FEC Form 1 for INTERNATIONAL FEDERATION OF PROFESSIONAL AND TECHNICAL ENGINEERS LOCAL 21Form 1 for INTERNATIONAL FEDERATION OF PROFESSIONAL AND TECHNICAL ENGINEERS LOCAL 21

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1034505

1. INTERNATIONAL FEDERATION OF PROFESSIONAL AND TECHNICAL ENGINEERS LOCAL 21

1167 MISSION STREET
SUITE 201
SAN FRANCISCO, CA 94103

NOTE: Address is different than previously reported

Email: pac@unioncpa.com

NOTE: Email address is different than previously reported

2. Date: 11/23/2015

3. FEC Committee ID #: C00303743 This committee is a separate segregated fund. Its connected organization is a Labor Organization

Affiliated Committees/Organizations

Committee ID# C00303743
INTERNATIONAL FEDERATION OF PROFESSIONAL AND TECHNICAL ENGINEERS LOCAL 21
1167 MISSION STREET
SUITE 201
SAN FRANCISCO, California 94103
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Eugene Cassidy
1167 MISSION STREET
SUITE 201
San Francisco, CA 94103
Title: Office Manager
Phone # (415) 864-2100

Treasurer:

MIKHAEL HART
160 CORBETT AVE
SAN FRANCISCO, California 941141815
Title: TREASURER
Phone # (415) 864-2100

Designated Agent(s):

Banks or Depositories

UNITED LABOR BANK
301 Folsom St # A
San Francisco, California 941052309

Signed: MIKHAEL HART
Date Signed: 11/30/2015

(End FEC FORM 1)

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