FEC Form 1 for The Nestle Waters North America Inc. Political Action CommitteeForm 1 for The Nestle Waters North America Inc. Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-260810

1. The Nestle Waters North America Inc. Political Action Committee

777 West Putnam Avenue
Greenwich, CT 06830
Email: peter.ropiak@waters.nestle.com

2. Date: 11/27/2006

3. FEC Committee ID #: C00302943 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

The Nestle Waters North America Inc.
777 West Putnam Avenue
Greenwich, Connecticut 06830
Relationship: Connected
Organization Type: Corporation

Committee ID# C00087882
Nestle USA Inc. Political Action Commi
30003 Bainbridge Road
Solon, Ohio 44139
Relationship: Affiliated

Committee ID# C00382119
Alcon Laboratories Inc. Political Acti
6201 South Freeway
Fort Worth, Texas 76134
Relationship: Affiliated

Committee ID# C00338335
Nestle Purina PetCare Company Politica
Checkerboard Square
St. Louis, Missouri 63164
Relationship: Affiliated

Custodian of Records:

Peter Ropiak
777 West Putnam Avenue
Greenwich, CT 06830
Title: Treasurer

Treasurer:

Peter Ropiak
777 West Putnam Avenue
Greenwich, Connecticut 06830
Title: Treasurer

Designated Agent(s):

Brian J. Flaherty
777 West Putnam Avenue
Greenwich, Connecticut 06830
Title: Chairman

Janet Browne
777 West Putnam Avenue
Greenwich, Connecticut 06830
Title: Assistant Treasurer

Banks or Depositories

Bank of America
433 Boston Post Rd.
Port Chester, New York 10573

Signed: Peter Ropiak
Date Signed: 12/01/2006
Official Committee URL: N/A

FORM TEXT

(End FEC FORM 1)

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