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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-19517

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1. CEMEX Inc. Employees Political Action Committee

    1200 Smith Street
    Suite 2400
    Houston, TX 77002
    Email: dnewquist@cemexusa.com

2. Date: 08/31/2001

3. FEC Committee ID #: C00111880 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

CEMEX Inc.
1200 Smith Street
Suite 2400
Houston, Texas 77002
Relationship: Connected
Organization Type: Corporation

Custodian of Records:

Don E. Newquist
1200 Smith Street
Suite 2400
Houston, TX 77002
Title: Treasurer

Treasurer:

Don E. Newquist
1200 Smith Street
Suite 2400
Houston, Texas 77002
Title: Treasurer

Designated Agent(s):

Claire Dai
1200 Smith Street
Suite 2400
Houston, Texas 77002
Title: Assistant Treasurer

Banks or Depositories

Wells Fargo Bank N.A.
464 California Street
San Francisco, California 94163

Signed: Don E. Newquist
Date Signed: 08/31/2001
Official Committee URL: N/A

(End FEC FORM 1)

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