FEC Form 2 for Report FEC-1101436FEC Form 2 for Report FEC-1101436

FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-1101436

1. Larry D. Bucshon

PO Box 250
Newburgh, IN 47629

2. Identification Number: H0IN08114

3. Party: Republican Party

4. Office Sought: House of Representatives

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

DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE

7. I hereby designate the following named political committee as my Principal Campaign Committee for the 2016 election(s).

Bucshon for Congress
FEC ID #: C00468256

PO Box 250
Newburgh, IN 47629

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.

BROOKS-BUCSHON JOINT FUNDRAISING COMMITTEE
FEC ID #: C00577171

4703 WOODWAY LANE, NW
WASHINGTON, DC 20016

HEALTH FIRST COMMITTEE
FEC ID #: C00624841

PO BOX 30844
BETHESDA, MD 20824

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: Larry D. Bucshon
Signed by the candidate on: 09/27/2016

Filed: 09/27/2016

(End FEC FORM 2)

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