FEC Form 1 for CHICAGO & MIDWEST REGIONAL JOINT BOARD UNITE HERE-PECForm 1 for CHICAGO & MIDWEST REGIONAL JOINT BOARD UNITE HERE-PEC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-200872

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

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

2. Date: 02/02/2006

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

Affiliated Committees/Organizations

Committee ID# C00004861
UNITE HERE TIP CAMPAIGN COMMITTEE
275 Seventh Ave. 10th Floor
New York, New York 10001
Relationship: Affiliated PAC
Organization Type: Labor Organization

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: 02/02/2006
Official Committee FAX: 3127380784

(End FEC FORM 1)

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