FEC Form 1 for TEAMSTERS LOCAL #115 POLITICAL ACTION FUND (AKA DRIVE-LOCAL NO. 115)Form 1 for TEAMSTERS LOCAL #115 POLITICAL ACTION FUND (AKA DRIVE-LOCAL NO. 115)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-421480

1. TEAMSTERS LOCAL #115 POLITICAL ACTION FUND (AKA DRIVE-LOCAL NO. 115)

2833 COTTMAN AVENUE
PHILADELPHIA, PA 191491421
Email: mail@teamsters115.org

2. Date: 06/23/2009

3. FEC Committee ID #: C00010876 This committee is a separate segregated fund. Its connected organization is a Labor Organization

Affiliated Committees/Organizations

Teamsters Union Local No. 115
2833 Cottman Avenue
Philadelphia, Pennsylvania 191491421
Affiliated Relationship Code: Connected Organization

Custodian of Records:

James E. Smith Jr.
2833 Cottman Avenue
Philadelphia, PA 191491421
Title: Treasurer
Phone # (215) 335-0100

Treasurer:

James E. Smith Jr.
2833 Cottman Avenue
Philadelphia, Pennsylvania 191491421
Title: Treasurer
Phone # (215) 335-0100

Designated Agent(s):

Banks or Depositories

Citizens Bank
2910 Cottman Avenue
Philadelphia, Pennsylvania 191491437

Philadelphia Federal Credit Union
12800 Townsend Road
Philadelphia, Pennsylvania 191541003

Signed: James E. Smith Jr.
Date Signed: 06/23/2009

(End FEC FORM 1)

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