I hereby authorize and direct that each employer signatory to an agreement with the International Union of Operating Engineers or any of its affiliates for whom I work to deduct from my paycheck ten cents ($.10) per hour for all compensated hours, while working in the territorial jurisdiction of Local No. 841, and to remit such amount to IUOE Local 841 PAC, PO Box 2157, Terre Haute, IN 47802, at such times as other remittances are made to the union.
This contribution is voluntarily made upon the specific understanding that the making of such voluntary contributions is not a condition of membership in the Union or of employment with the employer; that I may contribute a greater or lesser amount than that suggested and I will not be favored or disadvantaged for doing so; that I may refuse to contribute without reprisal; and that IUOE Local 841 PAC uses the money it receives to make political contributions and expenditures.
This authorization shall remain in full force and effect until revoked in writing by me.
Contributions or gifts to the IUOE Local 841 PAC are not deductible as charitable contributions for Federal income tax purposes. A copy of IUOE Local 841 PAC report is filed with the Federal Election Commission (FEC) and is available from the FEC in Washington, D.C.
