R E C E I V E : ; -

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Committee Name:

FEC MAIL CENTLR

WIN Minnesota Federal PAC

If registered, FEC ID:

Today's Date:

January 2, 2013
Federal Election Commission 999 E Street, N.W. Washington, D.C. 20463 Re: Form 1, Statement of OrganizationUnlimited Contributions To Whom It May Concem: This committee intends to make independent expenditures, and consistent with the U.S. Court of Appeals for the District of Columbia Circuit decision in SpeechNow v. FEC, it therefore intends to raise funds in unlimited amounts. This committee will not use those funds to make contributions, whether direct, in-kind, or via coordinated communications, to federal candidates or committees. RespectfuJ ly submitted.

Treasurer's Name:

Adam Duininck

, Treasurer

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FEC FORM 1
1. NAME OF COMMITTEE (in full)

STATEMENT OF ORGANIZATION
(Check if name is changed) Example: If typing, type over the lines.

RECEIV*-;:;
2 1 JAN-8 A 8: ! 03 M
^ _ ^ pWi9e.Use Only

12FE4M5
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WIN Minnesota Federal PAC

1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 i I I I I I I I I 1 I i i 1 1 1 1 1 1 1 1 1 1 1 1 l l l l I l 1 1 1 1 1 1 1 1 1 1 1 1 t i l l l l i l l i i l 1 1 i i i 1 1 1 1 1 1 1 i i 1

ADDRESS (number and street)

1 1 1 1 i l l l l l

1
1 1 1 1 1 1 1 1 1 i 1 1 1 1 | - | 1 1 1 1

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, 1600 University Ave W, Suite 309C 1 Saint Paul

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1 iTi
STATE

ZIP C O D E A

COMMITTEE'S E-MAIL ADDRESS

^ (Check if address
is changed)

. aduininck(gwinminnesota.org
I I I I I ' I I I I I I I I I

Optional Second E-Mail Address

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COMMITTEE'S WEB PAGE ADDRESS (URL) [ri LJ . (Check if address is changed) i L_L_1
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2.

DATE

01

|62_
wW nifitrr m TO

1 2013

^1 I , i . n I
4. IS THIS STATEMENT H NEW (N) OR [ j AMENDED (A)

I certify that I have examined this Statement and to the best of my knowledge and belief it is true, correct and complete.

Type or Print Name of Treasurer

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Signature of Treasurer

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Date

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NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Statement to the penalties of 2 U.S.C. 437g. ANY CHANGE IN INFORMATION SHOULD BE REPORTED WITHIN 10 DAYS.

Office Use Only

For further information contact: Federal Eiectlon Commission Toll Free 800-424-9530 Local 202-694-1100

FEC FORM 1
(Revised 06/2012)

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5. FEC Form 1 (Revised 02/2009) TYPE OF COMMITTEE Page 2

n
Candidate Committee:
(3) (b) Q LJ ^l^i^ committee is a principal campaign committee. (Complete the candidate information below.) ''"'^'s committee is an authorized committee, and is NOT a principal campaign committee. (Complete the candidate information below.) I I I I I '"""j S rf, g . uJ " I I i i i i p-1 LJ i m |J| i i i i i i i i i i i i i State District i^) LJ ^'^'^ committee supports/opposes only one candidate, and is NOT an authorized committee. I ' I i I I I I I i I I ! I I I I I I I ! i I i I i i i I i I i I i i i i I i 1

Name of Candidate Candidate Party Affiliation

Office Sought:

House

Senate

ffn LJ President

Name of Candidate

Party Committee:
(^) LJ "'"'^'s committee is a (National, State or subordinate) committee of the t | < V ^ , j (Democratic, Republican, etc.) Party.

Political Action Committee (PAC):

() 0 ^'^'^ committee is a separate segregated fund. (Identify connected organization on line 6.) Its connected organization is a: 0 Corporation Membership Organization Q [jj Corporation w/o Capital Stock Trade Association 0 Q Labor Organization Cooperative

In addition, this committee is a Lobbyist/Registrant PAC. (f) 1^ ^ This committee supports/opposes more than one Federal candidate, and is NOT a separate segregated fund or party committee, (i.e., nonconnected committee) In addition, this committee is a Lobbyist/Registrant PAC. In addition, this committee is a Leadership PAC. (Identify sponsor on line 6.)

Joint Fundraising Representative:

(g) (h) ri ^ f| LJ This committee collects contributions, pays fundraising expenses and disburses net proceeds for two or more political committees/organizations, at least one of which is an authorized committee of a federal candidate. This committee collects contributions, pays fundraising expenses and disburses net proceeds for two or more political committees/organizations, none of which is an authorized committee of a federal candidate.

Committees Participating in Joint Fundraiser

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6.

FEC Form 1 (Revised 02/2009)

Page 3

Write or Type Committee Name

Name of Any Connected Organization, Affiliated Committee, Joint Fundraising Representative, or Leadership PAC Sponsor Ofjiei

Mailing Address

CITY

STATE

ZIP CODE

Relationship: Q Connected Organization ^Affiliated Committee Q Joint Fundraising Representative Q Leadership PAC Sponsor

7.

Custodian of Records: Identify by name, address (phone number - optional) and position of the person in possession of committee books and records.

I Adam Duininck
Full Name Mailing Address I i i i i i i i i i i i i i i i i
I

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WIN Minnesota M6pO,U.niyersity.Aye.Vy.pi^it9?0?q I ^ai,nt,Pjai|l

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STATE

i 55104
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Title or Position

CITY

ZIP CODE

Executive Director
I I I I I I I I 1 i I I I I

X, .

I 651 I I 647 I .2647 .

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Telephone number

8.

Treasurer: List the name and address (phone number ~ optional) of the treasurer of the committee; and the name and address of any designated agent (e.g., assistant treasurer).

Full N m a e
of Treasurer I

, Adam Duininck
i i i i i I I 1 1 I I I I I I I I I i i i i i i

Mailing Address

VyiN Minnesota

1600 University Ave W, Suite 309C

I I I I I I I I I I I I I I I l l i l l l l i l

Saint Paul
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CITY I I STATE Telephone number

155104
I I I I

II

I I"I I I I ZIP CODE

Title or Position

I Executive Director
I i I I i I

I 651 I 1647 I 12647 OO I I I 0 4 / I I I i i I~ I i i I~ L

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FEC Form 1 (Revised 02/2009) Page 4 Full Name of Designated . Agent I Mailing Address i i i i i i i i

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CITY Title or Position l l l i l l l l l l l l l i I

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STATE

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ZIP CODE

Telephone number

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9.

Banks or Other Depositories: List all banks or other depositories in which the committee deposits funds, holds accounts, rents safety deposit boxes or maintains funds. Name of Bank, Depository, etc.

I U S Bpnk I I I I I I I I Mailing Address I I I

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CITY Name of Bank, Depository, etc.

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STATE

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ZIP CODE

I Mailing Address I i I I i i i i i i i i i i i i i

I i i i i i i i i i i

I 1 I I I I I I I I I I I I I I I I I I I I I l-l ZIP CODE I I I I

I I I I I I I I l l l l i l l l l CITY

STATE

Federal Election Commission ENVELOPE REPLACEMENT PAGE FOR INCOMING DOCUMENTS The FEC acJded this page to the end of this filing to indicate how it was received. Date of Receipt Hand Delivered Postmarked USPS First Class Mail Postmarked (R/C) USPS Registered/Certified Postmarked USPS Priority Mail Delivery Confirmation or Signature Confirmation Label | Postmarked USPS Express Mail

Postmark Illegible

No Postmark Shipping Date Overnight Delivery Service (Specify): Next Business Day Delivery Date of Receipt Received from House Records & Registration Office Date of Receipt Received from Senate Public Records Office Date of Receipt Received from Electronic Filing Office Date of Receipt or Postmarked Other (Specify):

PREPARER (/05 320)

DATE PREPARED