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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-975697

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1. INTERNATIONAL ASSOCIATION OF FIRE FIGHTERS, LOCAL 42 POLITICAL ACTION COMMITTEE

    6320 Manchester Ave.
    Suite 42A
    Kansas City, MO 64133
    Email: krivera@iaff42.org;jbrown@iaff42.org

    NOTE: Email address is different than previously reported

2. Date: 11/21/2013

3. FEC Committee ID #: C00365296 This committee is a separate segregated fund. Its connected organization is a Labor Organization

Affiliated Committees/Organizations

Committee ID# C00203497
HOUSTON FIRE FIGHTERS POLITICAL ACTION FUND, INTERNATIONAL ASSOCIATION OF FIRE FIGHTERS
1907 FREEMAN STREET
HOUSTON, Texas 77009
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00130187
DADE COUNTY FIRE FIGHTERS, LOCAL 1403
8000 NW 21 STREET
SUITE 222
MIAMI, Florida 33122
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00134676
PHOENIX FIRE FIGHTERS, LOCAL 493, FIRE
61 E COLUMBUS AVE, #200
PHOENIX, Arizona 85012
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00139014
MIAMI FIREPAC-IAFF LOCAL 587
2980 N W SOUTH RIVER DRIVE
MIAMI, Florida 33125
Affiliated Relationship Code: Affiliated Committee

Committee ID# C00254193
UNIFORMED FIREFIGHTERS ASSOCIATION POL
204-208 EAST 23RD STREET
NEW YORK, New York 10010
Affiliated Relationship Code: Affiliated Committee

Committee ID# C70003108
IAFF
1750 NEW YORK NW
WASHINGTON, DC 20006
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Stephen Davis
51 E. 52nd Street
Kansas City, MO 64112
Phone # (816) 358-4222

Treasurer:

Stephen Davis
51 E. 52nd Street
Kansas City, Missouri 64112
Title: Treasurer
Phone # (816) 358-4222

Designated Agent(s):

Banks or Depositories

Brotherhood Bank and Trust
756 Minnesota Ave.
Kansas City, Missouri 64133

Signed: Stephen Davis
Date Signed: 12/02/2014

(End FEC FORM 1)

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