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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-130229

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1. CHICAGO & MIDWEST REGIONAL JOINT BOARD UNITE HERE-PEC

    NOTE:Commmittee Name is different than previously reported

    333 SOUTH ASHLAND AVENUE
    CHICAGO, IL 606072703
    Fax: 3127380784
    Email: rwilliamsunite@ameritech.net

2. Date: 08/03/2004

3. FEC Committee ID #: C00026096 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Mr. James E. Skonicki
333 S.Ashland Avenue
Chicago, Illinois 60607
Title: Treasurer
Phone # (312) 738-6106

Designated Agent(s):

Banks or Depositories

Signed: Mr. James E. Skonicki
Date Signed: 08/03/2004
Official Committee FAX: 3127380784

(End FEC FORM 1)

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