FEC Form 2 for Report FEC-794506FEC Form 2 for Report FEC-794506

FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-794506

1. Ann Marie Buerkle

3779 Underwood Way
Syracuse, NY 132156600

2. Identification Number: H0NY25078

3. Party: Republican Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: New York - 24

DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE

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

Ann Marie Buerkle for Congress
FEC ID #: C00473751

PO Box 219
Syracuse, NY 132140219

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.

Patriot Day IV
FEC ID #: C00519744

228 S Washington Street
Suite 115
Alexandria, VA 223145404

Benishek Buerkle Committee

901 N Washington Street
Suite 700
Alexandria, VA 223141535

Replace Obamacare Democrats

2470 Daniell's Bridge Road
Suite 121
Athens, GA 30606

FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-794506

1. Ann Marie Buerkle

2. Identification Number: H0NY25078

3. Party: Republican Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: New York - 24

DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE

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

Ann Marie Buerkle for Congress
FEC ID #: C00473751

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.

Patriot Day IV
FEC ID #: C00519744

Benishek Buerkle Committee

Replace Obamacare Democrats

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

Signed as: Ann Marie Buerkle
Signed by the candidate on: 07/10/2012

Filed: 07/10/2012

(End FEC FORM 2)

FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-794506

1. Ann Marie Buerkle

2. Identification Number: H0NY25078

3. Party: Republican Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: New York - 24

DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE

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

Ann Marie Buerkle for Congress FEC ID #: C00473751

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.

Patriot Day IV FEC ID #: C00519744

Benishek Buerkle Committee

Replace Obamacare Democrats

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

Signed as: Ann Marie BuerkleSigned by the candidate on: 07/10/2012

Filed: 07/10/2012

(End FEC FORM 2)

Ann Marie Buerkle for Congress
FEC ID #: C00473751

Patriot Day IV
FEC ID #: C00519744

Signed as: Ann Marie Buerkle
Signed by the candidate on: 07/10/2012