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FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-746277

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1. Mr. Steve Stivers

372 W 2nd Avenue
Columbus, OH 432013312

2. Identification Number: H8OH15076

3. Party: Republican Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: Ohio - 15

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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 2012 election(s).

    Stivers For Congress
    FEC ID #: C00441352

    4679 Winterset Drive
    Columbus, OH 432208113

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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.

    Security For America Fund IV
    FEC ID #: C00502278

    4703 Woodway Lane NW
    Washington, DC 200163240

    The Ohio Five
    FEC ID #: C00491613

    228 S Washington Street
    Suite 115
    Alexandria, VA 223145404

    Freshman Majority Fund
    FEC ID #: C00496083

    2470 Daniels Bridge Road
    Suite 121
    Athens, GA 306066188

    Team 2012
    FEC ID #: C00493817

    228 S Washington Street
    Suite 115
    Alexandria, VA 223145404

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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: Mr. Steve Stivers
Signed by the candidate on: 09/28/2011

Filed: 09/29/2011

(End FEC FORM 2)

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