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FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-455009

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1. Dr. Charles Boustany Jr.

PO Box 80125
Lafayette, LA 705980125

2. Identification Number: H4LA07029

3. Party: Republican Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: Louisiana - 7

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DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE

7. I hereby designate the following named political committee as my Principal Campaign Committee for the 2010 election(s).

    Charles Boustany Jr. MD for Congress Inc.
    FEC ID #: C00394866

    PO Box 80126
    Lafayette, LA 705980126

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DESIGNATION OF OTHER AUTHORIZED COMMITTEES

8. I hereby designate the following named committee, which is NOT my principal campaign committee, to receive and expend funds on behalf of my candidacy.

    Boustany - Cassidy Healthcare Committee
    FEC ID #: C00477091

    7315 Wisconsin Avenue
    Suite 310 East
    Bethesda, MD 20814

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DECLARATION OF INTENT TO EXPEND PERSONAL FUNDS (House or Senate Only)

9. I intend to expend personal funds exceeding the threshold amount (see 11 C.F.R. 400.9) by

    9A. 0.00 for the primary election, and
    9B. 0.00 for the general election

Signed as: Dr. Charles Boustany Jr.
Signed by the candidate on: 03/08/2010

Filed: 03/08/2010

(End FEC FORM 2)

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