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FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-786061

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1. Jackie Walorski (Swihart)

59555 County Road 3
Elkhart, IN 46517

2. Identification Number: H0IN02190

3. Party: Republican Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: Indiana - 2

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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).

    Walorski for Congress Inc.
    FEC ID #: C00468579

    PO Box 954
    Mishawaka, IN 465460954

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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.

    Young Guns 2012 Round 1
    FEC ID #: C00521294

    228 S Washington St
    Ste 115
    Alexandria, VA 22314

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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: Jackie Walorski
Signed by the candidate on: 12/23/2010

Filed: 05/22/2012

(End FEC FORM 2)

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