FEC Form 1 for LOCAL 32BJ SEIU American Dream Political Action Fund (32BJ American Dream Fund)Form 1 for LOCAL 32BJ SEIU American Dream Political Action Fund (32BJ American Dream Fund)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-133872

1. LOCAL 32BJ SEIU American Dream Political Action Fund (32BJ American Dream Fund)

101 Avenue of the Americas
New York, NY 10013
Email: hfigueroa@seiu32bj.org

2. Date: 09/07/2004

3. FEC Committee ID #: C00355289 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Local 32BJ Service Employees International Union
101 Avenue of the Americas
New York, New York 10013
Relationship: Connected Organization
Organization Type: Labor Organization

Custodian of Records:

George Reis
101 Avenue of the Americas
New York, NY 10013
Title: Dir. Of Accounting

Treasurer:

Hector Figueroa
101 Avenue of the Americas
New York, New York 10013
Title: Treasurer

Designated Agent(s):

Peter Goldberger
101 Avenue of the Americas
New York, New York 10013
Title: Assistant Treasurer

Banks or Depositories

Fleet Bank
1185 Sixth Avenue
Third Floor
New York, New York 10038

Signed: Hector Figueroa
Date Signed: 09/07/2004

(End FEC FORM 1)

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