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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-751192

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1. COMPOSITION ROOFERS LOCAL UNION #30 POLITICAL ACTION & EDUCATION FUND

    6447 TORRESDALE AVENUE
    PHILADELHIA, PA 19135
    Email: mjom103@yahoo.com

    NOTE: Email address is different than previously reported

2. Date: 10/27/2011

3. FEC Committee ID #: C00125534 This committee is a separate segregated fund. Its connected organization is a Labor Organization

Affiliated Committees/Organizations

COMPOSITION ROOFERS LOCAL UNION # 30
6447 TORRESDALE AVENUE
PHILADELPHIA, Pennsylvania 19135
Affiliated Relationship Code: Connected Organization

Custodian of Records:

MICHAEL O'MALLEY
6447 TORRESDALE AVE
PHILADELPHIA, PA 19135
Title: Treasurer
Phone # (215) 331-8770

Treasurer:

MICHAEL O'MALLEY
6447 TORRESDALE AVE
PHILADELPHIA, Pennsylvania 19135
Title: Treasurer
Phone # (215) 331-8770

Designated Agent(s):

Clark Shiley
6447 Torresdae Avenue
Philadelphia, Pennsylvania 19135
Title: President
Phone # (215) 331-8770

Banks or Depositories

PNC BANK
1600 MARKET STREET
PHILADELPHIA, Pennsylvania 19103

Signed: MICHAEL O'MALLEY
Date Signed: 10/27/2011

(End FEC FORM 1)

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