FEC Form 1 for Communication Workers of America Local 13000 PACForm 1 for Communication Workers of America Local 13000 PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-764798

1. Communication Workers of America Local 13000 PAC

2124 Race Street
Philadelphia, PA 19103
Email: mbgambone@cwalocal13000.org

2. Date: 01/07/2012

3. FEC Committee ID #: C00109595 This committee is a separate segregated fund. Its connected organization is a Labor Organization

Affiliated Committees/Organizations

Communication Workers of America Local 13000
2124 Race Street
Philadelphia, Pennsylvania 19103
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Mary Beth Gambone
2124 Race Street
Philadelphia, Pennsylvania 19103
Title: Secretary-Treasurer
Phone # (215) 564-6169

Designated Agent(s):

Banks or Depositories

Haverford Trust
Three Radnor Corperate Center
Suite 450
Radnor, Pennsylvania 190874546

First Trust Bank
555 City Avenue

Bala Cynwyd, Pennsylvania 19004

Signed: Mary Beth Gambone
Date Signed: 02/07/2012

(End FEC FORM 1)

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