FEC FORM 2
STATEMENT OF CANDIDACY
FILING FEC-765663
1. Patrick J. Tiberi
6830 Mahogany DriveGalena, OH 430218059
2. Identification Number: H0OH12062
3. Party: Republican Party
4. Office Sought: House of Representatives
5-6. State & District of Candidate: Ohio - 12
DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE
7. I hereby designate the following named political committee as my Principal Campaign Committee for the 2012 election(s).
Tiberi for Congress
FEC ID #: C00347492
2931 E Dublin Granville RoadSuite 190
Columbus, OH 432312098
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.
Secure the Majority Fund
228 S Washington StreetSuite 115
Alexandria, VA 223145404
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, and9B. 0.00 for the general election