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FEC Form 2 for Report FEC-524152FEC Form 2 for Report FEC-524152

FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-524152


1. Dr. Charles Boustany Jr.

PO Box 80126
Lafayette, LA 705980125

2. Identification Number: H4LA07029

3. Party: Republican Party

4. Office Sought: House of Representatives

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


DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE

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

    Charles Boustany Jr. MD for Congress Inc.
    FEC ID #: C00394866

    PO Box 80126
    Lafayette, LA 705980126


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.

   


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: Dr. Charles Boustany Jr.
Signed by the candidate on: 12/10/2010

Filed: 12/10/2010

(End FEC FORM 2)


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