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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-161173

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1. NCR Corporation Citizenship Fund

    555 12th Street NW
    Suite 610
    Washington, DC 20004
    Fax: 202-347-6884
    Email: tim.day@ncr.com

2. Date: 10/09/1996

3. FEC Committee ID #: C00324103 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Timothy M. Day
555 12th Street NW
Suite 610
Washington, DC 20004
Title: V.P Government Affai
Phone # (202) 347-6701

Designated Agent(s):

Banks or Depositories

Bank One Dayton N.A.
P.O.Box 1103
Dayton, Ohio 45401

Signed: Timothy M. Day
Date Signed: 01/27/2005
Official Committee URL: www@ncr.com
Official Committee FAX: 202-347-6884

(End FEC FORM 1)

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