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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-809107

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1. Philadelphia Joint Board Political Action Committee

    22 South 22nd Street
    Philadelphia, PA 19103
    Email: msaldana@pjbunion.org;azaren@pjbunion.org

    NOTE: Email address is different than previously reported

2. Date: 09/10/2012

3. FEC Committee ID #: C00165324 This committee is a separate segregated fund. Its connected organization is a Labor Organization

Affiliated Committees/Organizations

Local 274 Hotel/Restaurant Employees
22 South 22nd Street
Philadelphia, Pennsylvania 19103
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Mildred Saldana
22 South 22nd Street
Philadelphia, PA 19103
Title: Secretary-Treasurer
Phone # (215) 751-9770

Treasurer:

Mildred Saldana
22 South 22nd Street
Philadelphia, Pennsylvania 19103
Title: Secretary-Treasurer
Phone # (215) 751-9770

Designated Agent(s):

Banks or Depositories

Citizens Bank
20th and Market
Philadelphia, Pennsylvania 19103

FSC Securities Corporation
2300 Windy Ridge Parkway Suite 110
Atlanta, Georgia 30339

Signed: Mildred Saldana
Date Signed: 09/10/2012

(End FEC FORM 1)

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