(a) Name of Committee (in full)
(b) Address (number and street)
(c) City, State, and ZIP Code
(a) Name of Committee (in full)
(b) Address (number and street)
(c) City, State, and ZIP Code
7. I hereby designate the following named political committee as my Principal Campaign Committee for the
(year of election)
election(s).
NOTE: This designation should be led with the appropriate ofce listed in the instructions.
8. I hereby authorize the following named committee, which is NOT my principal campaign committee, to receive and expend funds on behalf of my
candidacy.
NOTE: This designation should be led with the principal campaign committee.
I certify that I have examined this Statement and to the best of my knowledge and belief it is true, correct and complete.
Signature of Candidate Date
FEC FORM 2
STATEMENT OF CANDIDACY
9-00068
NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Statement to penalties of 52 U.S.C. §30109.
3. Is This New Amended
Statement (N) OR (A)
FEC FORM 2 (REV. 02/2009)
DEsigNaTiON Of pRiNcipal campaigN cOmmiTTEE
DEsigNaTiON Of OThER auThORizED cOmmiTTEEs
(Including Joint Fundraising Representatives)
1. (a) Name of Candidate (in full)
(b) Address (number and street)
Check if address changed 2. FEC Candidate Identication Number
(c) City, State, and ZIP Code
4. Party Afliation 5. Ofce Sought 6. State & District of Candidate
FEC Form 2S (Revised 02/2017) Page ___ of ___
(a) Name of Committee (in full)
(b) Address (number and street)
(c) City, State, and ZIP Code
8. I hereby authorize the following named committee, which is NOT my principal campaign committee, to receive and expend funds on behalf of my
candidacy. NOTE: This designation should be led with the principal campaign committee.
(a) Name of Committee (in full)
(b) Address (number and street)
(c) City, State, and ZIP Code
8. I hereby authorize the following named committee, which is NOT my principal campaign committee, to receive and expend funds on behalf of my
candidacy. NOTE: This designation should be led with the principal campaign committee.
(a) Name of Committee (in full)
(b) Address (number and street)
(c) City, State, and ZIP Code
8. I hereby authorize the following named committee, which is NOT my principal campaign committee, to receive and expend funds on behalf of my
candidacy. NOTE: This designation should be led with the principal campaign committee.
(a) Name of Committee (in full)
(b) Address (number and street)
(c) City, State, and ZIP Code
8. I hereby authorize the following named committee, which is NOT my principal campaign committee, to receive and expend funds on behalf of my
candidacy. NOTE: This designation should be led with the principal campaign committee.
DESIGNATION OF OTHER AUTHORIZED COMMITTEES
(Including Joint Fundraising Representatives)
Optional Supplemental Page for Designation
of Additional Authorized Committees