FEC Form 1 for LOCAL 30 INTERNATIONAL UNION OF OPERATING ENGINEERS POLITICAL ACTION COMMITTEEForm 1 for LOCAL 30 INTERNATIONAL UNION OF OPERATING ENGINEERS POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-229433

1. LOCAL 30 INTERNATIONAL UNION OF OPERATING ENGINEERS POLITICAL ACTION COMMITTEE

115-06 MYRTLE AVENUE
RICHMOND HILL, NY 11418
Fax: 7188052172
Email: JACKAHERN@IUOELOCAL30.ORG

2. Date: 07/20/2006

3. FEC Committee ID #: C00151688 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

LOCAL 30 I.U.O.E. STATE PAC
115-06 MYRTLE AVENUE
RICHMOND HILL, New York 11418
Relationship: CONNECTED
Organization Type: Labor Organization

Custodian of Records:

JOHN T. AHERN
115-06 MYRTLE AVE
RICHMOND HILL, NY 11418
Title: BUSINESS MANAGER
Phone # (718) 847-8484

Treasurer:

JOHN T. AHERN
115-06 MYRTLE AVE
RICHMOND HILL, New York 11418
Title: TREASURER
Phone # (718) 847-8484

Designated Agent(s):

Banks or Depositories

NORTHFORK BANK
115-20 JAMAICA AVENUE
RICHMOND HILL, New York 11418

Signed: JOHN T. AHERN
Date Signed: 07/20/2006
Official Committee FAX: 7188052172

(End FEC FORM 1)

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