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FEC Form 1 for CF Industries Employees' Good Government FundForm 1 for CF Industries Employees' Good Government Fund

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-71304


1. CF Industries Employees' Good Government Fund

    One Salem Lake Drive
    Long Grove, IL 60047
    Email: mbalke@cfindustries.com; tsimpson@cfindustries.com

2. Date: 01/16/2003

3. FEC Committee ID #: C00076588 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

CF Industries Inc.
One Salem Lake Drive
Long Grove, Illinois 60047
Relationship: Connected
Organization Type: Corporation

Custodian of Records:

Michalene Balke
CF Industries Inc.
One Salem Lake Drive
Long Grove, IL 60047
Title: Admin. Assistant
Phone # (847) 438-9500

Treasurer:

Thomas K. Simpson
CF Industries Inc.
One Salem Lake Drive
Long Grove, Illinois 60047
Title: Mgr Raw Materials
Phone # (847) 438-9500

Designated Agent(s):

Banks or Depositories

Bank One
One First Bank Plaza
Lake Zurich, Illinois 60047

Signed: Thomas K. Simpson
Date Signed: 01/16/2003
Official Committee URL: None

(End FEC FORM 1)


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