhaven 19015 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Information Requested Sourcing Ops Mgr

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $15.00 Other (specify) ▼ ▲ , ▲ , 255.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Staudenmeier, Paul, , , Date of Receipt

Mailing Address 692 Raven Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022718 Wayne PA 19087 Amount of Each Receipt this Period

FEC ID number of contributing 780.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC VP Total Value Contract Reim

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 60 Other (specify) ▲ , ▲ , 1560.00 ▲.

1625.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508111

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 112 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Zitser, Emily, A., , Date of Receipt

Mailing Address 641 Morris Avenue M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022757 Bryn Mawr PA 19010-1849 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC VP & Deputy General Counsel

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Cozzo, Stephen, , , Date of Receipt

Mailing Address 959 Hunters Turn M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022369 PA Huntingdon Valley 19006 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Dir Public Policy

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $35.00 Other (specify) ▼ ▲ , ▲ , 910.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Duplessis, Michael, , , Date of Receipt

Mailing Address 716 Cottage Road M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022379 Glenside PA 19038 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Dir Corporate Audit

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $35.00 Other (specify) ▲ , ▲ , 910.00 ▲.

1040.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508112

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 113 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Taylor, Joseph, , , Date of Receipt

Mailing Address 507 Woodbrook Lane M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022728 Philadelphia PA 19119 Amount of Each Receipt this Period

FEC ID number of contributing 260.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Sr Counsel

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 20 Other (specify) ▼ ▲ , ▲ , 520.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Gelzer, Andrea, D, , Date of Receipt

Mailing Address 217 Bay Point Road M M / D D / Y Y Y Y Box 619 12 27 2019 City State Zip Code Transaction ID : C8022389 NH Newbury 03255 Amount of Each Receipt this Period

FEC ID number of contributing 1249.95 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas SVP Medical Affairs

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $96.15 Other (specify) ▼ ▲ , ▲ , 2499.90 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Gustafson, Rebecca, , , Date of Receipt

Mailing Address 210 Birchwood Drive M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022399 West Chester PA 19380 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Information Requested Dir Privacy

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $35.00 Other (specify) ▲ , ▲ , 595.00 ▲.

1964.95 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508113

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 114 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Hawkins, Veronica, L., , Date of Receipt

Mailing Address 5323 Magnolia Street M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022583 Philadelphia PA 19144 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Mgr Claims Optns

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Hunt, William, , , Date of Receipt

Mailing Address 50 Cobblestone Lane M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022409 PA Aston 19014 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Dir Provider Data Management

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $10.00 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Villarroel, Carlos, , , Date of Receipt

Mailing Address 612 Mueller Rd M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022743 Warminster PA 18974 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Mgr App Development Servcs-AHA

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▲ , ▲ , 260.00 ▲.

390.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508114

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 115 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Hess, Michael, S., , Date of Receipt

Mailing Address 3516 South Reserve Drive M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022588 Philadelphia PA 19145 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Mgr Application Develpmnt Svcs

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Klena, Cora, , , Date of Receipt

Mailing Address 2312 Lombard Street M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022419 PA Philadelphia 19146 Amount of Each Receipt this Period

FEC ID number of contributing 1249.95 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas SVP Chief Communications Offcr

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $96.15 Other (specify) ▼ ▲ , ▲ , 2499.90 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Reganato, Gail, L, , Date of Receipt

Mailing Address 2109 Bryn Mawr Place M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022685 Ardmore PA 19003 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC MCT Program Manager

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▲ , ▲ , 260.00 ▲.

1509.95 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508115

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 116 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. McFall, Joanne, G., , Date of Receipt

Mailing Address 1109 Lincoln Ave. M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022429 Springfield PA 19064 Amount of Each Receipt this Period

FEC ID number of contributing 780.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Market President KeystoneFirst

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $60.00 Other (specify) ▼ ▲ , ▲ , 1560.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Miller, Joseph, , , Date of Receipt

Mailing Address 456 Argyle Road M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022439 PA Drexel Hill 19026 Amount of Each Receipt this Period

FEC ID number of contributing 260.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Dir Strategy & Innovation

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $20.00 Other (specify) ▼ ▲ , ▲ , 610.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Elias, Laith, , , Date of Receipt

Mailing Address 100 Donna Drive M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022555 Plymouth Meeting PA 19462 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir PMO

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 35 Other (specify) ▲ , ▲ , 910.00 ▲.

1495.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508116

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 117 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Person, Cheryl, , , Date of Receipt

Mailing Address 235 Bailey Rd. M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022449 Yeadon PA 19050 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Supv Rapid Response/EPSDT

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $15.00 Other (specify) ▼ ▲ , ▲ , 390.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Roccato, Richard, , , Date of Receipt

Mailing Address 1326 Spruce Street M M / D D / Y Y Y Y Apt. #2703 12 27 2019 City State Zip Code Transaction ID : C8022459 PA Philadelphia 19107 Amount of Each Receipt this Period

FEC ID number of contributing 1249.95 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas SVP Enterprise Operations

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $96.15 Other (specify) ▼ ▲ , ▲ , 2327.55 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Friedman, Kenneth, , , Date of Receipt

Mailing Address 38 Hillside Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022565 Stratford NJ 08084 Amount of Each Receipt this Period

FEC ID number of contributing 156.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Sys Specialist

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 12 Other (specify) ▲ , ▲ , 312.00 ▲.

1600.95 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508117

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 118 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Triana, Miguel, , , Date of Receipt

Mailing Address 1546 Spruce Court M M / D D / Y Y Y Y 12 27 2019 City State Zip Code Transaction ID : C8022479 Jamison PA 18929 Amount of Each Receipt this Period

FEC ID number of contributing 585.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Caritas Dir Health Services Solutions

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-Weekly $45.00 Other (specify) ▼ ▲ , ▲ , 1170.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Cage, Richard, , , Date of Receipt

Mailing Address 600 South 24th Street, Unit 103 M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022517 PA Philadelphia 19146 Amount of Each Receipt this Period

FEC ID number of contributing 520.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir Cash Mgmt & Investments

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 40 Other (specify) ▼ ▲ , ▲ , 1040.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Deavens, Gregory, , , Date of Receipt

Mailing Address 132 S. Front Street M M / D D / Y Y Y Y 12 24 2019 City State Zip Code Transaction ID : C8022489 Philadelphia PA 19106 Amount of Each Receipt this Period

FEC ID number of contributing 5000.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross EVP, CFO & Treasurer

Receipt For: Aggregate Year-to-Date ▼ Primary General Other (specify) ▲ , ▲ , 5000.00 ▲.

6105.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508118

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 119 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Cordner, Sonia, , , Date of Receipt

Mailing Address 66 Regan Lane M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022535 Voorhees NJ 08043 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Sr Account Executive-R Premier

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Calisterio, Ana, , , Date of Receipt

Mailing Address 413 East Chapel Avenue M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022519 NJ Cherry Hill 08034 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Director Delegation & Assessme

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Zipfel, Michael, P., , Date of Receipt

Mailing Address 72 Saratoga Way M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022756 Harleysville PA 19438 Amount of Each Receipt this Period

FEC ID number of contributing 585.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Assoc Deputy Ge

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 45 Other (specify) ▲ , ▲ , 1170.00 ▲.

845.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508119

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 120 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Daly, Brian, , , Date of Receipt

Mailing Address 2717 Pine Valley Lane M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022539 Ardmore PA 19003 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Mgr Creative Operations

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 25 Other (specify) ▼ ▲ , ▲ , 650.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Little, Geames, C., , Date of Receipt

Mailing Address 2730 W. Moreland Road M M / D D / Y Y Y Y 2nd Floor 12 21 2019 City State Zip Code Transaction ID : C8022624 PA Willow Grove 19090 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Program Test Lead

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▼ ▲ , ▲ , 260.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Mandel, Dale, M, , MD Date of Receipt

Mailing Address 2005 Brandywine Street M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022634 Philadelphia PA 19130-3204 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Medical Director

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 35 Other (specify) ▲ , ▲ , 910.00 ▲.

910.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508120

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 121 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Fearn, Jeremy, , , Date of Receipt

Mailing Address 276 Orchard Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022559 Springfield PA 19064 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Network Technician

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 15 Other (specify) ▼ ▲ , ▲ , 390.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. DuBose, Jeffrey, E, , Date of Receipt

Mailing Address 828 Thomas Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022552 PA Lafayette Hill 19444 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC MGR CMS Revenue & Analyst

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 35 Other (specify) ▼ ▲ , ▲ , 910.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Spearman, Rhonda, Y., , Date of Receipt

Mailing Address P.O. BOX 1265 M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022717 Bear DE 19701 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Project Manager

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▲ , ▲ , 260.00 ▲.

780.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508121

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 122 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Raichlen, Francine, G., , Date of Receipt

Mailing Address 505 Hoffman Drive M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022680 Bryn Mawr PA 19010 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Assoc Deputy Gen. Counsel

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 35 Other (specify) ▼ ▲ , ▲ , 910.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Hill, Mary Jane, Holly, , Date of Receipt

Mailing Address 448 Wellesley Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022589 PA Philadelphia 19119 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Administrators Mgr Blue Card/Oper Supprt-AHA

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 25 Other (specify) ▼ ▲ , ▲ , 525.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Iagovino, Rosemarie, , , Date of Receipt

Mailing Address 1151 Glenn Street M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022599 Philadelphia PA 19115 Amount of Each Receipt this Period

FEC ID number of contributing 260.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Manager, PNO Reimbursement

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 20 Other (specify) ▲ , ▲ , 520.00 ▲.

1040.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508122

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 123 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Brown, Daniel, , , Date of Receipt

Mailing Address 313 Garden Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022512 Oreland PA 19075 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Dir Prov Reimburse Analysis Ad

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 35 Other (specify) ▼ ▲ , ▲ , 910.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Layton, Keith, A., , Date of Receipt

Mailing Address 2538 Tauton Drive M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022619 NJ Pennsauken 08109-3651 Amount of Each Receipt this Period

FEC ID number of contributing 650.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Sr Research Analyst

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 50 Other (specify) ▼ ▲ , ▲ , 1300.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Lorenz, Mary Ellen, Ellen, , Date of Receipt

Mailing Address 123 Fairfax Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022629 Rosemont PA 19010 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC DIR PROV NETWORK MANAGEMENT

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▲ , ▲ , 260.00 ▲.

1235.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508123

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 124 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Stefanski, David, , , Date of Receipt

Mailing Address 69 Crestline Rd M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022720 Wayne PA 19087 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Mgr Sales Enablement

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 25 Other (specify) ▼ ▲ , ▲ , 650.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Martin, Melanie, , , Date of Receipt

Mailing Address 33 Evergreen Circle M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022639 NJ Maple Shade 08052 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Project Manager

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 15 Other (specify) ▼ ▲ , ▲ , 390.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Donahoe-Ward, Sarajane, , , Date of Receipt

Mailing Address 5 Vance Circle M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022547 Feasterville PA 19053 Amount of Each Receipt this Period

FEC ID number of contributing 130.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Mgr Workforce Fulfill & Certif

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 10 Other (specify) ▲ , ▲ , 260.00 ▲.

650.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508124

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 125 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Capaldi, Chris, J., , Date of Receipt

Mailing Address 12535 Ramer Road M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022520 Philadelphia PA 19154 Amount of Each Receipt this Period

FEC ID number of contributing 455.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Administrators Dir Bus Solutions - AHA

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 35 Other (specify) ▼ ▲ , ▲ , 910.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Paterson, Linda, , , Date of Receipt

Mailing Address 4 Westbury Court M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022669 NJ Bordentown 08505 Amount of Each Receipt this Period

FEC ID number of contributing 780.00 federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC VP Health Value Optm

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 60 Other (specify) ▼ ▲ , ▲ , 1560.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Brodsky, David, A., , Date of Receipt

Mailing Address 202 Wellington Dr M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022509 Marlton NJ 08053-5331 Amount of Each Receipt this Period

FEC ID number of contributing 195.00 federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item AmeriHealth Administrators Mgr Blue Card/Oper Supprt-AHA

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 15 Other (specify) ▲ , ▲ , 390.00 ▲.

1430.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508125

SCHEDULE A (FEC Form 3X) FOR LINE NUMBER: PAGE 126 OF 194 Use separate schedule(s) (check only one) ITEMIZED RECEIPTS for each category of the ✘ Detailed Summary Page 11a 11b 11c 12 13 14 15 16 17 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name A. Pozzi, Mark, F., , Date of Receipt

Mailing Address 2025 Rodman Street M M / D D / Y Y Y Y 12 21 2019 City State Zip Code Transaction ID : C8022679 Philadelphia PA 19146 Amount of Each Receipt this Period

FEC ID number of contributing 325.00 federal political committee. C ▲ , ▲ , ▲. Name of Employer (for Individual) Occupation (for Individual) Memo Item Independence Blue Cross, LLC Lead Vendor Management Spec

Receipt For: Aggregate Year-to-Date ▼ Primary General * Payroll Deduction: Bi-weekly $ 25 Other (specify) ▼ ▲ , ▲ , 650.00 ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name B. Date of Receipt

Mailing Address M M / D D / Y Y Y Y

City State Zip Code Amount of Each Receipt this Period FEC ID number of contributing federal political committee. C ▲ , ▲ , ▲.

Name of Employer (for Individual) Occupation (for Individual) Memo Item

Receipt For: Aggregate Year-to-Date ▼ Primary General Other (specify) ▼ ▲ , ▲ , ▲.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name C. Date of Receipt

Mailing Address M M / D D / Y Y Y Y

City State Zip Code Amount of Each Receipt this Period FEC ID number of contributing federal political committee. C , , .

Name of Employer (for Individual) Occupation (for Individual) Memo Item

Receipt For: Aggregate Year-to-Date ▼ Primary General Other (specify) ▲ , ▲ , ▲.

325.00 SUBTOTAL of Receipts This Page (optional)...... , , . ▲ ▲ 165286.45 ▲ TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule A (Form 3X) Rev. 06/2016 Image# 202002179186508126

127 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b ✘ 22 23 26 27 Detailed Summary Page 28a 28b 28c 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. BLUEPAC - BLUE CROSS BLUE SHIELD ASSOCIATION PAC Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 1310 G STREET NW 10 14 2019

City State Zip Code FEC Identification Number WASHINGTON DC 20005 Purpose of Disbursement C00194746 Transfer to affiliated committee 008 C Transaction ID : D103800 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2019 ▲ , ▲ , 10000.00 ▲. Senate Primary General President ✘ Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. BLUEPAC - BLUE CROSS BLUE SHIELD ASSOCIATION PAC Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 1310 G STREET NW 10 14 2019

City State Zip Code FEC Identification Number WASHINGTON DC 20005 Purpose of Disbursement C00194746 Transfer to affiliated committee 008 C Transaction ID : D103801 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2019 ▲ , ▲ , 10000.00 ▲. Senate Primary General President ✘ Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. BLUEPAC - BLUE CROSS BLUE SHIELD ASSOCIATION PAC Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 1310 G STREET NW 11 01 2019

City State Zip Code FEC Identification Number WASHINGTON DC 20005 Purpose of Disbursement C00194746 Transfer to affiliated committee 008 C Transaction ID : D103839 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2019 ▲ , ▲ , 10000.00 ▲. Senate Primary General President ✘ Other (specify) ▼ Memo Item State: District:

30000.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508127

128 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b ✘ 22 23 26 27 Detailed Summary Page 28a 28b 28c 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. BLUEPAC - BLUE CROSS BLUE SHIELD ASSOCIATION PAC Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 1310 G STREET NW 12 12 2019

City State Zip Code FEC Identification Number WASHINGTON DC 20005 Purpose of Disbursement C00194746 Transfer to affiliated committee 008 C Transaction ID : D103993 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2019 ▲ , ▲ , 6000.00 ▲. Senate Primary General President ✘ Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. BLUEPAC - BLUE CROSS BLUE SHIELD ASSOCIATION PAC Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 1310 G STREET NW 12 12 2019

City State Zip Code FEC Identification Number WASHINGTON DC 20005 Purpose of Disbursement C00194746 Transfer to affiliated committee 008 C Transaction ID : D103994 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2019 ▲ , ▲ , 4000.00 ▲. Senate Primary General President ✘ Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Date of Disbursement

M M / D D / Y Y Y Y Mailing Address

City State Zip Code FEC Identification Number Purpose of Disbursement C

Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: ▲ , ▲ , ▲. Senate Primary General President Other (specify) ▼ Memo Item State: District:

10000.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲. 40000.00 TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508128

129 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 ✘ 23 26 27 Detailed Summary Page 28a 28b 28c 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. 314 Action Fund Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 410 1ST ST SE 10 09 2019 SUITE 310 City State Zip Code FEC Identification Number WASHINGTON DC 20003 Purpose of Disbursement C00633248 Contributions to Fed Comms 011 C Transaction ID : D103745 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1000.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Nevadans for Steven Horsford Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 4904 CAMINO AL NORTE 10 11 2019 UNIT 336664 City State Zip Code FEC Identification Number NORTH LAS VEGAS NV 89033 Purpose of Disbursement C00668228 Contributions to Fed. Comms. 011 C Transaction ID : D103790 Candidate Name Category/ Amount of Each Disbursement this Period HORSFORD, STEVEN ALEXZANDER, , , Type Office Sought: ✘ House Disbursement For: 2020 ▲ , ▲ , 1000.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: NV District: 04 Full Name (Last, First, Middle Initial) C. Tina Smith for Minnesota Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO BOX 14362 10 18 2019

City State Zip Code FEC Identification Number SAINT PAUL MN 55114 Purpose of Disbursement C00663781 Contributions to Fed Comms 011 C Transaction ID : D103835 Candidate Name Category/ Amount of Each Disbursement this Period SMITH, TINA FLINT, , , Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1000.00 ▲. ✘ Senate ✘ Primary General President Other (specify) ▼ Memo Item State: MN District: 00

3000.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508129

130 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 ✘ 23 26 27 Detailed Summary Page 28a 28b 28c 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Marco Rubio for Senate Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO BOX 661537 11 27 2019

City State Zip Code FEC Identification Number MIAMI FL 33266 Purpose of Disbursement C00620518 Contributions to Fed. Comms. 011 C Transaction ID : D103885 Candidate Name Category/ Amount of Each Disbursement this Period RUBIO, MARCO, , , Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1250.00 ▲. ✘ Senate ✘ Primary General President Other (specify) ▼ Memo Item State: FL District: 00 Full Name (Last, First, Middle Initial) B. Marco Rubio for Senate Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO BOX 661537 11 27 2019

City State Zip Code FEC Identification Number MIAMI FL 33266 Purpose of Disbursement C00620518 Contributions to Fed. Comms. 011 C Transaction ID : D103886 Candidate Name Category/ Amount of Each Disbursement this Period RUBIO, MARCO, , , Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1250.00 ▲. ✘ Senate ✘ Primary General President Other (specify) Memo Item State: FL District: 00 Full Name (Last, First, Middle Initial) C. Elect Democratic Women PAC Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 918 PENNSYLVANIA AVE SE 10 09 2019

City State Zip Code FEC Identification Number WASHINGTON DC 20003 Purpose of Disbursement C00685297 Contributions to Fed Comms 011 C Transaction ID : D103747 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1250.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District:

3750.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508130

131 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 ✘ 23 26 27 Detailed Summary Page 28a 28b 28c 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Elect Democratic Women PAC Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 918 PENNSYLVANIA AVE SE 10 09 2019

City State Zip Code FEC Identification Number WASHINGTON DC 20003 Purpose of Disbursement C00685297 Contributions to Fed Comms 011 C Transaction ID : D103748 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1250.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. ELISE FOR CONGRESS Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO BOX 500 10 11 2019

City State Zip Code FEC Identification Number GLENS FALLS NY 12801 Purpose of Disbursement C00547893 Contributions to Fed. Comms. 011 C Transaction ID : D103789 Candidate Name Category/ Amount of Each Disbursement this Period Stefanik, Elise, , Rep., Type Office Sought: ✘ House Disbursement For: 2020 ▲ , ▲ , 1000.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: NY District: 21 Full Name (Last, First, Middle Initial) C. Friends of Mike Reese Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 1222 Village Road 12 26 2019

City State Zip Code FEC Identification Number Mount Pleasant PA 15666 Purpose of Disbursement VOID C Transaction ID : D104036 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: ✘ House Disbursement For: 2019 ▲ , ▲ , – 250.00 ▲. Senate Primary General President ✘ Other (specify) ▼ Memo Item State: PA District: 59

2000.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508131

132 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 ✘ 23 26 27 Detailed Summary Page 28a 28b 28c 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Friends of Mike Reese Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 1222 Village Road 12 26 2019

City State Zip Code FEC Identification Number Mount Pleasant PA 15666 Purpose of Disbursement VOID C Transaction ID : D104037 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: ✘ House Disbursement For: 2019 ▲ , ▲ , – 250.00 ▲. Senate Primary General President ✘ Other (specify) ▼ Memo Item State: PA District: 59 Full Name (Last, First, Middle Initial) B. ALAMO PAC Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 919 CONGRESS AVE SUITE 1400 10 14 2019 FROST BANK PLAZA City State Zip Code FEC Identification Number AUSTIN TX 78701 Purpose of Disbursement C00387464 Contributions to Fed Comms 011 C Transaction ID : D103798 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1250.00 ▲. Senate ✘ Primary General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. ALAMO PAC Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 919 CONGRESS AVE SUITE 1400 10 14 2019 FROST BANK PLAZA City State Zip Code FEC Identification Number AUSTIN TX 78701 Purpose of Disbursement C00387464 Contributions to Fed Comms 011 C Transaction ID : D103799 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1250.00 ▲. Senate ✘ Primary General President Other (specify) ▼ Memo Item State: District:

2250.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508132

133 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 ✘ 23 26 27 Detailed Summary Page 28a 28b 28c 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. WALDEN FOR CONGRESS Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO BOX 1091 10 14 2019

City State Zip Code FEC Identification Number HOOD RIVER OR 97031 Purpose of Disbursement C00333427 Contributions to Fed Comms 011 C Transaction ID : D103796 Candidate Name Category/ Amount of Each Disbursement this Period Walden, Greg, , Rep., Type Office Sought: ✘ House Disbursement For: 2020 ▲ , ▲ , 1000.00 ▲. Senate ✘ Primary General President Other (specify) ▼ Memo Item State: OR District: 02 Full Name (Last, First, Middle Initial) B. FRIENDS OF DAVID SCHWEIKERT Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 228 S WASHINGTON STREET 10 14 2019

City State Zip Code FEC Identification Number ALEXANDRIA VA 22314 Purpose of Disbursement C00540617 Contributions to Fed Comms C Transaction ID : D103795 Candidate Name Category/ Amount of Each Disbursement this Period Schweikert, David, , Rep., Type Office Sought: ✘ House Disbursement For: 2020 ▲ , ▲ , 1000.00 ▲. Senate ✘ Primary General President Other (specify) Memo Item State: AZ District: 06 Full Name (Last, First, Middle Initial) C. STIVERS FOR CONGRESS Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 4679 WINTERSET DRIVE 11 27 2019

City State Zip Code FEC Identification Number COLUMBUS OH 43220 Purpose of Disbursement C00441352 Contributions to Fed. Comms. 011 C Transaction ID : D103887 Candidate Name Category/ Amount of Each Disbursement this Period Stivers, Steve, , Rep., Type Office Sought: ✘ House Disbursement For: 2020 ▲ , ▲ , 1250.00 ▲. Senate ✘ Primary General President Other (specify) ▼ Memo Item State: OH District: 15

3250.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508133

134 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 ✘ 23 26 27 Detailed Summary Page 28a 28b 28c 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. STIVERS FOR CONGRESS Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 4679 WINTERSET DRIVE 11 27 2019

City State Zip Code FEC Identification Number COLUMBUS OH 43220 Purpose of Disbursement C00441352 Contributions to Fed. Comms. 011 C Transaction ID : D103888 Candidate Name Category/ Amount of Each Disbursement this Period Stivers, Steve, , Rep., Type Office Sought: ✘ House Disbursement For: 2020 ▲ , ▲ , 1250.00 ▲. Senate ✘ Primary General President Other (specify) ▼ Memo Item State: OH District: 15 Full Name (Last, First, Middle Initial) B. Citizens for Prosperity in America Today PAC Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 228 S WASHINGTON ST STE 115 11 27 2019

City State Zip Code FEC Identification Number ALEXANDRIA VA 22314 Purpose of Disbursement C00491654 Contributions to Fed. Comms. 011 C Transaction ID : D103892 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 2500.00 ▲. Senate Primary General President ✘ Other (specify) Memo Item State: District: Desig. PA Prosperity Full Name (Last, First, Middle Initial) C. Citizens for Prosperity in America Today PAC Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 228 S WASHINGTON ST STE 115 12 23 2019

City State Zip Code FEC Identification Number ALEXANDRIA VA 22314 Purpose of Disbursement C00491654 Contributions to Fed. Comms. 011 C Transaction ID : D104019 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1000.00 ▲. Senate Primary General President ✘ Other (specify) ▼ Memo Item State: District:

4750.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508134

135 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 ✘ 23 26 27 Detailed Summary Page 28a 28b 28c 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. SHAHEEN FOR SENATE Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 105 N State St 11 27 2019

City State Zip Code FEC Identification Number Concord NH 03301-4334 Purpose of Disbursement C00457325 Contributions to Fed. Comms. 011 C Transaction ID : D103907 Candidate Name Category/ Amount of Each Disbursement this Period Shaheen, Jeanne, , Sen., Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1000.00 ▲. ✘ Senate Primary ✘ General President Other (specify) ▼ Memo Item State: NH District: 00 Full Name (Last, First, Middle Initial) B. BRADY FOR CONGRESS Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO BOX 8277 10 14 2019

City State Zip Code FEC Identification Number THE WOODLANDS TX 77387 Purpose of Disbursement C00311043 Contributions to Fed Comms C Transaction ID : D103794 Candidate Name Category/ Amount of Each Disbursement this Period Brady, Kevin, , Rep., Type Office Sought: ✘ House Disbursement For: 2020 ▲ , ▲ , 1000.00 ▲. Senate ✘ Primary General President Other (specify) Memo Item State: TX District: 08 Full Name (Last, First, Middle Initial) C. National Republican Congressional Committee Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 320 First Street SE 09 26 2019

City State Zip Code FEC Identification Number Washington DC 20003 Purpose of Disbursement Contributions to Fed Comms C Transaction ID : D103645 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 5000.00 ▲. Senate ✘ Primary General President Other (specify) ▼ Memo Item State: District:

7000.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508135

136 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 ✘ 23 26 27 Detailed Summary Page 28a 28b 28c 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. National Republican Congressional Committee Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 320 First Street SE 09 26 2019

City State Zip Code FEC Identification Number Washington DC 20003 Purpose of Disbursement Contributions to Fed Comms C Transaction ID : D103646 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 5000.00 ▲. Senate ✘ Primary General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. RICHARD E NEAL FOR CONGRESS COMMITTEE Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 76 Magnolia Ter 11 27 2019

City State Zip Code FEC Identification Number Springfield MA 01108-2533 Purpose of Disbursement C00226522 Contributions to Fed. Comms. C Transaction ID : D103889 Candidate Name Category/ Amount of Each Disbursement this Period Neal, Richard, E., Rep., Type Office Sought: ✘ House Disbursement For: 2020 ▲ , ▲ , 1000.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: MA District: 01 Full Name (Last, First, Middle Initial) C. MULLIN FOR CONGRESS Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO BOX 3681 10 14 2019

City State Zip Code FEC Identification Number MUSKOGEE OK 74402 Purpose of Disbursement C00498345 Contributions to Fed Comms 011 C Transaction ID : D103793 Candidate Name Category/ Amount of Each Disbursement this Period Mullin, Markwayne, , Rep., Type Office Sought: ✘ House Disbursement For: 2020 ▲ , ▲ , 1000.00 ▲. Senate ✘ Primary General President Other (specify) ▼ Memo Item State: OK District: 02

7000.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508136

137 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 ✘ 23 26 27 Detailed Summary Page 28a 28b 28c 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. KURT SCHRADER FOR CONGRESS Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO BOX 3314 10 14 2019

City State Zip Code FEC Identification Number OREGON CITY OR 97045 Purpose of Disbursement C00446906 Contributions to Fed Comms 011 C Transaction ID : D103797 Candidate Name Category/ Amount of Each Disbursement this Period Schrader, Kurt, , Rep., Type Office Sought: ✘ House Disbursement For: 2020 ▲ , ▲ , 1000.00 ▲. Senate ✘ Primary General President Other (specify) ▼ Memo Item State: OR District: 05 Full Name (Last, First, Middle Initial) B. Friends of Pat Toomey Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 1735 Market Street 08 27 2019

City State Zip Code FEC Identification Number Philadelphia PA 19103 Purpose of Disbursement C00461046 Contributions to Fed Comms 011 C Transaction ID : D103436 Candidate Name Category/ Amount of Each Disbursement this Period Toomey, Patrick, J., Sen., Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1000.00 ▲. ✘ Senate ✘ Primary General President Other (specify) Memo Item State: PA District: 00 Full Name (Last, First, Middle Initial) C. Keystone Victory Fund Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 58746 12 11 2019

City State Zip Code FEC Identification Number Philadelphia PA 19102-8746 Purpose of Disbursement C00545830 Contributions to Fed. Comms. 011 C Transaction ID : D103951 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate ✘ Primary General President Other (specify) ▼ Memo Item State: District:

2500.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508137

138 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 ✘ 23 26 27 Detailed Summary Page 28a 28b 28c 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Keystone Victory Fund Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 58746 12 11 2019

City State Zip Code FEC Identification Number Philadelphia PA 19102-8746 Purpose of Disbursement C00545830 Contributions to Fed. Comms. 011 C Transaction ID : D103952 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate ✘ Primary General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. MCHENRY FOR CONGRESS Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO BOX 2165 10 09 2019

City State Zip Code FEC Identification Number GASTONIA NC 28053 Purpose of Disbursement C00393629 Contributions to Fed. Comms. 011 C Transaction ID : D103733 Candidate Name Category/ Amount of Each Disbursement this Period McHenry, Patrick, T., Rep., Type Office Sought: ✘ House Disbursement For: 2020 ▲ , ▲ , 2500.00 ▲. Senate ✘ Primary General President Other (specify) Memo Item State: NC District: 10 Full Name (Last, First, Middle Initial) C. True North PAC Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 901 N. Washington Street 10 14 2019 Suite 700 City State Zip Code FEC Identification Number Alexandria VA 22314 Purpose of Disbursement C00571000 Contributions to Fed Comms 011 C Transaction ID : D103803 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1000.00 ▲. Senate ✘ Primary General President Other (specify) ▼ Memo Item State: District:

4000.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508138

139 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 ✘ 23 26 27 Detailed Summary Page 28a 28b 28c 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Dwight Evans for Congress Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO BOX 6578 11 27 2019

City State Zip Code FEC Identification Number PHILADELPHIA PA 19138 Purpose of Disbursement C00591065 Contributions to Fed. Comms. C Transaction ID : D103890 Candidate Name Category/ Amount of Each Disbursement this Period EVANS, DWIGHT, , , Type Office Sought: ✘ House Disbursement For: 2020 ▲ , ▲ , 750.00 ▲. Senate ✘ Primary General President Other (specify) ▼ Memo Item State: PA District: 02 Full Name (Last, First, Middle Initial) B. Dwight Evans for Congress Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO BOX 6578 11 27 2019

City State Zip Code FEC Identification Number PHILADELPHIA PA 19138 Purpose of Disbursement C00591065 Contributions to Fed. Comms. 011 C Transaction ID : D103891 Candidate Name Category/ Amount of Each Disbursement this Period EVANS, DWIGHT, , , Type Office Sought: ✘ House Disbursement For: 2020 ▲ , ▲ , 750.00 ▲. Senate ✘ Primary General President Other (specify) Memo Item State: PA District: 02 Full Name (Last, First, Middle Initial) C. Keeping America Competitive Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 58635 10 09 2019

City State Zip Code FEC Identification Number Philadelphia PA 19102 Purpose of Disbursement Contributions to Fed Comms 011 C Transaction ID : D103749 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 2500.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District:

4000.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508139

140 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 ✘ 23 26 27 Detailed Summary Page 28a 28b 28c 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. BRINGING AMERICA TOGETHER PAC Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO BOX 30844 10 14 2019

City State Zip Code FEC Identification Number BETHESDA MD 20824 Purpose of Disbursement C00647354 Contributions to Fed Comms 011 C Transaction ID : D103802 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1000.00 ▲. Senate ✘ Primary General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. BRINGING AMERICA TOGETHER PAC Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO BOX 30844 12 17 2019

City State Zip Code FEC Identification Number BETHESDA MD 20824 Purpose of Disbursement C00647354 Contributions to Fed Comms 011 C Transaction ID : D104014 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1750.00 ▲. Senate ✘ Primary General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Scanlon for Congress Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO BOX 263 11 27 2019

City State Zip Code FEC Identification Number SWARTHMORE PA 19081 Purpose of Disbursement C00669358 Contributions to Fed. Comms. 011 C Transaction ID : D103883 Candidate Name Category/ Amount of Each Disbursement this Period SCANLON, MARY GAY, , , Type Office Sought: ✘ House Disbursement For: 2020 ▲ , ▲ , 250.00 ▲. Senate ✘ Primary General President Other (specify) ▼ Memo Item State: PA District: 05

3000.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508140

141 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 ✘ 23 26 27 Detailed Summary Page 28a 28b 28c 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Scanlon for Congress Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO BOX 263 11 27 2019

City State Zip Code FEC Identification Number SWARTHMORE PA 19081 Purpose of Disbursement C00669358 Contributions to Fed. Comms. 011 C Transaction ID : D103884 Candidate Name Category/ Amount of Each Disbursement this Period SCANLON, MARY GAY, , , Type Office Sought: ✘ House Disbursement For: 2020 ▲ , ▲ , 2250.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: PA District: 05 Full Name (Last, First, Middle Initial) B. Scanlon for Congress Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO BOX 263 10 09 2019

City State Zip Code FEC Identification Number SWARTHMORE PA 19081 Purpose of Disbursement C00669358 Contributions to Fed. Comms. 011 C Transaction ID : D103734 Candidate Name Category/ Amount of Each Disbursement this Period SCANLON, MARY GAY, , , Type Office Sought: ✘ House Disbursement For: 2020 ▲ , ▲ , 250.00 ▲. Senate ✘ Primary General President Other (specify) Memo Item State: PA District: 05 Full Name (Last, First, Middle Initial) C. Date of Disbursement

M M / D D / Y Y Y Y Mailing Address

City State Zip Code FEC Identification Number Purpose of Disbursement C

Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: ▲ , ▲ , ▲. Senate Primary General President Other (specify) ▼ Memo Item State: District:

2500.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲. 49000.00 TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508141

142 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a ✘ 28b 28c 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Bob Mensch Candidate Committee Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 4376 Upper Ridge Rd. 10 11 2019

City State Zip Code FEC Identification Number Pennsburg PA 18073 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103757 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Date of Disbursement

M M / D D / Y Y Y Y Mailing Address

City State Zip Code FEC Identification Number Purpose of Disbursement C Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: ▲ , ▲ , ▲. Senate Primary General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Date of Disbursement

M M / D D / Y Y Y Y Mailing Address

City State Zip Code FEC Identification Number Purpose of Disbursement C

Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: ▲ , ▲ , ▲. Senate Primary General President Other (specify) ▼ Memo Item State: District:

500.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲. 500.00 TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508142

143 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Building Together PAC Date of Disbursement

M M / D D / Y Y Y Y Mailing Address P.O. Box 2101 10 04 2019

City State Zip Code FEC Identification Number Jenkintown PA 19046 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103702 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1000.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Friends of Steve Malagari Date of Disbursement

M M / D D / Y Y Y Y Mailing Address P.O. Box 1712 10 04 2019

City State Zip Code FEC Identification Number Lansdale PA 19446 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103703 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Friends of Steve Malagari Date of Disbursement

M M / D D / Y Y Y Y Mailing Address P.O. Box 1712 10 09 2019

City State Zip Code FEC Identification Number Lansdale PA 19446 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103723 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 250.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District:

1750.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508143

144 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Friends of Jennifer O'Mara Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 618 Prospect Road 10 09 2019

City State Zip Code FEC Identification Number Springfield PA 19064 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103729 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 125.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Friends of Jennifer O'Mara Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 618 Prospect Road 10 09 2019

City State Zip Code FEC Identification Number Springfield PA 19064 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103730 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 125.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Friends of Dave Delloso Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 41 12 26 2019

City State Zip Code FEC Identification Number Glenolden PA 19036 Purpose of Disbursement VOID C Transaction ID : D104022 Candidate Name Category/ Amount of Each Disbursement this Period Delloso, Dave, , , Type Office Sought: House Disbursement For: 2019 ▲ , ▲ , – 250.00 ▲. Senate Primary General President ✘ Other (specify) ▼ Memo Item State: District:

0.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508144

145 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Friends of Christina Sappey Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 683 10 11 2019

City State Zip Code FEC Identification Number Kennett Square PA 19348 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103779 Candidate Name Category/ Amount of Each Disbursement this Period Sappey, Christina, , , Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 125.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Friends of Christina Sappey Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 683 10 11 2019

City State Zip Code FEC Identification Number Kennett Square PA 19348 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103780 Candidate Name Category/ Amount of Each Disbursement this Period Sappey, Christina, , , Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 125.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Friends of Mike Zabel Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 450 10 11 2019

City State Zip Code FEC Identification Number Drexel Hill PA 19026 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103777 Candidate Name Category/ Amount of Each Disbursement this Period Zabel, Mike, , , Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 125.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District:

375.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508145

146 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Friends of Mike Zabel Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 450 10 11 2019

City State Zip Code FEC Identification Number Drexel Hill PA 19026 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103778 Candidate Name Category/ Amount of Each Disbursement this Period Zabel, Mike, , , Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 125.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Friends of Wendy Ullman Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 16 11 27 2019

City State Zip Code FEC Identification Number Fountainville PA 18923 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103903 Candidate Name Category/ Amount of Each Disbursement this Period Ullman, Wendy, , , Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 300.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Friends of Elizabeth Fiedler Date of Disbursement

M M / D D / Y Y Y Y Mailing Address P.O. Box 2468 12 26 2019

City State Zip Code FEC Identification Number Philadelphia PA 19147 Purpose of Disbursement VOID C Transaction ID : D104025 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2019 ▲ , ▲ , – 250.00 ▲. Senate Primary General President ✘ Other (specify) ▼ Memo Item State: District:

175.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508146

147 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Friends of Joe Ciresi Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 4011 Ashbrook Drive 12 26 2019

City State Zip Code FEC Identification Number Royersford PA 19468 Purpose of Disbursement VOID C Transaction ID : D104026 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2019 ▲ , ▲ , – 250.00 ▲. Senate Primary General President ✘ Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Friends of Joe Pittman Date of Disbursement

M M / D D / Y Y Y Y Mailing Address P.O. Box 382 10 04 2019

City State Zip Code FEC Identification Number Indiana PA 15701 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103704 Candidate Name Category/ Amount of Each Disbursement this Period Pittman, Joe, , , Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: PA District: Full Name (Last, First, Middle Initial) C. Mike for Delco Date of Disbursement

M M / D D / Y Y Y Y Mailing Address P.O. Box 747 12 26 2019

City State Zip Code FEC Identification Number Springfield PA 19064 Purpose of Disbursement VOID C Transaction ID : D104027 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2019 ▲ , ▲ , – 1250.00 ▲. Senate Primary General President ✘ Other (specify) ▼ Memo Item State: District:

– 1000.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508147

148 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Mike for Delco Date of Disbursement

M M / D D / Y Y Y Y Mailing Address P.O. Box 747 12 26 2019

City State Zip Code FEC Identification Number Springfield PA 19064 Purpose of Disbursement VOID C Transaction ID : D104028 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2019 ▲ , ▲ , – 1250.00 ▲. Senate Primary General President ✘ Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Friends of Todd Polinchock Date of Disbursement

M M / D D / Y Y Y Y Mailing Address P.O. Box 2109 08 27 2019

City State Zip Code FEC Identification Number Doylestown PA 18901 Purpose of Disbursement Contributions to Non Fed Comms 011 C Transaction ID : D103427 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 250.00 ▲. Senate ✘ Primary General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Friends of Todd Polinchock Date of Disbursement

M M / D D / Y Y Y Y Mailing Address P.O. Box 2109 10 11 2019

City State Zip Code FEC Identification Number Doylestown PA 18901 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103781 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 125.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District:

– 875.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508148

149 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Friends of Todd Polinchock Date of Disbursement

M M / D D / Y Y Y Y Mailing Address P.O. Box 2109 10 11 2019

City State Zip Code FEC Identification Number Doylestown PA 18901 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103782 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 125.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Friends of Aaron Bernstine Date of Disbursement

M M / D D / Y Y Y Y Mailing Address P.O. Box 412 08 27 2019

City State Zip Code FEC Identification Number Harrisburg PA 17108 Purpose of Disbursement Contributions to Non Fed Comms 011 C Transaction ID : D103428 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 250.00 ▲. Senate ✘ Primary General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Friends of Meghan Schroeder Date of Disbursement

M M / D D / Y Y Y Y Mailing Address P.O. Box 256 08 27 2019

City State Zip Code FEC Identification Number Doylestown PA 18901 Purpose of Disbursement Contributions to Non Fed Comms 011 C Transaction ID : D103440 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 250.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: PA District:

625.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508149

150 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. The Green Fund Date of Disbursement

M M / D D / Y Y Y Y Mailing Address P.O. Box 4984 09 05 2019

City State Zip Code FEC Identification Number Philadelphia PA 19119 Purpose of Disbursement Contributions to Non Fed Comms 011 C Transaction ID : D103485 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2019 ▲ , ▲ , 1000.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Rebecca for Philadelphia Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 2052 10 01 2019

City State Zip Code FEC Identification Number Philadelphia PA 19103 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103680 Candidate Name Category/ Amount of Each Disbursement this Period Rhynhart, Rebecca, , , Type Office Sought: House Disbursement For: 2021 ▲ , ▲ , 1000.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: PA District: Full Name (Last, First, Middle Initial) C. Gerald Boudreaux Campaign Fund Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 91245 10 01 2019

City State Zip Code FEC Identification Number Lafayette LA 70509-1245 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103681 Candidate Name Category/ Amount of Each Disbursement this Period Boudreaux, Gerald, , , Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: LA District:

2500.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508150

151 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Friends of Tim Kearney Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 505 10 09 2019

City State Zip Code FEC Identification Number Swarthmore PA 19081-0505 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103735 Candidate Name Category/ Amount of Each Disbursement this Period , Tim, Kearney, , Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 250.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Friends of Tim Kearney Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 505 10 09 2019

City State Zip Code FEC Identification Number Swarthmore PA 19081-0505 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103736 Candidate Name Category/ Amount of Each Disbursement this Period , Tim, Kearney, , Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 250.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Gayle Harrell Campaign Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 1885 NW Eagle PT 10 09 2019

City State Zip Code FEC Identification Number Gayle Harrell Campaign FL 34994 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103737 Candidate Name Category/ Amount of Each Disbursement this Period Harrell, Gayle, , , Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1000.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: FL District:

1500.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508151

152 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Emerge PA Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 60078 10 09 2019

City State Zip Code FEC Identification Number Philadelphia PA 19102 Purpose of Disbursement Contributions to Non Fed Comms 011 C Transaction ID : D103738 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1000.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Bobby Powell Campaign Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 782 10 09 2019

City State Zip Code FEC Identification Number West Palm Beach FL 33402 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103740 Candidate Name Category/ Amount of Each Disbursement this Period Powell, Bobby, , , Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1000.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Building A Stronger PA PAC Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 323 W Front Street 10 09 2019

City State Zip Code FEC Identification Number Media PA 19063 Purpose of Disbursement Contributions to Non Fed Comms 011 C Transaction ID : D103741 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1000.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District:

3000.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508152

153 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Manny Diaz Campaign Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 2600 South Douglas Road, Suite 900 10 09 2019

City State Zip Code FEC Identification Number Coral Gables FL 33134 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103742 Candidate Name Category/ Amount of Each Disbursement this Period Diaz, Manny, , , Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1000.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Florida Sunshine Alliance PAC Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 526 E Park Ave Suite 100 10 09 2019

City State Zip Code FEC Identification Number Tallahassee FL 32301 Purpose of Disbursement Contributions to Non Fed Comms 011 C Transaction ID : D103743 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1000.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Jose Javiar Rodriguez Campaign Date of Disbursement

M M / D D / Y Y Y Y Mailing Address Jose Javiar Rodriguez Campaign 10 09 2019

City State Zip Code FEC Identification Number Miami FL 33125 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103744 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1000.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District:

3000.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508153

154 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Al Jaquet Campaign Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 964 Tortuga Lane 10 09 2019

City State Zip Code FEC Identification Number Riviera Beach FL 33404 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103746 Candidate Name Category/ Amount of Each Disbursement this Period Jaquet, Al, , , Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1000.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Danny Perez Campaign Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 8720 SW 84th Street 10 09 2019

City State Zip Code FEC Identification Number Miami FL 33173-4144 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103750 Candidate Name Category/ Amount of Each Disbursement this Period Perez, Danny, , , Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1000.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: FL District: Full Name (Last, First, Middle Initial) C. Nick Duran Campaign Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 3067 New York Street 10 09 2019

City State Zip Code FEC Identification Number Miami FL 33133 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103751 Candidate Name Category/ Amount of Each Disbursement this Period Duran, Nick, , , Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1000.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District:

3000.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508154

155 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. WOLF PAC Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 123 S Broad Street, Suite 2140 10 09 2019

City State Zip Code FEC Identification Number Philadelphia PA 19109-1024 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103752 Candidate Name Category/ Amount of Each Disbursement this Period Wolf, Tom, , , Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: PA District: Full Name (Last, First, Middle Initial) B. WOLF PAC Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 123 S Broad Street, Suite 2140 10 09 2019

City State Zip Code FEC Identification Number Philadelphia PA 19109-1024 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103753 Candidate Name Category/ Amount of Each Disbursement this Period Wolf, Tom, , , Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: PA District: Full Name (Last, First, Middle Initial) C. Bob Hensgens Campaign Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 305 Wilkinson St. 10 11 2019

City State Zip Code FEC Identification Number Gueydan LA 70542 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103783 Candidate Name Category/ Amount of Each Disbursement this Period Hensgens, Bob, , , Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District:

1500.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508155

156 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Friends of Megan King Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 1533 Johnny's Way 10 11 2019

City State Zip Code FEC Identification Number West Chester PA 19382 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103784 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 2500.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: PA District: Full Name (Last, First, Middle Initial) B. Friends for John Carney Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 2162 10 11 2019

City State Zip Code FEC Identification Number Wilmington DE 19899 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103785 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 300.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: DE District: Full Name (Last, First, Middle Initial) C. SC House Republican Caucus Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 21 10 11 2019

City State Zip Code FEC Identification Number Columbia SC 29202 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103786 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 5000.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: SC District:

7800.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508156

157 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Friends of Danilo Burgos Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 60601 10 11 2019

City State Zip Code FEC Identification Number Philadelphia PA 19133 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103788 Candidate Name Category/ Amount of Each Disbursement this Period Burgos, Danilo, , , Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 250.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: PA District: Full Name (Last, First, Middle Initial) B. Kennedy Democrats Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 2134 10 11 2019

City State Zip Code FEC Identification Number Bristol PA 19007 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103791 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Republican Legislative Delegation Campaign Comm. Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 44422 10 11 2019

City State Zip Code FEC Identification Number Baton Rouge LA 70804 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103792 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1200.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: LA District:

1950.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508157

158 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. John Bel Edwards Campaign Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 125 East Pine Street 10 18 2019

City State Zip Code FEC Identification Number Ponchatoula LA 70454 Purpose of Disbursement Contributions to Non Fed Comms 011 C Transaction ID : D103828 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2019 ▲ , ▲ , 5000.00 ▲. Senate Primary General President ✘ Other (specify) ▼ Memo Item State: LA District: Runoff Full Name (Last, First, Middle Initial) B. Bridge Across PA PAC Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 121 S. Broad Street 11 01 2019 4th Florr City State Zip Code FEC Identification Number Philadelphia PA 19107 Purpose of Disbursement Contributions to Non-Fed. Comms 011 C Transaction ID : D103841 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2019 ▲ , ▲ , 250.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Re-Elect Brandon Todd 2020 Date of Disbursement

M M / D D / Y Y Y Y Mailing Address P.O. Box 56466 11 01 2019

City State Zip Code FEC Identification Number Washington DC 20040 Purpose of Disbursement Contributions to Non-Fed. Comms 011 C Transaction ID : D103843 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2019 ▲ , ▲ , 500.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District:

5750.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508158

159 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. South Carolina Senate Democratic Caucus Date of Disbursement

M M / D D / Y Y Y Y Mailing Address P.O. Box 11484 11 01 2019

City State Zip Code FEC Identification Number Columbia SC 29211 Purpose of Disbursement Contributions to Non-Fed. Comms 011 C Transaction ID : D103844 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2019 ▲ , ▲ , 3500.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Malcolm for PA Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 3254 12 26 2019

City State Zip Code FEC Identification Number Philadelphia PA 19130 Purpose of Disbursement VOID C Transaction ID : D104020 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2019 ▲ , ▲ , – 250.00 ▲. Senate Primary General President ✘ Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Malcolm for PA Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 3254 10 11 2019

City State Zip Code FEC Identification Number Philadelphia PA 19130 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103773 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 250.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District:

3500.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508159

160 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Friends of Austin Davis Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 1107 Washington Street 10 11 2019

City State Zip Code FEC Identification Number McKeesport PA 15132 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103774 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 150.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Friends of Austin Davis Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 1107 Washington Street 10 11 2019

City State Zip Code FEC Identification Number McKeesport PA 15132 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103775 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 150.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Friends of Wendi Thomas Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 47 Lynford Road 10 11 2019

City State Zip Code FEC Identification Number Richboro PA 18954 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103776 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 250.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District:

550.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508160

161 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Neilson for the Northeast Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 6054 11 27 2019

City State Zip Code FEC Identification Number Philadelphia PA 19114 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103901 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Friends of Margo Davidson Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 45 Scottdale Rd 10 11 2019 Ste 1 City State Zip Code FEC Identification Number Lansdowne PA 19050 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103762 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 250.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Friends of Margo Davidson Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 45 Scottdale Rd 10 11 2019 Ste 1 City State Zip Code FEC Identification Number Lansdowne PA 19050 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103763 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 250.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District:

1000.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508161

162 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Vogel for Senate Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 262 08 27 2019 457 PASC City State Zip Code FEC Identification Number Beaver PA 15009 Purpose of Disbursement Contributions to Non Fed Comms 011 C Transaction ID : D103424 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate ✘ Primary General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Vogel for Senate Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 262 12 26 2019 457 PASC City State Zip Code FEC Identification Number Beaver PA 15009 Purpose of Disbursement VOID C Transaction ID : D104033 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2019 ▲ , ▲ , – 500.00 ▲. Senate Primary General President ✘ Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Friends of Matt Bradford Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 349 12 20 2019 PAEW City State Zip Code FEC Identification Number Norristown PA 19404 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D104016 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District:

500.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508162

163 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Friends of Matt Bradford Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 349 12 20 2019 PAEW City State Zip Code FEC Identification Number Norristown PA 19404 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D104017 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Friends of Matt Bradford Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 349 10 07 2019 PAEW City State Zip Code FEC Identification Number Norristown PA 19404 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103711 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1000.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Friends of Mike Reese Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 1222 Village Road 08 27 2019

City State Zip Code FEC Identification Number Mount Pleasant PA 15666 Purpose of Disbursement Contributions to Non Fed Comms 011 C Transaction ID : D103446 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: ✘ House Disbursement For: 2020 ▲ , ▲ , 250.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: PA District: 59

1750.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508163

164 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Friends of Mike Reese Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 1222 Village Road 08 27 2019

City State Zip Code FEC Identification Number Mount Pleasant PA 15666 Purpose of Disbursement Contributions to Non Fed Comms 011 C Transaction ID : D103447 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: ✘ House Disbursement For: 2020 ▲ , ▲ , 250.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: PA District: 59 Full Name (Last, First, Middle Initial) B. Tim Briggs for State Representative Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 62193 08 27 2019

City State Zip Code FEC Identification Number King of Prussia PA 19406 Purpose of Disbursement Contributions to Non Fed Comms 011 C Transaction ID : D103433 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate ✘ Primary General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Friends of Frank Farry Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 231 08 27 2019

City State Zip Code FEC Identification Number Langhorne PA 19047 Purpose of Disbursement Contributions to Fed Comms 011 C Transaction ID : D103437 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 300.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District:

1050.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508164

165 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Friends of Gene Yaw Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 792 10 11 2019

City State Zip Code FEC Identification Number Harrisburg PA 17108 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103766 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Friends of Mike Schlossberg Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 391 10 18 2019

City State Zip Code FEC Identification Number Harrisburg PA 17108 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103831 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 250.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Committee to Re-Elect Rosita C. Youngblood Date of Disbursement

M M / D D / Y Y Y Y Mailing Address P.O. Box 6313 10 18 2019

City State Zip Code FEC Identification Number Philadelphia PA 19139 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103833 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District:

1250.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508165

166 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Friends to Re-elect Christine Tartaglione Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 2716 Lardner St 10 11 2019

City State Zip Code FEC Identification Number Philadelphia PA 19149 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103771 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Tomlinson for State Senate Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 2207 Bristol Pke 10 07 2019

City State Zip Code FEC Identification Number Bensalem PA 19020 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103710 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Citizens for Pat Browne Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 1600 Leigh Pkwy E 11 27 2019

City State Zip Code FEC Identification Number Allentown PA 18103 Purpose of Disbursement Contributions to Non-Fed. Comms. C Transaction ID : D103894 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1000.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District:

2000.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508166

167 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Friends of Lisa Boscola Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 1294 10 07 2019

City State Zip Code FEC Identification Number Bethlehem PA 18016 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103715 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 250.00 ▲. ✘ Senate Primary ✘ General President Other (specify) ▼ Memo Item State: PA District: 18 Full Name (Last, First, Middle Initial) B. Friends of Lisa Boscola Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 1294 10 07 2019

City State Zip Code FEC Identification Number Bethlehem PA 18016 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103716 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 250.00 ▲. ✘ Senate Primary ✘ General President Other (specify) Memo Item State: PA District: 18 Full Name (Last, First, Middle Initial) C. Chris Sainato for State Representative Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 607 Barker Avenue 10 09 2019

City State Zip Code FEC Identification Number New Castle PA 16101 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103725 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 125.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District:

625.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508167

168 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Chris Sainato for State Representative Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 607 Barker Avenue 10 09 2019

City State Zip Code FEC Identification Number New Castle PA 16101 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103726 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 125.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Dan Frankel for the 23rd District Committee Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 81594 08 27 2019

City State Zip Code FEC Identification Number Pittsburgh PA 15217 Purpose of Disbursement Contributions to Non Fed Comms 011 C Transaction ID : D103429 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 250.00 ▲. Senate ✘ Primary General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Dan Frankel for the 23rd District Committee Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 81594 08 27 2019

City State Zip Code FEC Identification Number Pittsburgh PA 15217 Purpose of Disbursement Contributions to Non Fed Comms 011 C Transaction ID : D103430 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 250.00 ▲. Senate ✘ Primary General President Other (specify) ▼ Memo Item State: District:

625.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508168

169 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Dan Frankel for the 23rd District Committee Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 81594 11 27 2019

City State Zip Code FEC Identification Number Pittsburgh PA 15217 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103893 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate ✘ Primary General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Killion Victory Committee Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 115 N Jackson St. 10 04 2019

City State Zip Code FEC Identification Number Media PA 19063 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103698 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1000.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Killion Victory Committee Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 115 N Jackson St. 10 04 2019

City State Zip Code FEC Identification Number Media PA 19063 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103699 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1000.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District:

2500.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508169

170 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Benninghoff for Representative Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 2601 N. Front Street 11 27 2019 Suite 101 City State Zip Code FEC Identification Number Harrisburg PA 17110 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103897 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Benninghoff for Representative Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 2601 N. Front Street 11 27 2019 Suite 101 City State Zip Code FEC Identification Number Harrisburg PA 17110 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103898 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Committee to Elect Mario Scavello Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 143 East Wing, PO Box 202176 12 20 2019 143 PAEW City State Zip Code FEC Identification Number Harrisburg PA 17108 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D104018 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. ✘ Senate Primary ✘ General President Other (specify) ▼ Memo Item State: PA District:

1500.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508170

171 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Friends of Andy Dinniman Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 1 N Church St 10 07 2019

City State Zip Code FEC Identification Number West Chester PA 19380 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103708 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1000.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Joseph B. Scarnati Candidate Committee Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 177 08 27 2019

City State Zip Code FEC Identification Number Brockway PA 15824 Purpose of Disbursement Contributions to Non Fed Comms 011 C Transaction ID : D103438 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1000.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Citizens for Hughes Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 7478 Rhoads Street, Suite A 10 11 2019

City State Zip Code FEC Identification Number Philadelphia PA 19151 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103756 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District:

2500.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508171

172 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Citizens for Hughes Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 7478 Rhoads Street, Suite A 11 27 2019

City State Zip Code FEC Identification Number Philadelphia PA 19151 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103902 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Jay Costa for State Senate Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 314 Newport Road 10 11 2019

City State Zip Code FEC Identification Number Pittsburgh PA 15221 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103755 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Friends of Tina Davis Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 505 Grant Ave 10 09 2019

City State Zip Code FEC Identification Number Croydon PA 19021 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103722 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 250.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District:

1250.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508172

173 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Friends of Mary Jo Daley Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 752 10 09 2019

City State Zip Code FEC Identification Number Conshohocken PA 19428 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103724 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 250.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Friends of Patty Kim Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 391 10 11 2019

City State Zip Code FEC Identification Number Harrisburg PA Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103787 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 250.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Friends of Stephen Kinsey Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 27331 10 11 2019

City State Zip Code FEC Identification Number Philadelphia PA 19118 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103758 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 125.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District:

625.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508173

174 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Friends of Stephen Kinsey Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 27331 10 11 2019

City State Zip Code FEC Identification Number Philadelphia PA 19118 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103759 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 125.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Friends of Stephen Kinsey Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 27331 10 07 2019

City State Zip Code FEC Identification Number Philadelphia PA 19118 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103707 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Friends of Stephen Kinsey Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 27331 12 17 2019

City State Zip Code FEC Identification Number Philadelphia PA 19118 Purpose of Disbursement Contributions to Non-Fed. Comms 011 C Transaction ID : D104013 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 250.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District:

875.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508174

175 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Rosemary Brown for State Representative Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 17 08 27 2019

City State Zip Code FEC Identification Number Tannersville PA 18372 Purpose of Disbursement Contributions to Non Fed Comms 011 C Transaction ID : D103431 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 250.00 ▲. Senate ✘ Primary General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Senate Republican Campaign Committee(SRCC) Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 792 08 27 2019

City State Zip Code FEC Identification Number Harrisburg PA 17108 Purpose of Disbursement Contributions to Non Fed Comms 011 C Transaction ID : D103439 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 400.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Senate Republican Campaign Committee(SRCC) Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 792 10 07 2019

City State Zip Code FEC Identification Number Harrisburg PA 17108 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103709 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 800.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District:

1450.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508175

176 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Senate Republican Campaign Committee(SRCC) Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 792 12 26 2019

City State Zip Code FEC Identification Number Harrisburg PA 17108 Purpose of Disbursement VOID C Transaction ID : D104035 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2019 ▲ , ▲ , – 400.00 ▲. Senate Primary General President ✘ Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. House Democratic Campaign Committee(HDCC) Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 555 11 27 2019 Federal Square Station City State Zip Code FEC Identification Number Harrisburg PA 17108 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103895 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1250.00 ▲. Senate Primary General President ✘ Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. House Democratic Campaign Committee(HDCC) Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 555 11 27 2019 Federal Square Station City State Zip Code FEC Identification Number Harrisburg PA 17108 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103896 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1250.00 ▲. Senate Primary General President ✘ Other (specify) ▼ Memo Item State: District:

2100.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508176

177 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. House Democratic Campaign Committee(HDCC) Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 555 08 27 2019 Federal Square Station City State Zip Code FEC Identification Number Harrisburg PA 17108 Purpose of Disbursement Contributions to Non Fed Comms 011 C Transaction ID : D103434 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1250.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. House Democratic Campaign Committee(HDCC) Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 555 08 27 2019 Federal Square Station City State Zip Code FEC Identification Number Harrisburg PA 17108 Purpose of Disbursement Contributions to Non Fed Comms 011 C Transaction ID : D103435 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1250.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Senate Democratic Campaign Committee (SDCC) Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 3792 08 27 2019

City State Zip Code FEC Identification Number Harrisburg PA 17105 Purpose of Disbursement Contributions to Non Fed Comms 011 C Transaction ID : D103443 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District:

3000.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508177

178 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Donatucci 2015 Committee Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 1504 South Broad Street 12 26 2019

City State Zip Code FEC Identification Number Philadelphia PA 19146 Purpose of Disbursement VOID C Transaction ID : D104021 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2019 ▲ , ▲ , – 500.00 ▲. Senate Primary General President ✘ Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Friends of Lawrence Farnese Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 22594 08 27 2019

City State Zip Code FEC Identification Number Philadelphia PA 19110 Purpose of Disbursement Contributions to Fed Comms 011 C Transaction ID : D103425 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1250.00 ▲. Senate ✘ Primary General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Friends of Lawrence Farnese Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 22594 08 27 2019

City State Zip Code FEC Identification Number Philadelphia PA 19110 Purpose of Disbursement Contributions to Non Fed Comms 011 C Transaction ID : D103426 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1250.00 ▲. Senate ✘ Primary General President Other (specify) ▼ Memo Item State: District:

2000.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508178

179 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Friends of Lawrence Farnese Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 22594 10 11 2019

City State Zip Code FEC Identification Number Philadelphia PA 19110 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103760 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Friends of Lawrence Farnese Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 22594 10 11 2019

City State Zip Code FEC Identification Number Philadelphia PA 19110 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103761 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Build PA PAC Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 412 10 07 2019

City State Zip Code FEC Identification Number Harrisburg PA 17108 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103712 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1250.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District:

2250.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508179

180 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Build PA PAC Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 412 10 07 2019

City State Zip Code FEC Identification Number Harrisburg PA 17108 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103713 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1250.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Build PA PAC Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 412 12 26 2019

City State Zip Code FEC Identification Number Harrisburg PA 17108 Purpose of Disbursement VOID C Transaction ID : D104024 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2019 ▲ , ▲ , – 1000.00 ▲. Senate Primary General President ✘ Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Friends of Kristin Phillips-Hill Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 278 Pine View Lane 10 11 2019

City State Zip Code FEC Identification Number York PA 17403 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103767 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 250.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District:

500.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508180

181 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Friends of Kristin Phillips-Hill Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 278 Pine View Lane 10 11 2019

City State Zip Code FEC Identification Number York PA 17403 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103768 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 250.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Friends of Mike Driscoll Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 8344 Torresdale Avenue 10 09 2019

City State Zip Code FEC Identification Number Philadelphia PA 19136 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103731 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 250.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Friends of Mike Driscoll Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 8344 Torresdale Avenue 10 09 2019

City State Zip Code FEC Identification Number Philadelphia PA 19136 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103732 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District:

1000.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508181

182 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. East Central Republican Caucus Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 430 Franklin Church Road 08 27 2019

City State Zip Code FEC Identification Number Dillsburg PA 17019 Purpose of Disbursement Contributions to Non Fed Comms 011 C Transaction ID : D103441 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 150.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. East Central Republican Caucus Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 430 Franklin Church Road 08 27 2019

City State Zip Code FEC Identification Number Dillsburg PA 17019 Purpose of Disbursement Contributions to Non Fed Comms 011 C Transaction ID : D103442 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 150.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Friends of Brian O'Neill Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 15209 Bernita Dr 10 02 2019

City State Zip Code FEC Identification Number Philadelphia PA Purpose of Disbursement Contributions to Non Fed Comms 011 C Transaction ID : D103692 Candidate Name Category/ Amount of Each Disbursement this Period O'Neill, Brian, , , Type Office Sought: House Disbursement For: 2019 ▲ , ▲ , 1000.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: PA District:

1300.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508182

183 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Friends of Mike Turzai Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 29 Meetinghouse Ln 10 11 2019

City State Zip Code FEC Identification Number Bradfordwoods PA 15015 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103769 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1000.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Friends of Mike Turzai Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 29 Meetinghouse Ln 10 11 2019

City State Zip Code FEC Identification Number Bradfordwoods PA 15015 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103770 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1000.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Pennsylvania Chamber of Business and Industry Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 417 Walnut St 10 09 2019

City State Zip Code FEC Identification Number Harrisburg PA 17101 Purpose of Disbursement Contributions to Non Fed Comms 011 C Transaction ID : D103739 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 250.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District:

2250.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508183

184 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Friends of Jason Salus Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 1214 11 01 2019

City State Zip Code FEC Identification Number Norristown PA 19404 Purpose of Disbursement Contributions to Non-Fed. Comms 011 C Transaction ID : D103840 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2019 ▲ , ▲ , 250.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Friends of Pat Toomey Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 1735 Market Street 12 26 2019

City State Zip Code FEC Identification Number Philadelphia PA 19103 Purpose of Disbursement C00461046 VOID C Transaction ID : D104034 Candidate Name Category/ Amount of Each Disbursement this Period Toomey, Patrick, J., Sen., Type Office Sought: House Disbursement For: 2019 ▲ , ▲ , – 1000.00 ▲. ✘ Senate Primary General President ✘ Other (specify) Memo Item State: PA District: 00 Full Name (Last, First, Middle Initial) C. Bucks Victory Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 10 E Court St 09 09 2019

City State Zip Code FEC Identification Number Doylestown PA 18901 Purpose of Disbursement Contributions to Non Fed Comms 011 C Transaction ID : D103513 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2019 ▲ , ▲ , 1250.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District:

500.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508184

185 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Bucks Victory Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 10 E Court St 09 09 2019

City State Zip Code FEC Identification Number Doylestown PA 18901 Purpose of Disbursement Contributions to Non Fed Comms 011 C Transaction ID : D103514 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2019 ▲ , ▲ , 1250.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Mike Sturla for State Representative Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 206 10 18 2019

City State Zip Code FEC Identification Number Lancaster PA 17608 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103830 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Friends of Bryan Cutler Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 624 10 11 2019

City State Zip Code FEC Identification Number Quarryville PA 17566 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103764 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District:

2250.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508185

186 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Friends of Bryan Cutler Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 624 10 11 2019

City State Zip Code FEC Identification Number Quarryville PA 17566 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103765 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Friends of Stephen Barrar Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 12 Bernard St. 08 27 2019

City State Zip Code FEC Identification Number Aston PA 19014 Purpose of Disbursement Contributions to Non Fed Comms 011 C Transaction ID : D103432 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: ✘ House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate ✘ Primary General President Other (specify) Memo Item State: PA District: 16 Full Name (Last, First, Middle Initial) C. Shapiro for Pennsylvania Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 1238 12 26 2019

City State Zip Code FEC Identification Number Norristown PA 19404 Purpose of Disbursement VOID C Transaction ID : D104032 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2019 ▲ , ▲ , – 1000.00 ▲. Senate Primary General President ✘ Other (specify) ▼ Memo Item State: District:

0.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508186

187 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Friends of Chris Quinn Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 50 South Providence Road 10 01 2019

City State Zip Code FEC Identification Number Media PA 19063 Purpose of Disbursement Contribution to Non-Fed. Comms 011 C Transaction ID : D103678 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1500.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Friends of Chris Quinn Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 50 South Providence Road 10 09 2019

City State Zip Code FEC Identification Number Media PA 19063 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103720 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 125.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Friends of Chris Quinn Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 50 South Providence Road 10 09 2019

City State Zip Code FEC Identification Number Media PA 19063 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103721 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 125.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District:

1750.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508187

188 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Friends of Maria P. Donatucci Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 1526 Wolf Street 10 18 2019 1st floor City State Zip Code FEC Identification Number Philadelphia PA 19145 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103832 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 250.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Chester County Chamber of Business and Industry PAC (CCBI PAC) Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 1600 Paoli Pike 10 29 2019

City State Zip Code FEC Identification Number Malvern PA 19355 Purpose of Disbursement Contributions to Non-Fed. Comms 011 C Transaction ID : D103842 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2019 ▲ , ▲ , 250.00 ▲. Senate Primary General President ✘ Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Citizens for Jordan Harris Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 32097 10 07 2019

City State Zip Code FEC Identification Number Philadelphia PA 19146 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103714 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District:

1000.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508188

189 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Citizens for Jordan Harris Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 32097 10 09 2019

City State Zip Code FEC Identification Number Philadelphia PA 19146 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103727 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Citizens for Jordan Harris Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 32097 10 09 2019

City State Zip Code FEC Identification Number Philadelphia PA 19146 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103728 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Citizens for Jordan Harris Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 32097 10 04 2019

City State Zip Code FEC Identification Number Philadelphia PA 19146 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103700 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1250.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District:

2250.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508189

190 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Citizens for Jordan Harris Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 32097 10 04 2019

City State Zip Code FEC Identification Number Philadelphia PA 19146 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103701 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 1250.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Committee to Elect Leanne Krueger-Braneky Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 22 11 27 2019

City State Zip Code FEC Identification Number Swarthmore PA 19081 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103904 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 250.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Committee to Elect Leanne Krueger-Braneky Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 22 11 27 2019

City State Zip Code FEC Identification Number Swarthmore PA 19081 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103905 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 250.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District:

1750.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508190

191 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Friends of Joanna McClinton Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 16668 10 01 2019

City State Zip Code FEC Identification Number Philadelphia PA 19139 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103679 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 250.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Perry Warren for State Legislator Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 149 Andrew Drive 10 07 2019

City State Zip Code FEC Identification Number Newtown PA 18940 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103718 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 100.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Friends for Morgan Cephas Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 28105 08 27 2019

City State Zip Code FEC Identification Number Philadelphia PA 19131 Purpose of Disbursement Contributions to Non Fed Comms 011 C Transaction ID : D103444 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 250.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District:

600.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508191

192 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Friends for Morgan Cephas Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 28105 08 27 2019

City State Zip Code FEC Identification Number Philadelphia PA 19131 Purpose of Disbursement Contributions to Non Fed Comms 011 C Transaction ID : D103445 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 250.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Friends for Morgan Cephas Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 28105 11 27 2019

City State Zip Code FEC Identification Number Philadelphia PA 19131 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103906 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 250.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Friends for Morgan Cephas Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 28105 12 26 2019

City State Zip Code FEC Identification Number Philadelphia PA 19131 Purpose of Disbursement VOID C Transaction ID : D104023 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2019 ▲ , ▲ , – 250.00 ▲. Senate Primary General President ✘ Other (specify) ▼ Memo Item State: District:

250.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508192

193 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Markosek Campaign Date of Disbursement

M M / D D / Y Y Y Y Mailing Address PO Box 11466 10 11 2019

City State Zip Code FEC Identification Number Harrisburg PA 17108 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103772 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 250.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. Friends of Isabella Fitzgerald Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 1976 Penfield Place 10 07 2019

City State Zip Code FEC Identification Number Philadelphia PA 19138 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103717 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 120.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. Friends of Dawn Keefer Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 150 Ore Bank 08 27 2019

City State Zip Code FEC Identification Number Dillsburg PA 17019 Purpose of Disbursement Contributions to Non Fed Comms 011 C Transaction ID : D103448 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 150.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District:

520.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲.

TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016 Image# 202002179186508193

194 194 SCHEDULE B (FEC Form 3X) FOR LINE NUMBER: PAGE OF Use separate schedule(s) ITEMIZED DISBURSEMENTS (check only one) for each category of the 21b 22 23 26 27 Detailed Summary Page 28a 28b 28c ✘ 29 30b Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full) Independence Blue Cross PAC

Full Name (Last, First, Middle Initial) A. Friends of Dawn Keefer Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 150 Ore Bank 08 27 2019

City State Zip Code FEC Identification Number Dillsburg PA 17019 Purpose of Disbursement Contributions to Non Fed Comms 011 C Transaction ID : D103449 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 150.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District: Full Name (Last, First, Middle Initial) B. MontCo Victory Committee Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 121 S. Broad Street 11 27 2019

City State Zip Code FEC Identification Number Philadelphia PA 19102 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103899 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate Primary ✘ General President Other (specify) Memo Item State: District: Full Name (Last, First, Middle Initial) C. MontCo Victory Committee Date of Disbursement

M M / D D / Y Y Y Y Mailing Address 121 S. Broad Street 11 27 2019

City State Zip Code FEC Identification Number Philadelphia PA 19102 Purpose of Disbursement Contributions to Non-Fed. Comms. 011 C Transaction ID : D103900 Candidate Name Category/ Amount of Each Disbursement this Period Type Office Sought: House Disbursement For: 2020 ▲ , ▲ , 500.00 ▲. Senate Primary ✘ General President Other (specify) ▼ Memo Item State: District:

1150.00 SUBTOTAL of Disbursements This Page (optional)...... ▲ , ▲ , ▲. 81020.00 TOTAL This Period (last page this line number only)...... ▼ ▼ , , .

FEC Schedule B (Form 3X) Rev. 05/2016