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FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-747297

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1. Timothy J. Walz

PO Box 938
Mankato, MN 56002

2. Identification Number: H6MN01174

3. Party: Democratic Party

4. Office Sought: House of Representatives

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

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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).

    Tim Walz for US Congress
    FEC ID #: C00409409

    PO Box 938
    Mankato, MN 56002

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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.

    Minnesota Victory 2012
    FEC ID #: C00480137

    110 Liberty E.
    Mankato, MN 56001

    Midwest Victory Fund
    FEC ID #: C00502344

    PO Box 938
    Mankato, MN 56002

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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: Timothy J. Walz
Signed by the candidate on: 10/11/2011

Filed: 10/11/2011

(End FEC FORM 2)

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