FEC Form 1 for International Longshore and Warehouse Union -- Political Action FundForm 1 for International Longshore and Warehouse Union -- Political Action Fund

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-96298

1. International Longshore and Warehouse Union -- Political Action Fund

1188 Franklin Street
San Francisco, CA 94109

2. Date: 10/02/2003

3. FEC Committee ID #: C00176214 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

William E. Adams
1188 Franklin Street
San Francisco, California 94109
Title: Secretary Treasurer
Phone # (415) 775-0533

Designated Agent(s):

Banks or Depositories

Signed: William E. Adams
Date Signed: 10/02/2003

(End FEC FORM 1)

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