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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1005511

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1. UNITE HERE TIP Campaign Committee

    275 7th Avenue 16th Floor
    New York, NY 10001

    NOTE: Address is different than previously reported

    Email: ztkhan@unitehere.org

2. Date: 04/20/2015

3. FEC Committee ID #: C00004861 This committee is a separate segregated fund. Its connected organization is a Labor Organization

Affiliated Committees/Organizations

UNITE HERE
275 Seventh Avenue
16th Floor
New York, New York 10001
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Zaina Tannu-Khan
275 Seventh Avenue
16th Floor
New York, NY 10001
Title: Custodian of Records
Phone # (212) 265-7000

Treasurer:

Timothy Barnes
275 Seventh Avenue
16th Floor
New York, New York 10001
Title: Treasurer
Phone # (212) 265-7000

Designated Agent(s):

William Voltz
3946 Shamrock Dr.
Charlotte, North Carolina 28215
Title: Assistant Treasurer
Phone # (704) 713-5071

Banks or Depositories

JPMorgan Chase
109 Delancey Street
New York, New York 10002

Signed: Timothy Barnes
Date Signed: 04/21/2015

FORM TEXT-1

(End FEC FORM 1)

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