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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-743787

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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: 09/01/2011

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:

Pat Kluempke
5500 Cenex Drive
Inver Grove Height, MN 55077
Title: exec. vice president
Phone # (651) 355-6527

Treasurer:

Pat Kluempke
5500 Cenex Drive
Inver Grove Height, Minnesota 55077
Title: exec vice pres
Phone # (651) 355-6527

Designated Agent(s):

Pat Kluempke
5500 Cenex Drive
Inver Grove Height, Minnesota 55077
Title: exec vice pres
Phone # (651) 355-6527

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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