FEC Form 1 for Nalco Political Action CommitteeForm 1 for Nalco Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-104525

1. Nalco Political Action Committee

NOTE:Commmittee Name is different than previously reported

1601 West Diehl Road
Naperville, IL 605631198

NOTE: Address is different than previously reported

Fax: 6303052943

2. Date: 12/19/2003

3. FEC Committee ID #: C00144063 This committee is a Principal Campaign Committee. Candidate:
Party: National
Office Sought:
State is in District:

Affiliated Committees/Organizations

Custodian of Records:

Ms. Mary deJonge
1601 West Diehl Road
Naperville, IL 60563
Title: Treasurer
Phone # (630) 305-2967

Treasurer:

Ms. Mary deJonge
1601 West Diehl Road
Naperville, Illinois 60563
Title: Treasurer
Phone # (630) 305-2967

Designated Agent(s):

Ms. Kathleen A. Kilbride
1601 West Diehl Road
Naperville, Illinois 60563
Title: Assistant Treasurer
Phone # (630) 305-1321

Banks or Depositories

Signed: Ms. Mary deJonge
Date Signed: 01/21/2004
Official Committee FAX: 6303052943

(End FEC FORM 1)

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