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FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-1576840

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1. Matthew Jacobs

1520 Covington Avenue
Westlake Village, CA 91361

2. Identification Number: H2CA26133

3. Party: Republican Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: California - 26

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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 2022 election(s).

    Matt Jacobs for Congress
    FEC ID #: C00767046

    PO Box 4723
    3435 East Thousand Oaks Blvd
    Thousand Oaks, CA 91359

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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.

    Take Back the House California 2022
    FEC ID #: C00809632

    PO Box 30844
    Bethesda, MD 20824

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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: Matthew Jacobs
Signed by the candidate on: 03/29/2022

Filed: 03/29/2022

(End FEC FORM 2)

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