FEC Form 1 for Lafarge North America, Inc., Holcim (US) Inc. and Aggregate Industries Management, Inc. Employees PAC (a/k/a LafargeHolForm 1 for Lafarge North America, Inc., Holcim (US) Inc. and Aggregate Industries Management, Inc. Employees PAC (a/k/a LafargeHol

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1042708

1. Lafarge North America, Inc., Holcim (US) Inc. and Aggregate Industries Management, Inc. Employees PAC (a/k/a LafargeHol

NOTE:Commmittee Name is different than previously reported

8700 West Bryn Mawr Avenue
Suite 300
Chicago, IL 60631
Email: Michael.LeMonds@LafargeHolcim.com;YeungD@DicksteinShapiro.com

2. Date: 12/10/2015

3. FEC Committee ID #: C00213348 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

Lafarge North America, Inc.
8700 West Bryn Mawr Avenue
Suite 300
Chicago, Illinois 60631
Affiliated Relationship Code: Connected Organization

Aggregate Industries Management, Inc.
24 Crosby Drive
Bedford, Massachusetts 01730
Affiliated Relationship Code: Connected Organization

Holcim (US) Inc.
24 Crosby Drive
Bedford, Massachusetts 01730
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Dorothy Yeung
1825 Eye Street NW
Washington, DC 20006
Title: Public Policy Coord.
Phone # (202) 420-3362

Treasurer:

Michael LeMonds
600 Pennsylvania Avenue, S.E.
Suite 410
Washington, DC 20003
Title: PAC Treasurer
Phone # (773) 355-4466

Designated Agent(s):

Banks or Depositories

Comerica Bank
P.O. Box 75000
Detroit, Michigan 48275

PNC Bank
1050 Connecticut Avenue NW
Washington, DC 20036

Signed: Michael LeMonds
Date Signed: 01/27/2016

FORM TEXT-1

(End FEC FORM 1)

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