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FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-472339

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1. Mr. Jay R Inslee

PO Box 33027
Seattle, WA 98133

2. Identification Number: H2WA04090

3. Party: Democratic Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: Washington - 1

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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).

    Inslee for Congress
    FEC ID #: C00337436

    PO Box 33027
    Seattle, WA 98133

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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.

    Puget Partners PAC
    FEC ID #: C00483958

    603 Stewart Street #819
    Seattle, WA 98101

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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: Jay Inslee
Signed by the candidate on: 05/27/2010

Filed: 05/27/2010

(End FEC FORM 2)

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