FEC Form 2 for Report FEC-811828FEC Form 2 for Report FEC-811828

FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-811828

1. Mr. RANDOLPH ALTSCHULER

PO BOX 657
STONY BROOK, NY 11790

2. Identification Number: H0NY01129

3. Party: Republican Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: New York - 1

DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE

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

RANDY ALTSCHULER FOR CONGRESS
FEC ID #: C00465245

PO BOX 657
STONY BROOK, NY 11790

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.

Young Guns 2012 Round 1 (Joint Fundraising Representative)
FEC ID #: C00521294

228 South Washington Street
Suite 115
Alexandria, VA 22314

Long Island Victory Fund
FEC ID #: C00529800

2470 Daniell's Bridge Rd Ste. 121
Athens, GA 30606

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. RANDOLPH ALTSCHULER
Signed by the candidate on: 09/26/2012

FORM TEXT

Filed: 09/26/2012

(End FEC FORM 2)

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