FEC Form 2 for Report FEC-782583FEC Form 2 for Report FEC-782583

FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-782583

1. Paul Collins Broun

1221 Knob Creek Drive
Athens, GA 30606

2. Identification Number: H8GA10049

3. Party: Republican Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: Georgia - 10

DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE

7. I hereby designate the following named political committee as my Principal Campaign Committee for the 2012 election(s).

Paul Broun Committee
FEC ID #: C00432955

P.O. Box 6337
Athens, GA 30604

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.

Broun Freedom Fund
FEC ID #: C00485037

2470 Daniells Bridge Rd Ste 121
Athens, GA 30606

Broun West Committee
FEC ID #: C00520650

2470 Daniells Bridge Rd.
Ste. 121
Athens, GA 30606

, 0

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: Paul Collins Broun
Signed by the candidate on: 05/10/2012

Filed: 05/10/2012

(End FEC FORM 2)

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