FEC FORM 2
STATEMENT OF CANDIDACY
FILING FEC-811654
1. Jackie Walorski
59555 County Road 3Elkhart, IN 46517
2. Identification Number: H0IN02190
3. Party: Republican Party
4. Office Sought: House of Representatives
5-6. State & District of Candidate: Indiana - 2
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 954Mishawaka, IN 465460954
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 StSte 115
Alexandria, VA 22314
Hickory Hoosier JFC
FEC ID #: C00529644
47 S Meridian StSuite 200
Indianapolis, IN 46204
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, and9B. 0.00 for the general election