FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-109876
1. Nestle USA Inc. Political Action Committee
30003 Bainbridge RoadSolon, OH 44139
Fax: 440-349-1615
Email: denise.oneal@us.nestle.com
2. Date: 02/24/2004
3. FEC Committee ID #: C00087882 This committee is a Separate Segregated FundAffiliated Committees/Organizations
Nestle USA Inc.30003 Bainbridge Road
Solon, Ohio 44139
Relationship: Connected
Organization Type: Corporation
Committee ID# C00302943
Nestle Waters North America Inc. Polit
777 West Putnam Avenue
Greenwich, Connecticut 06830
Relationship: Affiliated
Committee ID# C00382119
Alcon Laboratories Inc. Political Acti
6201 South Freeway
Fort Worth, Texas 76134
Relationship: Affiliated
Committee ID# C00338335
Nestle Purina PetCare Company Politica
Checkerboard Square
St. Louis, Missouri 63164
Relationship: Affiliated
Custodian of Records:
Denise O'Neal30003 Bainbridge Road
Solon, OH 44139
Title: Finance Analyst
Phone # (440) 264-5414
Treasurer:
Denise O'Neal30003 Bainbridge Road
Solon, Ohio 44139
Title: Finance Analyst
Phone # (440) 264-5414
Designated Agent(s):
Louise Hilsen1101 Pennsylvania Ave. NW
Suite 600
Washington, DC 20004
Title: Manager Govt Affairs
Phone # (202) 756-2491
Banks or Depositories
National City Bank33400 Aurora Road
Solon, Ohio 44139