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FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-1148218

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1. Jason Chaffetz

    NOTE: Address is different than previously reported

315 Westfield Circle
Alpine, UT 840041594

2. Identification Number: H8UT03089

3. Party: Republican Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: Utah - 3

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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 2018 election(s).

    FRIENDS OF JASON CHAFFETZ
    FEC ID #: C00431684

    55 N Merchant St, #1488
    American Fork, UT 840037059

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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.

    Beehive Victory Fund, LLC
    FEC ID #: C00520999

    55 N Merchant St #1488
    American Fork, UT 840037059

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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: Jason Chaffetz
Signed by the candidate on: 02/08/2017

Filed: 02/08/2017

(End FEC FORM 2)

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