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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-918731

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1. INTERNATIONAL ASSOC. OF HEAT & FROST INSULATORS & ASBESTOS WORKERS LOCAL #12 FEDERAL PAC

    35-53 24th Street
    Long Island City, NY 11106

    NOTE: Address is different than previously reported

    Email: matty@insulatorslocal12.com

2. Date: 04/15/2014

3. FEC Committee ID #: C00398040 This committee is a separate segregated fund. Its connected organization is a Labor Organization

Affiliated Committees/Organizations

INTERNATIONAL ASSOCIATION OF HEAT & FROST INSULATORS & ALLIED TRADES LOCAL UNION # 12
35-53 24th Street
Long Island City, New York 11106
Affiliated Relationship Code: Connected Organization

Custodian of Records:

NICK GRGAS
35-53 24th Street
Long Island City, NY 11106
Title: PRESIDENT
Phone # (718) 784-3456

Treasurer:

Matthew Aracich
35-53 24th Street
Long Island City, New York 11106
Title: TREASURER
Phone # (718) 784-3456

Designated Agent(s):

DENNIS J IPPOLITO
35-53 24th Street
Long Island City, New York 11106
Title: BUSINESS MANAGER
Phone # (718) 784-3456

Banks or Depositories

JP MORGAN CHASE BANK
10-51 JACKSON AVENUE
LONG ISLAND CITY, New York 11101

Signed: Matthew Aracich
Date Signed: 04/15/2014

(End FEC FORM 1)

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