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FEC Form 1 for CHS INC. POLITICAL ACTION COMMITTEEForm 1 for CHS INC. POLITICAL ACTION COMMITTEE

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-743785


1. CHS INC. POLITICAL ACTION COMMITTEE

    5500 Cenex Drive
    Inver Grove Hts, MN 55077
    Email: pat.kluempke@chsinc.com

    NOTE: Email address is different than previously reported

2. Date: 03/16/2008

3. FEC Committee ID #: C00149104 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

CHS Inc.
P.O. Box 64089
St. Paul, Minnesota 55164
Affiliated Relationship Code: Connected Organization

Custodian of Records:

James Bareksten
5500 Cenex Drive
CHS Inc.
Inver Grove Hts, MN 55077
Title: Gov.Affairs director
Phone # (651) 355-3780

Treasurer:

James Bareksten
5500 Cenex Drive
CHS Inc.
Inver Grove Hts, Minnesota 55077
Title: Gov.Affairs Director
Phone # (651) 355-3780

Designated Agent(s):

James Bareksten
5500 Cenex Drive
CHS Inc.
Inver Grove Hts, Minnesota 55077
Title: Gov.Affairs director
Phone # (651) 355-3780

Banks or Depositories

Heartland Credit Union
PO Box 64089
St. Paul, Minnesota 55164

Signed: Pat Kluempke
Date Signed: 09/01/2011
Official Committee URL: www.chsinc.com

(End FEC FORM 1)


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