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FEC Form 1 for CEMEX Inc. Employees PACForm 1 for CEMEX Inc. Employees PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1499487


1. CEMEX Inc. Employees PAC

    10100 Katy Freeway Suite 300
    Houston, TX 77043
    Email: fecinfo@pass1.com;jerae.carlson@cemex.com

    NOTE: Email address is different than previously reported

2. Date: 02/10/2021

3. FEC Committee ID #: C00111880 This committee is a separate segregated fund. Its connected organization is a Corporation
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

CEMEX Inc.
10100 Katy Freeway Suite 300
Houston, Texas 77043
Affiliated Relationship Code: Connected Organization

Custodian of Records:

N. Jerae Carlson
10100 Katy Freeway Suite 300
Houston, TX 77043
Title: Custodian of Records
Phone # (713) 722-5831

Treasurer:

N. Jerae Carlson
10100 Katy Freeway Suite 300
Houston, Texas 77043
Title: Treasurer
Phone # (713) 722-5831

Designated Agent(s):

Banks or Depositories

Bank of America N.A.
P.O. Box 831547
Dallas, Texas 75283

Signed: N. Jerae Carlson
Date Signed: 02/10/2021
Official Committee URL: N/A

FORM TEXT-1

(End FEC FORM 1)


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