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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-271830

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1. International Brotherhood of Boilermakers Campaign Assistance Fund

    753 State Ave.
    Suite 565
    Kansas City, KS 66101
    Email: caf@boilermakers.org

2. Date: 01/27/2007

3. FEC Committee ID #: C00005157 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

William Creeden
753 State Avenue
Suite 565
Kansas City, KS 66101

Treasurer:

William Creeden
753 State Avenue
Suite 565
Kansas City, Kansas 66101

Designated Agent(s):

Banks or Depositories

Signed: William Creeden
Date Signed: 01/27/2007

(End FEC FORM 1)

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