FEC Form 2 for Report FEC-807686FEC Form 2 for Report FEC-807686

FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-807686

1. Jim Himes

197 Valley Road
Cos Cob, CT 06807

2. Identification Number: H8CT04172

3. Party: Democratic Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: Connecticut - 4

DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE

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

Jim Himes for Congress
FEC ID #: C00434191

857 Post Road, #312
Fairfield, CT 06824

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.

Jared Polis Victory Fund 2012
FEC ID #: C00501825

P.O. BOX 1174
Springfield, VA 22151

Himes Murphy Victory Fund
FEC ID #: C00527416

1050 17th St NW Ste 590
Washington, DC 20036

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: Jim Himes
Signed by the candidate on: 08/24/2012

Filed: 08/24/2012

(End FEC FORM 2)

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