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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1485582

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1. IBT Joint Council No. 16 PAC

    265 West 14th Street
    Suite 1201
    New York, NY 10011
    Email: admin@teamstersjc16.com;blevine@cwsny.com

2. Date: 01/05/2021

3. FEC Committee ID #: C00765669 This committee is a separate segregated fund. Its connected organization is a Labor Organization

Affiliated Committees/Organizations

IBT Joint Council No. 16
265 West 14th Street
Suite 1201
New York, New York 10011
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mr. Demos P. Demopoulos
265 West 14th Street
Suite 1201
New York, NY 10011
Title: Secretary-Treasurer
Phone # (212) 924-0002

Treasurer:

Mr. Demos P. Demopoulos
265 West 14th Street
Suite 1201
New York, New York 10011
Title: Secretary-Treasurer
Phone # (212) 924-0002

Designated Agent(s):

Bruce S. Levine
Cohen, Weiss and Simon LLP
900 Third Avenue
New York, New York 10022
Title: Of Counsel
Phone # (212) 563-4100

Banks or Depositories

Chase
158 West 14th Street
2nd Floor
New York, New York 10011

Signed: Mr. Demos P. Demopoulos
Date Signed: 01/05/2021

(End FEC FORM 1)

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