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FEC Form 2 for Report FEC-1148936FEC Form 2 for Report FEC-1148936

FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-1148936


1. Jackie Walorski

59555 County Road 3
Elkhart, IN 46517

2. Identification Number: H0IN02190

3. Party: Republican Party

4. Office Sought: House of Representatives

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


DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE

7. I hereby designate the following named political committee as my Principal Campaign Committee for the 2018 election(s).

    Walorski for Congress, Inc.
    FEC ID #: C00468579

    PO Box 954
    Mishawaka, IN 465460954


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.

    Freshman Agricultural Republican Members Trust AKA FARM Trust
    FEC ID #: C00493783

    PO Box 30844
    Bethesda, MD 20824

    Walorski Victory Fund
    FEC ID #: C00630764

    PO Box 26141
    Alexandria, VA 22313


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: Jackie Walorski
Signed by the candidate on: 02/14/2017

Filed: 02/14/2017

(End FEC FORM 2)


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