FEC Form 1 for 1199 32BJ/144 SERVICE EMPLOYEES INTERNATIONAL UNION HOME CARE POLITICAL ACTION FUNDForm 1 for 1199 32BJ/144 SERVICE EMPLOYEES INTERNATIONAL UNION HOME CARE POLITICAL ACTION FUND

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-275175

1. 1199 32BJ/144 SERVICE EMPLOYEES INTERNATIONAL UNION HOME CARE POLITICAL ACTION FUND

330 WEST 42ND STREET 7TH FLOOR
NEW YORK, NY 10036

2. Date: 01/31/2007

3. FEC Committee ID #: C00344531 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

SERVICE EMPLOYEES INT'L UNION
1313 L STREET N.W.
WASHINGTON, DC 20036
Relationship: CONNECTED ORG.
Organization Type: Membership Organization

SERVICE EMPLOYEES INT'L UNION COMM. ON
1313 L STREET N.W.
WASHINGTON, DC 20036
Relationship: AFFILIATED COMMITTEE
Organization Type: Labor Organization

Custodian of Records:

PATRICK GASPARD
330 WEST 42ND STREET
NEW YORK, NY 10036
Title: TREASURER
Phone # (212) 603-1743

Treasurer:

PATRICK GASPARD
330 WEST 42ND STREET
NEW YORK, New York 10036
Title: TREASURER
Phone # (212) 603-1743

Designated Agent(s):

Banks or Depositories

COMMERCE BANK
1710 ROUTE 70 EAST
CHERRY HILL, New Jersey 08034

Signed: PATRICK GASPARD
Date Signed: 02/02/2007

(End FEC FORM 1)

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