FEC Form 1 for COUNCIL OF SCHOOL SUPERVISORS AND ADMINISTRATORS LOCAL 1 AFSA AFL-CIOForm 1 for COUNCIL OF SCHOOL SUPERVISORS AND ADMINISTRATORS LOCAL 1 AFSA AFL-CIO

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-239928

1. COUNCIL OF SCHOOL SUPERVISORS AND ADMINISTRATORS LOCAL 1 AFSA AFL-CIO

NOTE:Commmittee Name is different than previously reported

16 COURT STREET 4TH FLOOR
BROOKLYN, NY 112411003
Email: Pamela@csa-nyc.org and/or Anita@csa-nyc.org

2. Date: 08/21/2006

3. FEC Committee ID #: C00355818 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

ANITA GOMEZ- PALACIO
16 COURT STREET 4TH FLOOR
BROOKLYN, New York 112411003
Title: TREASURER
Phone # (718) 852-3000

Designated Agent(s):

Banks or Depositories

Signed: Anita Gomez Palacio
Date Signed: 09/28/2006

(End FEC FORM 1)

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