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FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-716562

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1. Scott Eugene DesJarlais

639 Sweetens Cove Rd.
South Pittsburg, TN 37380

2. Identification Number: H0TN04195

3. Party: Republican Party

4. Office Sought: House of Representatives

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

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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).

    FRIENDS OF SCOTT DESJARLAIS
    FEC ID #: C00464073

    P O BOX 90133
    NASHVILLE, TN 37209

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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.

    Freshman Agricultural Republican Members Trust
    FEC ID #: C00493783

    7315 Wisconsin Ave.
    Suite 310 East
    Bethesda, MD 20814

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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: Scott Eugene DesJarlais
Signed by the candidate on: 03/09/2011

Filed: 03/09/2011

(End FEC FORM 2)

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