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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-515794

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1. WORKING FAMILIES FOR HAWAII

    888 MILILANI STREET
    HONOLULU, HI 96813
    Email: dmizuno@hgea.org

2. Date: 11/08/2010

3. FEC Committee ID #: C00490193 This committee is a separate segregated fund. Its connected organization is a Labor Organization

Affiliated Committees/Organizations

HAWAII GOVERNMENT EMPLOYEES ASSOCIATION
888 MILILANI STREET
SUITE 601
HONOLULU, Hawaii 96813
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Maureen Wakuzawa
888 Mililani Street
Suite 601
Honolulu, HI 96813
Title: Controller
Phone # (808) 543-0000

Treasurer:

Derek Mizuno
888 Mililani Street
Suite 601
Honolulu, Hawaii 96813
Title: Treasurer
Phone # (808) 543-0000

Designated Agent(s):

Banks or Depositories

FIRST HAWAIIAN BANK
999 BISHOP STREET 2ND FLOOR
HONOLULU, Hawaii 96813

Signed: Derek Mizuno
Date Signed: 11/08/2010

FORM TEXT

(End FEC FORM 1)

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