FEC Form 2 for Report FEC-421575FEC Form 2 for Report FEC-421575

FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-421575

1. Rep. Erik P Paulsen

PO Box 44369
Eden Prairie, MN 553441369

2. Identification Number: H8MN03077

3. Party: Republican Party

4. Office Sought: House of Representatives

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

DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE

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

Friends of Erik Paulsen
FEC ID #: C00439661

P.O. Box 44369
250 Prairie Center Drive
Eden Prairie, MN 553441369

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.

House Republican Freshmen 2009

PO Box 2719
Washington, DC 220132719

Patriot Day Committee
FEC ID #: C00462200

228 S. Washington Street
Suite 115
Alexandria, DC 22314

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: Rep. Erik P Paulsen
Signed by the candidate on: 06/25/2009

Filed: 06/25/2009

(End FEC FORM 2)

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