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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-974863

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1. International Union of Operating Engineers Local 15 A B C D Political Action Committee

    44-40 11th Street
    Long Island City, NY 11101
    Email: kerryo@iuoe15.org;mamahon@snpcpa.com

2. Date: 12/01/2014

3. FEC Committee ID #: C00163956 This committee is a separate segregated fund. Its connected organization is a Labor Organization

Affiliated Committees/Organizations

International Union of Operating Engineers Local 15 A B C D
44-40 11th Street
Long Island City, New York 11101
Affiliated Relationship Code: Connected Organization

Committee ID# C00029504
ENGINEERS POLITICAL EDUCATION COMMITTE
1125 17TH ST, NW
WASHINGTON, DC 20036
Affiliated Relationship Code: Affiliated Committee

New York State Conference
44-40 11th Street
Long Island City, New York 11101
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Michael A Salerno
44-40 11th Street
Long Island City, NY 11101
Title: Treasurer
Phone # (212) 929-5327

Treasurer:

Michael A Salerno
44-40 11th Street
Long Island City, New York 11101
Title: Treasurer
Phone # (212) 929-5327

Designated Agent(s):

Banks or Depositories

TD Bank
21-31 46th Avenue
Long Island City, New York 11101

Signed: Michael A Salerno
Date Signed: 12/01/2014

(End FEC FORM 1)

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