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FEC Form 2 for Report FEC-872856FEC Form 2 for Report FEC-872856

FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-872856


1. Jeffrey Fortenberry

6415 Rainier Dr
Lincoln, NE 685104128

2. Identification Number: H4NE01064

3. Party: Republican Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: Nebraska - 1


DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE

7. I hereby designate the following named political committee as my Principal Campaign Committee for the 2014 election(s).

    Jeff Fortenberry for United States Congress
    FEC ID #: C00395467

    PO Box 30265
    Lincoln, NE 68503


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.

    None


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: Jeffrey Fortenberry
Signed by the candidate on: 05/29/2013

Filed: 05/29/2013

(End FEC FORM 2)


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