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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1772064

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1. Mid-Atlantic Laborers' Political League/Laborers' International Union of North America

    NOTE:Commmittee Name is different than previously reported

    1875 Explorer Dr
    Suite 920
    Reston, VA 201905640
    Email: bpetruska@maliuna.org,jen@lebinyates.com

2. Date: 04/14/2024

3. FEC Committee ID #: C00429175 This committee is a separate segregated fund. Its connected organization is a Labor Organization

Affiliated Committees/Organizations

Laborers' International Union of North America
905 16th St., NW
Washington, DC 20006
Affiliated Relationship Code: Connected Organization

LABORERS' INTERNATIONAL UNION OF NORTH
906 16th St NW
Washington, DC 20006
Affiliated Relationship Code: Affiliated Committee

Laborers' International Union of North
905 16th St., NW
Washington, DC 20006
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Kelly Jones
1875 Explorer Drive
Suite 920
Reston, VA 20190
Title: Custodian of Records
Phone # (703) 860-4194

Treasurer:

Brian Petruska
1875 Explorer Dr
Suite 920
Reston, Virginia 20190
Title: Treasurer
Phone # (703) 860-4194

Designated Agent(s):

Banks or Depositories

PNC Bank
950 Herndon Parkway
Herndon, Virginia 20170

Signed: Brian Petruska
Date Signed: 04/14/2024

(End FEC FORM 1)

Generated Fri Jun 28 02:51:55 2024