FEC Form 1 for Nestle USA Inc. Political Action CommitteeForm 1 for Nestle USA Inc. Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-84030

1. Nestle USA Inc. Political Action Committee

30003 Bainbridge Road
Solon, OH 44139
Fax: 202-756-7556
Email: denise.oneal@us.nestle.com

2. Date: 05/05/2003

3. FEC Committee ID #: C00087882 This committee is a Separate Segregated Fund

Affiliated 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'Neal
30003 Bainbridge Road
Solon, OH 44139
Title: Finance Adminstrator
Phone # (440) 264-5414

Treasurer:

Denise O'Neal
30003 Bainbridge Road
Solon, Ohio 44139
Title: Finance Adminstrator
Phone # (440) 264-5414

Designated Agent(s):

Brandon Partridge
1101 Pennsylvania Ave. NW
Suite 600
Washington, DC 20004
Title: Manager Govt Affairs
Phone # (202) 756-2489

Banks or Depositories

National City Bank
33400 Aurora Road
Solon, Ohio 44139

Signed: Denise O'Neal
Date Signed: 05/05/2003
Official Committee URL: N/A
Official Committee FAX: 202-756-7556

(End FEC FORM 1)

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