FEC FORM 2
STATEMENT OF CANDIDACY
FILING FEC-63819
1. Mr. Eugene Douglass
120 Fisherville Road#179
Concord, NH 03303
2. Identification Number: H2NH02138
3. Party: Republican Party
4. Office Sought: House of Representatives
5-6. State & District of Candidate: New Hampshire - 2
DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE
7. I hereby designate the following named political committee as my Principal Campaign Committee for the 2004 election(s).
Gene Douglass for Congress
FEC ID #: C00372250
120 Fisherville Road#179
Concord, NH 03303
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.
EUGENE F DOUGLASS FOR THE US SENATE CA
FEC ID #: C00334995
120 Fisherville Road#179
Concord, NH 03303
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