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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-445861

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1. Road Sprinkler Fitters Local Union No. 669, UA, AFL-CIO PAC

    7050 Oakland Mills Road
    Columbia, MD 21046
    Email: 669pac@rsflu669.org

2. Date: 01/20/2010

3. FEC Committee ID #: C00468801 This committee is a separate segregated fund. Its connected organization is a Labor Organization

Affiliated Committees/Organizations

UNITED ASSOCIATION POLITICAL EDUCATION COMMITTEE
3 Park Place
Annapolis, Maryland 21401
Affiliated Relationship Code: Affiliated Committee

Road Sprinkler Fitters Local Union No.
7050 Oakland Mills Road
Suite 200
Columbia, Maryland 21046
Affiliated Relationship Code: Connected Organization

Custodian of Records:

James Tucker
7050 Oakland Mills Road
Columbia, MD 21046
Title: Custodian of Records
Phone # (410) 381-4300

Treasurer:

Shawn Broadrick
7050 Oakland Mills Road
Columbia, Maryland 21046
Title: Treasurer
Phone # (410) 381-4300

Designated Agent(s):

Shawn Broadrick
7050 Oakland Mills Road
Columbia, Maryland 21046
Title: Treasurer
Phone # (410) 381-4300

John Bodine
7050 Oakland Mills Road
Columbia, Maryland 21046
Title: Asst. Treasurer
Phone # (410) 381-4300

James Tucker
7050 Oakland Mills Road
Columbia, Maryland 21046
Title: Custodian of Records
Phone # (410) 381-4300

Banks or Depositories

Bank of America
100 South Charles Street
Baltimore, Maryland 21201

Signed: Shawn Broadrick
Date Signed: 01/20/2010

(End FEC FORM 1)

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