FEC Form 1 for UNITED MINE WORKERS OF AMERICA - COAL MINERS POLITICAL ACTION COMMITTEEForm 1 for UNITED MINE WORKERS OF AMERICA - COAL MINERS POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-162693

1. UNITED MINE WORKERS OF AMERICA - COAL MINERS POLITICAL ACTION COMMITTEE

8315 LEE HIGHWAY FIFTH FLOOR
FAIRFAX, VA 22031
Fax: 7032087264
Email: scannon@umwa.org

2. Date: 01/31/2005

3. FEC Committee ID #: C00013342 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

INTERNATIONAL UNION UNITED MINE WORKERS OF AMERICA
8315 LEE HIGHWAY
FAIRFAX, Virginia 22031
Relationship: Connected Org.
Organization Type: Labor Organization

Custodian of Records:

DANIEL J KANE
411 W LLOYD ST
EBENSBURG, PA 15931
Title: Secretary-Treasurer
Phone # (703) 208-7200

Treasurer:

DANIEL J KANE
411 W LLOYD ST
EBENSBURG, Pennsylvania 15931
Title: Secretary-Treasurer
Phone # (703) 208-7200

Designated Agent(s):

Shari Cannon
8315 Lee Highway
Fairfax, Virginia 22031
Title: Controller
Phone # (703) 208-7206

Banks or Depositories

CITIBANK
1000 VERMONT AVE
WASHINGTON, DC 20005

Signed: DANIEL J KANE
Date Signed: 01/31/2005
Official Committee FAX: 7032087264

(End FEC FORM 1)

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