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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1081292

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1. ConAgra Foods Inc. Good Government Association

    222 W. Merchandise Mart Plaza
    Suite 1300
    Chicago, IL 60654

    NOTE: Address is different than previously reported

    Email: Megan.Garcia@conagrafoods.com

2. Date: 07/06/2016

3. FEC Committee ID #: C00087874 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

Committee ID# C00087874
ConAgra Foods
222 W. Merchandise Mart Plaza
Suite 1300
Chicago, Illinois 60654
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Megan Garcia
c/o PASS
1950 Roland Clarke Pl., Suite 300
Reston, VA 20191
Title: Sr. Dir.-Gov Affairs
Phone # (202) 261-2002

Treasurer:

Bo Johan Nystedt
222 W. Merchandise Mart Plaza
Suite 1300
Chicago, Illinois 60654
Title: Treasurer
Phone # (312) 549-5543

Designated Agent(s):

Banks or Depositories

U.S. Bank
PO Box 64799
Saint Paul, Minnesota 55164

Signed: Bo Johan Nystedt
Date Signed: 07/06/2016
Official Committee URL: N/A

FORM TEXT-1

(End FEC FORM 1)

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