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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-782138

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

    40 Rector Street, 12th Floor
    New York, NY 10006

    NOTE: Address is different than previously reported

    Email: anita@csa-nyc.org

2. Date: 05/09/2012

3. FEC Committee ID #: C00355818 This committee is a separate segregated fund. Its connected organization is a Labor Organization

Affiliated Committees/Organizations

Committee ID# C00355818
COUNCIL OF SCHOOL SUPERVISORS AND ADMINISTRATORS LOCAL 1 AFSA AFL-CIO
40 Rector Street, 12th Floor
New York, New York 10006
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Treasurer:

Anita Gomez-Palacio
40 Rector Street, 12th Floor
New York, New York 10006
Title: Treasurer
Phone # (212) 823-2020

Designated Agent(s):

Peter McNally
40 Rector Street, 12th Floor
New York, New York 10006
Title: Assistant Treasurer
Phone # (212) 823-2020

Banks or Depositories

TD Bank
, ____

Signed: Anita Gomez-Palacio
Date Signed: 05/09/2012

(End FEC FORM 1)

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