FEC Form 1 for I.U.O.E LOCAL 15 POLITICAL ACTION COMMITTEEForm 1 for I.U.O.E LOCAL 15 POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-208277

1. I.U.O.E LOCAL 15 POLITICAL ACTION COMMITTEE

265 WEST 14TH STREET
NEW YORK, NY 10011
Fax: 2122060357
Email: KerryO@IUOE15.org

2. Date: 03/28/2006

3. FEC Committee ID #: C00163956 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 15 15A 15B 15C 15D AFL-CIO
265 WEST 14TH STREET
NEW YORK, New York 10011
Relationship: CONNECTED
Organization Type: Labor Organization

Custodian of Records:

BRIAN S. KELLY
265 WEST 14TH STREET
ROOM 505
NEW YORK, NY 10011
Title: Treasurer
Phone # (212) 929-5327

Treasurer:

BRIAN S. KELLY
265 WEST 14TH STREET
ROOM 505
NEW YORK, New York 10011
Title: Treasurer
Phone # (212) 929-5327

Designated Agent(s):

Banks or Depositories

HSBC BANK USA
80 EIGHTH AVENUE
NEW YORK, New York 10011

WACHOVIA
21 SOUTH STREET
MORRISTOWN, New Jersey 07960

Signed: BRIAN S. KELLY
Date Signed: 03/28/2006
Official Committee FAX: 2122060357

(End FEC FORM 1)

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