FEC Form 2 for Report FEC-742542FEC Form 2 for Report FEC-742542

FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-742542

1. Rep. Scott Garrett

100 Pond School Road
Sussex, NJ 074612623

2. Identification Number: H8NJ05052

3. Party: Republican Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: New Jersey - 5

DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE

7. I hereby designate the following named political committee as my Principal Campaign Committee for the 2012 election(s).

SCOTT GARRETT FOR CONGRESS
FEC ID #: C00386110

P.O. Box 905
Newton, NJ 07860

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.

Scott Garrett Victory Committee
FEC ID #: C00487066

264 N. Lumpkin St. #202
Athens, GA 30601

Garrett Paulsen Joint Committee
FEC ID #: C00500777

2470 Daniell's Bridge Road
Ste. 121
Athens, GA 30606

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. Scott Garrett
Signed by the candidate on: 08/19/2011

Filed: 08/19/2011

(End FEC FORM 2)

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