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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-751804

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1. LABORERS INT'L UNION OF NORTH AMERICA WESTERN POLITICAL LEAGUE

    4044 North Freeway Blvd.
    Sacramento, CA 95834

    NOTE: Address is different than previously reported

    Email: kehresman@liuna.org

    NOTE: Email address is different than previously reported

2. Date: 11/04/2011

3. FEC Committee ID #: C00169201 This committee is a separate segregated fund. Its connected organization is a Labor Organization

Affiliated Committees/Organizations

Laborers' International Union of North America
905 16th Street, NW
Washington, DC 20006
Affiliated Relationship Code: Connected Organization

Committee ID# C00007922
LABORERS' INTERNATIONAL UNION OF NORTH
905 16TH ST., N.W.
SECOND FLOOR
WASHINGTON, DC 20006
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00345306
NATIONAL POSTAL MAIL HANDLERS UNION -
905 16TH ST., NW
SECOND FLOOR
WASHINGTON, DC 20006
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00249086
LABORERS' POLITICAL LEAGUE OF LABORERS
6310 W APPLETON AVENUE
MILWAUKEE, Wisconsin 53210
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00155069
LABORERS INTERNATIONAL UNION OF NORTH
2556 SENECA AVENUE
NIAGARA FALLS, New York 14305
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00342907
MIDWEST REGION LABORERS' POLITICAL LEA
1 NORTH OLD STATE CAPITOL PLAZA
SUITE 525
SPRINGFIELD, Illinois 62701
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00220566
NEW YORK STATE LABORERS' INTERNATIONAL
18 CORPORATE WOODS BLVD.
.
ALBANY, New York 12211
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00214643
NJ STATE LABORERS PAC/ LABORERS' INTER
104 INTERCHANGE PLAZA
SUITE 301
MONROE TWP., New Jersey 08831
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00233049
LABORER'S INTERNATIONAL UNION OF NO AM
451A LITTLE BRITAIN ROAD
NEWBURGH, New York 12550
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00253294
LABORERS' DISTRICT COUNCIL OF THE METR
520 N. DELAWARE AVENUE
SUITE 201
PHILADELPHIA, Pennsylvania 19123
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00337733
MASON TENDERS DISTRICT COUNCIL OF GREA
266 WEST 37TH STREET
7TH FLOOR
NEW YORK, New York 10018
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00388124
HEAVY AND GENERAL CONSTRUCTION LABORER
700 RAYMOND BOULEVARD
NEWARK, New Jersey 07105
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00164228
LABORERS LOCAL 1184 POLITICAL CAMPAIGN
1128 E CADENA DRIVE
RIVERSIDE, California 92501
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00429175
MID-ATLANTIC LABORERS' POLITICAL LEAGU
12355 SUNRISE VALLEY DRIVE
SUITE 550
RESTON, Virginia 20191
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00270413
LABORERS' INT'L UNION OF NORTH AMERICA
905 16TH ST., NW
SECOND FLOOR
WASHINGTON, DC 20006
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00111237
COMPRESSED AIR FREE AIR FOUNDATION TUN
4332 KATONAH AVE
.
BRONX, New York 10470
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Amber Novey
4044 North Freeway Blvd.
Sacramento, CA 95834
Title: Custodian of Records
Phone # (916) 604-5576

Treasurer:

Ken Casarez
4044 North Freeway Blvd.
Sacramento, California 95834
Title: Treasurer
Phone # (916) 604-5576

Designated Agent(s):

Banks or Depositories

JPMorgan Chase
11200 Gold Express Drive
Gold River, California 95670

Signed: Ken Casarez
Date Signed: 10/31/2011

(End FEC FORM 1)

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