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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1135704

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1. Portland Cement Association Inc. (CEMENT PAC)

    NOTE:Commmittee Name is different than previously reported

    1150 Connecticut Avenue NW
    Suite 500
    Washington, DC 20036
    Email: rederby@cement.org;atjohnston@cement.org

2. Date: 12/20/2016

3. FEC Committee ID #: C00237065 This committee is a separate segregated fund. Its connected organization is a Trade Association
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Portland Cement Association Inc.
1150 Connecticut Avenue 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
Title: Treasurer
Phone # (202) 719-1983

Treasurer:

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

Designated Agent(s):

A. Todd Johnston
1150 Connecticut Avenue, NW
Suite 500
Washington, DC 20036
Phone # (202) 719-1975

Banks or Depositories

JP Morgan Chase Bank N.A.
10 S. Dearborn St.
Chicago, Illinois 60603

Signed: Rachel Derby
Date Signed: 12/20/2016

(End FEC FORM 1)

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