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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1011548

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1. Local 32BJ Service Employees International Union American Dream Political Action Fund

    25 West 18th Street
    New York, NY 10011

    NOTE: Address is different than previously reported

    Email: AHirsh@seiu32bj.org;dschmidt@seiu32bj.org

    NOTE: Email address is different than previously reported

2. Date: 06/23/2015

3. FEC Committee ID #: C00355289 This committee is a separate segregated fund. Its connected organization is a Labor Organization

Affiliated Committees/Organizations

SEIU COPE (Service Employees International Union Committee on Political Education)
1313 L. St. NW
Washington, DC 20005
Affiliated Relationship Code: Affiliated Committee

Local 32BJ Service Employees Internati
25 West 18th Street
New York, New York 10011
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Lori Orme-Coleman
25 West 18th Street
New York, NY 10011
Title: Dir of Finance & Adm
Phone # (212) 388-2051

Treasurer:

Alison E. Hirsh
25 West 18th Street
New York, New York 10011
Title: Treasurer
Phone # (212) 388-3058

Designated Agent(s):

Banks or Depositories

TD Bank
25 Hudson St.
New York, New York 10013

Signed: Alison E. Hirsh
Date Signed: 06/23/2015

(End FEC FORM 1)

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