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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1047884

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1. Mason Tenders District Council of Greater New York & LI PAC

    266 West 37th Street
    7th Floor
    New York, NY 10018
    Email: kkohlernyc@gmail.com

    NOTE: Email address is different than previously reported

2. Date: 06/24/2015

3. FEC Committee ID #: C00337733 This committee is a separate segregated fund. Its connected organization is a Labor Organization

Affiliated Committees/Organizations

Committee ID# C00007922
LIUNA PAC
905 16th Street, NW
Washington, DC 20006
Affiliated Relationship Code: Affiliated Committee

Mason Tenders District Council of Grea
266 West 37th Street
7th Floor
New York, New York 10018
Affiliated Relationship Code: Connected Organization

Committee ID# C00220566
New York State Laborers' International
18 Corporate Woods Boulevard
Albany, New York 12211
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Kris Kohler
266 West 37th Street
7th Floor
New York, NY 10018
Title: Assistant Treasurer
Phone # (212) 452-9552

Treasurer:

Mike Prohaska
266 West 37th Street
7th Floor
New York, New York 10018
Title: Treasurer
Phone # (212) 452-9552

Designated Agent(s):

Banks or Depositories

HSBC Bank
415 Madison Avenue
New York, New York 10017

Signed: Mike Prohaska
Date Signed: 06/30/2015

FORM TEXT-1

(End FEC FORM 1)

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