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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-810130

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1. I.U.O.E LOCAL 15 POLITICAL ACTION COMMITTE

    44-40 11TH STREET
    LONG ISLAND CITY, NY 111015105

    NOTE: Address is different than previously reported

    Email: kerryo@iuoe15.org

2. Date: 09/18/2012

3. FEC Committee ID #: C00163956 This committee is a Principal Campaign Committee. Candidate:
Party:
Office Sought:
State is in District:

Affiliated Committees/Organizations

NONE
, ____

Custodian of Records:

Treasurer:

, ____

Designated Agent(s):

Banks or Depositories

HSBC BANK USA
80 EIGHTH AVE
NEW YORK, New York 10011

Signed: ROBERT J. BURNS
Date Signed: 09/18/2012

(End FEC FORM 1)

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