FEC Form 2 for Report FEC-856991FEC Form 2 for Report FEC-856991

FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-856991

1. Peter Roskam

141 Shelley Lane
Wheaton, IL 60187

2. Identification Number: H6IL06117

3. Party: Republican Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: Illinois - 6

DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE

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

Roskam for Congress Committee
FEC ID #: C00410969

P. O. Box 713
Wheaton, IL 60187

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.

The Four Amigos Joint Committee
FEC ID #: C00484360

610 S. Boulevard
Tampa, FL 33606

Roskam Victory Committee
FEC ID #: C00494674

610 S. Boulevard
Tampa, FL 33606

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: Peter Roskam
Signed by the candidate on: 02/19/2013

Filed: 02/19/2013

(End FEC FORM 2)

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