FEC Form 1 for Ciba Specialty Chemicals Corporation Employee Good Government FundForm 1 for Ciba Specialty Chemicals Corporation Employee Good Government Fund

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-96008

1. Ciba Specialty Chemicals Corporation Employee Good Government Fund

% John L. Deming
P. O. Box 7428
Wilmington, DE 19803

NOTE: Address is different than previously reported

Fax: 3024795152
Email: john.deming@cibasc.com

2. Date: 09/25/2003

3. FEC Committee ID #: C00326033 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Ciba Specialty Chemicals Corporation
540 White Plains Road
Tarrytown, New York 10591
Organization Type: Corporation

Custodian of Records:

Peter Hooper
% Ciba Specialty Chemicals
4090 Premier Drive
High Point, NC 27265

Treasurer:

Mr. John Deming
P. O. Box 7428
Wilmington, Delaware 19803

Designated Agent(s):

Banks or Depositories

The JPMorgan Chase Bank
Funds Transfer
4 New York Plaza
New York, New York 10004

Signed: Mr. John Deming
Date Signed: 09/25/2003
Official Committee FAX: 3024795152

(End FEC FORM 1)

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