FEC Form 2 for Report FEC-973205FEC Form 2 for Report FEC-973205

FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-973205

1. Mrs. Diane L. Black

PO Box 1437
Gallatin, TN 370664497

2. Identification Number: H0TN06257

3. Party: Republican Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: Tennessee - 6

DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE

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

Diane Black for Congress
FEC ID #: C00472878

PO Box 1437
Gallatin, TN 370661437

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.

REED BLACK VICTORY FUND (JOINT FUNDRAISING REP.)
FEC ID #: C00517896

228 S. WASHINGTON STREET
SUITE 115
ALEXANDRIA, VA 22314

SCHOCK MAJORITY FUND
FEC ID #: C00567305

2470 DANIELLS 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: Mrs. Diane L. Black
Signed by the candidate on: 11/19/2014

Filed: 11/19/2014

(End FEC FORM 2)

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