FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-359871
1. CEMEX Inc. Employees Political Action Committee
840 Gessner Road Suite 1400Houston, TX 77024
Fax: 713-722-5103
Email: thomasj.edgeller@cemex.com
2. Date: 08/28/2008
3. FEC Committee ID #: C00111880 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated Committees/Organizations
CEMEX Inc.840 Gessner Road Suite 1400
Houston, Texas 77024
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Thomas J Edgeller840 Gessner Road Suite 1400
Houston, TX 77024
Title: Treasurer
Phone # (713) 722-5918
Treasurer:
Thomas J Edgeller840 Gessner Road Suite 1400
Houston, Texas 77024
Title: Treasurer
Phone # (713) 722-5918
Designated Agent(s):
L. Douglas Carpenter3701 Sugar Spring Rd.
Gastonia, North Carolina 28054
Title: Assistant Treasurer
Phone # (704) 868-6333
Banks or Depositories
Bank of America N.A.P.O. Box 831547
Dallas, Texas 75283
Signed: Thomas J Edgeller
Date Signed: 08/28/2008
Official Committee URL: N/A
Official Committee FAX: 713-722-5103
FORM TEXT-1