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FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-841386

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1. Rep. Phil Gingrey

632 N. St. Marys Ln
Marietta, GA 300641414

2. Identification Number: H2GA11149

3. Party: Republican Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: Georgia - 11

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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 2014 election(s).

    Gingrey for Congress, Inc.
    FEC ID #: C00370783

    PO Box U
    Marietta, GA 30060

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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.

    Gingrey Victory Committee
    FEC ID #: C00487884

    264 N Lumpkin St Ste 202
    Athens, GA 306012832

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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: Rep. Phil Gingrey
Signed by the candidate on: 12/10/2012

Filed: 12/10/2012

(End FEC FORM 2)

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