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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-99089

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1. CEMEX Inc. Employees Political Action Committee

    840 Gessner
    Suite 1400
    Houston, TX 77024

    NOTE: Address is different than previously reported

    Email: clairec.dai@cemexusa.com

2. Date: 10/31/2003

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

Affiliated Committees/Organizations

CEMEX Inc.
840 Gessner
Suite 1400
Houston, Texas 77024
Relationship: Connected
Organization Type: Corporation

Custodian of Records:

Claire Dai
840 Gessner
Suite 1400
Houston, TX 77024
Title: Treasurer

Treasurer:

Claire Dai
840 Gessner
Suite 1400
Houston, Texas 77024
Title: Treasurer

Designated Agent(s):

Banks or Depositories

Bank of America N.A.
P.O. Box 831547
Dallas, Texas 75283

Signed: Claire Dai
Date Signed: 11/03/2003
Official Committee URL: N/A

(End FEC FORM 1)

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