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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-823090

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1. Mondelez International Inc. PAC

    NOTE:Commmittee Name is different than previously reported

    975 F Street, NW
    Washington, DC 20004
    Email: brian.folkerts@mdlz.com

2. Date: 10/10/2012

3. FEC Committee ID #: C00529073 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Mondelez International Inc.
3 Parkway North
Deerfield, Illinois 60015
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Brian Folkerts
975 F Street, NW
Washington, DC 20004
Title: Treasurer
Phone # (202) 942-4330

Treasurer:

Brian Folkerts
975 F Street, NW
Washington, DC 20004
Title: Treasurer
Phone # (202) 942-4330

Designated Agent(s):

Tracy Mihas
100 NE Columbia Boulevard
Portland, Oregon 97211
Title: Assistant Treasurer
Phone # (503) 240-7644

Banks or Depositories

Citibank NY DDA
111 Wall Street
New York, New York 10043

Signed: Brian Folkerts
Date Signed: 10/22/2012

(End FEC FORM 1)

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