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FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-768172

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1. Daniel E. Lungren

2002 Discovery Village Lane
Gold River, CA 95670

2. Identification Number: H6CA34112

3. Party: Republican Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: California - 7

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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 2012 election(s).

    Lungren for Congress
    FEC ID #: C00390955

    9321 Silverbend Lane
    Elk Grove, CA 95624

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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.

    Patriott Day III
    FEC ID #: C00511519

    228 S. Washington Street, Ste. 115
    Alexandria, VA 22314

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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: Daniel E. Lungren
Signed by the candidate on: 02/28/2012

FORM TEXT

Filed: 02/28/2012

(End FEC FORM 2)

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