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FEC Form 1 for LAFARGE NORTH AMERICA INC POLITICAL ACTION COMMITTEEForm 1 for LAFARGE NORTH AMERICA INC POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-765930


1. LAFARGE NORTH AMERICA INC POLITICAL ACTION COMMITTEE

    NOTE:Commmittee Name is different than previously reported

    12018 Sunrise Valley Drive
    Suite 500
    Reston, VA 20191
    Email: michael.lemonds@lafarge-na.com

2. Date: 02/09/2012

3. FEC Committee ID #: C00431007 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
12018 Sunrise Valley Drive
Suite 500
Reston, Virginia 20191
Affiliated Relationship Code: Connected Organization

Custodian of Records:

K. Laurie McKay
1825 Eye St. NW
Washington, DC 20006
Title: Leg. Specialist
Phone # (202) 420-5174

Treasurer:

Michael LeMonds
12018 Sunrise Valley Drive
Suite 500
Reston, Virginia 20191
Title: Pub Affairs Manager
Phone # (703) 480-6646

Designated Agent(s):

Banks or Depositories

PNC Bank
1920 L Street NW
Washington, DC 20036

Signed: Michael LeMonds
Date Signed: 02/16/2012
Official Committee URL: N/A

(End FEC FORM 1)


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