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Form 2206—General Information (Application for Labor Organizer Card)

The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant code provisions. This form and the information provided are not substitutes for the advice and services of an attorney.

Commentary Texas Labor Code section 101.110 provides that a person who wishes to obtain a Labor Union Organizer’s Card shall apply to the secretary of state.

Instructions for Form  Union Information: Provide the name and address of the union to be organized.  Applicant Information: Provide the applicant’s name and address. A document on file with the secretary of state is a public record subject to public access and disclosure. When providing address information, use a business or post office box address rather than a residence address if privacy concerns are an issue.  Union Affiliations: List all local, state, national, or international unions with which Applicant is affiliated.  Statement of Appointment or Election: Select the box next to the appropriate statement indicating whether Applicant is applying for a labor organization card under authority of appointment or election. Meeting minutes or a notification of appointment, as appropriate, must be submitted with the application form.  Execution: Applicant must sign and date the form.  Delivery Instructions: The form, along with the required evidence of election or appointment, may be mailed to the Statutory Documents Section, P.O. Box 13550, Austin, Texas 78711-3550 or delivered to the James Earl Rudder Office Building, 1019 Brazos, Austin, Texas 78701. The secretary of state will issue a labor organizer card upon filing of a completed application.

Revised 06/09

Form 2206 1 Form #2206 Rev. 06/2009 This space reserved for office use

Submit to: SECRETARY OF STATE Statutory Documents Section P O Box 13550 Austin, TX 78711-3550 512-463-5705 512-475-2815 - Fax Filing Fee: None APPLICATION FOR LABOR ORGANIZER CARD Union Information Name: Address: Street City State Zip Applicant Information Name: Address: Street City State Zip Union Affiliation(s)

Statement of Appointment or Election I was elected to be an organizer for my labor union by the members of the union. A copy of the minutes of the union meeting showing my election as labor organizer is attached. I was appointed to be an organizer for my labor union, which is organized and governed by the laws of a jurisdiction outside of Texas. (Labor unions governed by Texas law must elect their organizers by membership vote.) A copy of my notification of appointment is attached. Execution Date: Signature of APPLICANT

Form 2206 2