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FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-474243

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1. Jared Polis

P.O. Box 4659
Boulder, CO 80306

2. Identification Number: H8CO02137

3. Party: Democratic Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: Colorado - 2

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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).

    Friends of Jared Polis Committee
    FEC ID #: C00435370

    P.O. Box 4572
    Boulder, CO 80306

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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.

    Jared Polis Victory Fund
    FEC ID #: C00461913

    PO Box 1174
    Springfield, VA 22151

    North Fund for Equality
    FEC ID #: C00471706

    PO Box 1174
    Springfield, VA 22151

    Jared Polis Majority Fund
    FEC ID #: C00479139

    PO Box 1174
    Springfield, VA 22151

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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: Jared Polis
Signed by the candidate on: 05/03/2010

Filed: 06/11/2010

(End FEC FORM 2)

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