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FEC Form 2 for Report FEC-709260FEC Form 2 for Report FEC-709260

FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-709260


1. Thomas Petri

N5329 Deneveu Lane
Fond Du Lac, WI 549379669

2. Identification Number: H0WI06061

3. Party: Republican Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: Wisconsin - 6


DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE

7. I hereby designate the following named political committee as my Principal Campaign Committee for the 2012 election(s).

    Citizens for Tom Petri
    FEC ID #: C00107003

    PO Box 270
    Fond Du Lac, WI 549360270


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.

   


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: Thomas Petri
Signed by the candidate on: 01/28/2011

Filed: 01/28/2011

(End FEC FORM 2)


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