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

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-993824

1. CHS INC. POLITICAL ACTION COMMITTEE

5500 Cenex Drive
Inver Grove Hts, MN 55077
Email: monica.spaller@chsinc.com;john.engelen@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:

John Engelen
5500 Cenex Drive
Inver Grove Height, MN 55077
Title: vice president
Phone # (651) 355-6563

Treasurer:

John Engelen
5500 Cenex Drive
Inver Grove Height, Minnesota 55077
Title: vice president
Phone # (651) 355-6563

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: John Engelen
Date Signed: 02/18/2015
Official Committee URL: www.chsinc.com

(End FEC FORM 1)

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