FEC Form 1 for NATIONAL SEMICONDUCTOR CORP. EMPLOYEES PACForm 1 for NATIONAL SEMICONDUCTOR CORP. EMPLOYEES PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-109371

1. NATIONAL SEMICONDUCTOR CORP. EMPLOYEES PAC

13689 KIFER ROAD MS G2-129
SANTA CLARA, CA 95051
Fax: 4153886874
Email: SSCALLY@NMGOVLAW.COM

2. Date: 02/19/2004

3. FEC Committee ID #: C00126011 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

NATIONAL SEMICONDUCTOR CORPORATION
13689 KIFER ROAD MS G2-129
SANTA CLARA, California 95051
Relationship: CONNECTED ORGANIZATION
Organization Type: Corporation

Custodian of Records:

STEVEN S. LUCAS
591 REDWOOD HWY. BLDG. #4000
MILL VALLEY, CA 94941
Title: CST
Phone # (415) 389-6800

Treasurer:

STEVEN S. LUCAS
591 REDWOOD HWY. #4000
MILL VALLEY, California 94941
Title: Treasurer
Phone # (415) 389-6800

Designated Agent(s):

JASON D. KAUNE
591 REDWOOD HWY. BLDG. #4000
MILL VALLEY, California 94941
Title: Assistant Treasurer
Phone # (415) 389-6800

Banks or Depositories

BANK OF MARIN
50 MADERA BLVD.
CORTE MADERA, California 94925

Signed: STEVEN S. LUCAS
Date Signed: 02/19/2004
Official Committee FAX: 4153886874

(End FEC FORM 1)

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