FEC Form 2 for Report FEC-809064FEC Form 2 for Report FEC-809064

FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-809064

1. William Owens

42 Blue Heron Way
Plattsburgh, NY 12901

2. Identification Number: H0NY23081

3. Party: Democratic Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: New York - 21

DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE

7. I hereby designate the following named political committee as my Principal Campaign Committee for the 2012 election(s).

Bill Owens for Congress
FEC ID #: C00464495

PO Box 1575
Plattsburgh, NY 12901

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.

Jared Polis Victory Fund 2012
FEC ID #: C00501825

PO Box 1174
Springfield, VA 22151

Committee for Battleground NY Victory Fund
FEC ID #: C00528141

430 South Capitol Street, SE
2nd Floor
Washington, DC 20003

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: William Owens
Signed by the candidate on: 09/06/2012

Filed: 09/10/2012

(End FEC FORM 2)

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