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FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-759402

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1. Charles F. Bass

PO Box 210
Peterborough, NH 03458

2. Identification Number: H0NH02017

3. Party: Republican Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: New Hampshire - 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 2012 election(s).

    Bass Victory Committee
    FEC ID #: C00302570

    PO Box 3451
    Concord, NH 03302

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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.

   

    Patriot Day 2011
    FEC ID #: C00497156

    228 S Washington St, Ste 115
    Alexandria, VA 22314

    Security for America Fund VI
    FEC ID #: C00505289

    4703 Woodway Lane, NW
    Washington, DC 20016

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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: Charles F. Bass
Signed by the candidate on: 01/24/2012

Filed: 01/24/2012

(End FEC FORM 2)

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