FEC FORM 2
STATEMENT OF CANDIDACY
FILING FEC-239751
1.
P.O. Box 6728South Bend, IN 46660
2. Identification Number: H2IN03111
3. Party: Republican Party
4. Office Sought: House of Representatives
5-6. State & District of Candidate: Indiana - 2
DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE
7. I hereby designate the following named political committee as my Principal Campaign Committee for the 2006 election(s).
Chocola for Congress Inc.
FEC ID #: C00384958
P.O. Box 6728South Bend, IN 46660
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.
Hoosiers for a Republican Majority
228 S Washington St. #115Alexandria, 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. 2100.00 for the primary election, and9B. 2100.00 for the general election