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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-765975

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1. CEMEX Inc. Employees Political Action Committee

    929 Gessner Road, Suite 1900
    Houston, TX 77024
    Email: frank.craddock@cemex.com

2. Date: 02/16/2012

3. FEC Committee ID #: C00111880 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

CEMEX Inc.
929 Gessner Road, Suite 1900
Houston, Texas 77024
Affiliated Relationship Code: Connected Organization

Custodian of Records:

R. Frank Craddock
929 Gessner Road, Suite 1900
Houston, TX 77024
Title: Custodian
Phone # (713) 722-5813

Treasurer:

R. Frank Craddock
929 Gessner Road, Suite 1900
Houston, Texas 77024
Title: Treasurer
Phone # (713) 722-5813

Designated Agent(s):

Bill Newsome
9335 Harris Corners Parkway
Suite 200
Charlotte, North Carolina 28269
Title: Assistant Treasurer
Phone # (704) 598-2020

Banks or Depositories

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

Signed: R. Frank Craddock
Date Signed: 02/16/2012
Official Committee URL: N/A

FORM TEXT

(End FEC FORM 1)

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