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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-417394

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1. Mason Tenders District Council of Greater New York & LI PAC

    266 West 37th Street
    7th Floor
    New York, NY 10018
    Email: mtdcpac@juno.com

2. Date: 05/15/2009

3. FEC Committee ID #: C00337733 This committee is a separate segregated fund. Its connected organization is a Labor Organization

Affiliated Committees/Organizations

Committee ID# C00007922
LIUNA PAC
905 16th Street, NW
Washington, DC 20006
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Ms Kris D Kohler
266 West 37th Street
7th Floor
New York, NY 10018
Title: Administrator
Phone # (212) 452-9552

Treasurer:

Mr Michael Prohaska
266 West 37th Street
7th Floor
New York, New York 10018
Title: Treasurer
Phone # (212) 452-9501

Designated Agent(s):

Banks or Depositories

HSBC Bank
415 Madison Avenue
New York, New York 10017

Signed: Mr Michael Prohaska
Date Signed: 05/15/2009

(End FEC FORM 1)

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