UNITED STATES OF AMERICA NATIONAL LABOR RELATIONS BOARD INSTRUCTIONS: Unless e-Filed using the Agency's website, , submit an original of this Petition to an NLRB office in the Region in which the employer concerned is located. DO NOT WRITE IN THIS SPACE 1. Pursuant to Section 7(b) of the Fair Labor Standards Act of 1938, the undersigned petitioner requests certification by the Nati WILLFUL FALSE STATEMENTS ON THIS PETITION CAN BE PUNISHED BY FINE AND IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001) PRIVACY ACT STATEMENT Solicitation of the information on this form is authorized by the National Labor Relations Act (NLRA), 29 U.S.C. § 151 et seq. The principal use of the information is to assist the National Labor Relations Board (NLRB) in processing representation and related proceedings or litigation. The routine uses for the information are fully set forth in the Federal Register, 71 Fed. Reg. 74942-43 (Dec. 13, 2006). The NLRB will 3b. Address of Establishment 3f. E-Mail Address 4a. Type of Industry 4b. Principal product or service I declare that I have read the above petition and that the statements are true to the best of my knowledge and belief. Petitioner and Employer have entered into a collective-bargaining agreement. (If so, attach copies.) Petitioner has been found to be the collective bargaining agent for employees at the above establishment in a proceeding under the National Labor Relations Act. Petitioner has not been found to be the collective bargaining agent for employees at the above establishment in a proceeding under the National Labor Relations Act.6. Check One: (If so, state number of case:7. The following known organizations claim to represent employees at the above establishment: (Name of labor organization) (Contract expiration date) (Contract expiration date) (Name of labor organization) (Contract expiration date) (Name of labor organization) 2f. E-Mail Address www.nlrb.gov/