GetLastError tells me I'm getting the "The program issued a command but the command length is incorrect." error when calling Process32First() (see code below). I found one post that looked helpful (http://social.msdn.microsoft.com/Forums/is/vcgeneral/thread/6f43716f-fdd3-4c92-bfba-6a23178c32bf), but I'm not sure if this is my problem.
I've tried building a program that includes only "stdafx.h", <iostream>, <Windows.h> and <TlHelp32.h> to test __alignof(PROCESSENTRY32), but I still get a value of 4.  Not sure if that's correct or not.
Here is the code that's failing:
HANDLE hProcess;
PROCESSENTRY32 pe32;
cout << "Size of PROCESSENTRY32 is: " << sizeof(PROCESSENTRY32) << "\r\n"; // 556
cout << "Align of PROCESSENTRY32 is: " << __alignof(PROCESSENTRY32) << "\r\n"; // 4
if ( !(hProcess = CreateToolhelp32Snapshot(TH32CS_SNAPPROCESS, 0)) ) {
    cout << "CreateToolhelp32Snapshot() failed: " << GetLastError() << "\r\n";
    return (HANDLE)NULL;
} else {
    cout << "CreateToolhelp32Snapshot() succeeded.\r\n";
}
if (Process32First(hProcess, &pe32)) {
    do {
        cout << pe32.th32ModuleID;
    } while (Process32Next(hProcess, &pe32));
} else {
    cout << "Process32First() failed: " << GetLastError() << "\r\n";
}