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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-409362

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1. AMERICAN MARITIME OFFICERS RETIREES ASSOCIATION VOLUNTARY POLITICAL ACTION FUND

    2 West Dixie Highway
    Dania Beach, FL 33004

    NOTE: Address is different than previously reported

    Email: mepstein@amo-union.org

2. Date: 12/29/2006

3. FEC Committee ID #: C00089557 This committee is a separate segregated fund. Its connected organization is a
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

American Maritime Officers
2 West Dixie Hwy
Dania Beach, Florida 33004
Affiliated Relationship Code: Connected Organization

Committee ID# C00027532
AMERICAN MARITIME OFFICERS VOLUNTARY P
2 West Dixie Highway
Dania Beach, Florida 33004
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00342105
DISTRICT 2A TTWISEU VOLUNTARY POLITICA
2 WEST DIXIE HIGHWAY
DANIA BEACH, Florida 33004
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Jose Leonard
PO Box 66
Dania Beach, FL 33004
Title: Treasurer
Phone # (954) 921-2221

Treasurer:

Jose Leonard
PO Box 66
Dania Beach, Florida 33004
Title: Treasurer
Phone # (954) 921-2221

Designated Agent(s):

Paul Doell
PO Box 66
Dania Beach, Florida 33004
Title: Assistant Treasurer
Phone # (954) 921-2221

Banks or Depositories

Bank Atlantic
372 East Dania Beach Blvd.
Dania Beach, Florida 33004

Signed: Jose Leonard
Date Signed: 03/24/2009

FORM TEXT

(End FEC FORM 1)

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