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FEC Form 2 for Report FEC-187021FEC Form 2 for Report FEC-187021

FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-187021


1.

2063 Raintree Drive
Flgastaff, AZ 86004

2. Identification Number: H2AZ01172

3. Party: Republican Party

4. Office Sought: House of Representatives

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


DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE

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

    Rick Renzi for Congress
    FEC ID #: C00370874

    P.O. Box 2383
    Prescott, AZ 86302


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.

    2005 JOINT CANDIDATE COMMITTEE
    FEC ID #: C00414698

    228 S WASHINGTON ST STE 115
    ALEXANDRIA, VA 22314


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: Richard G. Renzi
Signed by the candidate on: 09/20/2005

Filed: 09/20/2005

(End FEC FORM 2)


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