FEC Form 1 for CARGILL, INCORPORATED POLITICAL ACTION COMMITTEEForm 1 for CARGILL, INCORPORATED POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-834601

1. CARGILL, INCORPORATED POLITICAL ACTION COMMITTEE

P.O. BOX 9300
c/o Cargill, Inc. / CFR / Dept. #5
Minneapolis, MN 55440
Email: GovtRptg_PAC@cargill.com;Jane_Allen@cargill.com

2. Date: 11/26/2012

3. FEC Committee ID #: C00067884 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Cargill, Incorporated
15407 McGinty Road West
Wayzata, Minnesota 55391
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Mary Dowling
P.O. Box 9300
M.S. #5
Minneapolis, MN 55440
Title: Asst. Treasurer
Phone # (952) 742-7118

Treasurer:

Jane Allen
P.O. Box 9300
M.S. #5
Minneapolis, Minnesota 55440
Title: Treasurer
Phone # (952) 742-7110

Designated Agent(s):

Mary Dowling
P.O. Box 9300
M.S. #5
Minneapolis, Minnesota 55440
Title: Asst. Treasurer
Phone # (952) 742-7118

Banks or Depositories

AMERIPRISE FINANCIAL SERVICES, INC.
715 Old Hwy 8 NW
NEW BRIGHTON, Minnesota 551122732

Wells Fargo Bank, N.A.
Midland Office
Minneapolis, Minnesota 55479

Signed: Jane Allen
Date Signed: 11/26/2012
Official Committee URL: www.cargill.com

(End FEC FORM 1)

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