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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1041347

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1. Portland Cement Association Inc. PCA PAC

    1150 Connecticut Avenue NW
    Suite 500
    Washington, DC 20036

    NOTE: Address is different than previously reported

    Email: rderby@cement.org;greh@cement.org

    NOTE: Email address is different than previously reported

2. Date: 10/14/2014

3. FEC Committee ID #: C00237065 This committee is a separate segregated fund. Its connected organization is a Membership Organization

Affiliated Committees/Organizations

Portland Cement Association Inc.
1150 Connecticut Ave., NW
Suite 500
Washington, DC 20036
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Rachel Derby
1150 Connecticut Avenue NW
Suite 500
Washington, DC 20036
Phone # (202) 719-1983

Treasurer:

Rachel Derby
1150 Connecticut Avenue NW
Suite 500
Washington, DC 20036
Phone # (202) 719-1983

Designated Agent(s):

David Bell
1150 Connecticut Avenue NW
Suite 500
Washington, DC 20036
Phone # (202) 719-1975

Banks or Depositories

Bank of America
P.O. Box 27025
VA2-125-04-01
Richmond, Virginia 232617025

Signed: Rachel Derby
Date Signed: 01/21/2016
Official Committee URL: www.cement.org

(End FEC FORM 1)

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