FEC Form 1 for DADE COUNTY FIRE FIGHTERS, LOCAL 1403 PACForm 1 for DADE COUNTY FIRE FIGHTERS, LOCAL 1403 PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-515911

1. DADE COUNTY FIRE FIGHTERS, LOCAL 1403 PAC

8000 NW 21 STREET
SUITE 222
MIAMI, FL 33122
Email: firepac1403@aol.com

NOTE: Email address is different than previously reported

2. Date: 07/01/2010

3. FEC Committee ID #: C00130187 This committee is a separate segregated fund. Its connected organization is a Labor Organization

Affiliated Committees/Organizations

Dade County FireFighters sLocal 1403
8000 N.W. 21 st Street, Suite 222
Doral, Florida 33122
Affiliated Relationship Code: Connected Organization

Committee ID# C00029447
INTERNATIONAL ASSOCIATION OF FIREFIGHT
1750 New York Ave NW
Washington, DC 20006
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

PAUL BLAKE
8000 NW 21 STREET
MIAMI, FL 33122
Title: Treasurer
Phone # (305) 593-6100

Treasurer:

PAUL BLAKE
8000 NW 21 STREET
MIAMI, Florida 33122
Title: Treasurer
Phone # (305) 593-6100

Designated Agent(s):

Banks or Depositories

Regions Bank
2800 Ponce De Leon Blvd
Coral Gables, Florida 33134

Signed: PAUL BLAKE
Date Signed: 11/10/2010

(End FEC FORM 1)

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