HFA Statement of Organization

RF.Cf.IVEO EC MAIL CENTER n r STATEMENT OF 20I5IPRI3 AN 9: 03 FEC ORGANIZATION FORM 1 1. NAME OF (Check If name Example: If typing, type 12FE4M5°°" COMMITTEE (in full) Is changed) over the lines. iHillary for America I I I I ­^1 I I I I I I I Ill I I I I I I I I I I I I I I I I I I I I I I I I I I I ADDRESS (number and street) P.O. Box 5256 I I I I I I I I I I I I I I I I I I I I I I I I I (Check If address I I } I I I I I I I I I I I I I I I I I I I I I ID Is changed) .New York I |NY, |10185 I ,5256 , I I I I I I I J I I I I I I I I i­i I I I I 4 CITY STATE ZIP CODE I COMMITTEE'S E­MAIL ADDRESS (Please provide only one e­mall address) 1 (Check If address ifeq@iTHi^rvciiintptn.pom Is changed) i I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I J COMMITTEE'S WEB PAGE ADDRESS (URL) ih,iiip(y,ci)nt9nqom I I I I I I I I I I (Check If address Is changed) III I 2. DATE 3. FEC IDENTIFICATION NUMBER 4. IS THIS STATEMENT X NEW (N) OR AMENDED (A) I certify that I have examined this Statement and to the best at my imowtedge and belief it is true, correct and complete. Type or Print Name of Treasurer Jose H. Villarreal / Sfja «"~Y Signature of Treasurer Date NOTE: Submission of false, erroneous, or Incomplete Information may subject the person signing this Statement to the penalties of 2 U.S.C. §437g. ANY CHANGE IN INFORMATION SHOULD BE REPORTED WITHIN 10 DAYS. Office For furttier ln(ormatlon contact: FEC FORM 1 Use Federal Election Commission L Only Toli Free 800­424­9530 (Revised 02/2009) J Locai 202­694­1100