FEC Form 2 for Report FEC-496599FEC Form 2 for Report FEC-496599

FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-496599

1. Suzan K DelBene

PO Box 1406
Bellevue, WA 98009

2. Identification Number: H0WA08046

3. Party: Democratic Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: Washington - 8

DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE

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

DelBene forCongress
FEC ID #: C00459099

PO Box 1406
Bellevue, WA 98009

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.

Washington Victory 2010
FEC ID #: C00487330

603 Stewart Street #819
Seattle, WA 98101

Jared Polis Majority Fund
FEC ID #: C00479139

PO Box 1174
Sprinfield, VA 22151

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: Suzan K DelBene
Signed by the candidate on: 10/06/2010

Filed: 10/06/2010

(End FEC FORM 2)

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