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FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-99610

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1. Virginia Brown-Waite

2499 Culbreath Road
Brooksville, FL 34602

2. Identification Number: H2FL05127

3. Party: Republican Party

4. Office Sought: House of Representatives

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

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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 2004 election(s).

    BROWN-WAITE FOR CONGRESS
    FEC ID #: C00367680

    704 PONCE DE LEON BLVD
    BROOKSVILLE, FL 34601

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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.

   

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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:
Signed by the candidate on: 11/13/2003

Filed: 11/13/2003

(End FEC FORM 2)

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