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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1706259

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1. International Union of Operating Engineers Local 15 A B C D Political Action Committee

    44-40 11th Street
    Long Island City, NY 11101
    Email: kerryo@iuoe15.org;mamahon@snpcpa.com

2. Date: 06/01/2023

3. FEC Committee ID #: C00163956 This committee is a separate segregated fund. Its connected organization is a Labor Organization

Affiliated Committees/Organizations

International Union of Operating Engineers Local 15 A B C D
44-40 11th Street
Long Island City, New York 11101
Affiliated Relationship Code: Connected Organization

Committee ID# C00029504
ENGINEERS POLITICAL EDUCATION COMMITTE
1125 17TH ST, NW
WASHINGTON, DC 20036
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00426163
NEW YORK STATE CONFERENCE OF THE INTE
44-40 11TH STREET
LONG ISLAND CITY, New York 11101
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Anthony R LaRosa
44-40 11th Street
Long Island City, NY 11101
Title: Treasurer
Phone # (212) 929-5327

Treasurer:

Anthony R LaRosa
44-40 11th Street
Long Island City, New York 11101
Title: Treasurer
Phone # (212) 929-5327

Designated Agent(s):

Banks or Depositories

Flagstar Bank, N.A.
565 Fifth Avenue
New York, New York 10017

Signed: Anthony R LaRosa
Date Signed: 06/01/2023

(End FEC FORM 1)

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