FEC Form 2 for Report FEC-493451FEC Form 2 for Report FEC-493451

FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-493451

1. Ron Klein

1900 Glades Road
Suite 200
Boca Raton, FL 33431

2. Identification Number: H6FL22040

3. Party: Democratic Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: Florida - 22

DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE

7. I hereby designate the following named political committee as my Principal Campaign Committee for the 2010 election(s).

Klein for Congress
FEC ID #: C00410522

21301 Powerline Road Suite 204
Boca Raton, FL 33433

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.

Florida Victory Fund 2010
FEC ID #: C00488718

430 S Capitol St SE 2nd FL
Washington, DC 20003

South Florida Victory Committee
FEC ID #: C00451690

PO Box 1174
Springfield, VA 22151

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: Ron Klein
Signed by the candidate on: 09/15/2010

Filed: 09/16/2010

(End FEC FORM 2)

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