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FEC Form 2 for Report FEC-170566FEC Form 2 for Report FEC-170566

FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-170566

1.

P.O. Box 326
Everett, WA 98206

2. Identification Number: H0WA02080

3. Party: Democratic Party

4. Office Sought: House of Representatives

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

DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE

7. I hereby designate the following named political committee as my Principal Campaign Committee for the 2006 election(s).

    Citizens to Elect Rick Larsen
    FEC ID #: C00345546

    PO Box 326
    Everett, WA 98206

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: Rick R Larsen
Signed by the candidate on: 04/14/2005

Filed: 04/14/2005

(End FEC FORM 2)


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