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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1082616

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1. The Mosaic Company Political Action Committee (MosaicPAC)

    NOTE:Commmittee Name is different than previously reported

    13830 Circa Crossing Drive
    Lithia, FL 33547

    NOTE: Address is different than previously reported

    Email: PAC@mosaicco.com

2. Date: 07/11/2016

3. FEC Committee ID #: C00455766 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

MOS Holdings Inc.
3033 Campus Drive Suite E490
Plymouth, Minnesota 55441
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Catherine Neslund
13830 Circa Crossing Drive
Lithia, FL 33547

Treasurer:

Catherine Neslund
13830 Circa Crossing Drive
Lithia, Florida 33547

Designated Agent(s):

Banks or Depositories

Associated Bank
2655 Campus Drive
Plymouth, Minnesota 55441

Signed: Catherine Neslund
Date Signed: 07/11/2016

(End FEC FORM 1)

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