FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-837577
1. New York Jobs PAC
PO Box 708Melville, NY 11747
NOTE: Address is different than previously reported
Email: PLGroup@perkinscoie.com2. Date: 12/05/2012
3. FEC Committee ID #: C00413716This committee supports/opposes more than one Federal candidate and is NOT a separate segregated fund or a party committee.
In addition, this committee is a Leadership PAC.
Affiliated Committees/Organizations
Committee ID# C00358952
Candidate ID# H0NY02085
Steve Israel
PO Box 777
Deer Park, New York 11729
Affiliated Relationship Code: Leadership PAC Sponsor
Committee ID# C00501825
Jared Polis Victory Fund 2012
PO Box 1174
Springfield, Virginia 22151
Affiliated Relationship Code: Joint Fundraising Representative
Custodian of Records:
Harris Wiener
PO Box 763
Deer Park, NY 11729
Title: Treasurer
Treasurer:
Harris Wiener
PO Box 763
Deer Park, New York 11729
Title: Treasurer
Designated Agent(s):
Banks or Depositories
TD Bank
6190 Jericho Tpke
Commack, New York 11725
Bank of America
730 15th Street, NW
Washington, DC 20005
Signed: Harris Wiener
Date Signed: 12/05/2012
(End FEC FORM 1)
Date Signed: 12/05/2012