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FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-1026522

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1. Andre Carson

P.O. Box 1863
Indianapolis, IN 46206

2. Identification Number: H8IN07184

3. Party: Democratic Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: Indiana - 7

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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 2016 election(s).

    Andre Carson for Congress
    FEC ID #: C00442921

    P.O. Box 1863
    Indianapolis, IN 46206

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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.

    SHARED VISION FUND
    FEC ID #: C00587196

    PO BOX 1863
    INDIANAPOLIS, IN 46206

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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: Andre Carson
Signed by the candidate on: 10/02/2015

Filed: 10/02/2015

(End FEC FORM 2)

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