FEC FORM 2
STATEMENT OF CANDIDACY
FILING FEC-1001353
1. Theodore Edward Rokita
NOTE: Address is different than previously reported
5802 Oak AvenueIndianapolis, IN 462197219
2. Identification Number: H0IN04170
3. Party: Republican Party
4. Office Sought: House of Representatives
5-6. State & District of Candidate: Indiana - 4
DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE
7. I hereby designate the following named political committee as my Principal Campaign Committee for the 2016 election(s).
Hoosiers for Rokita, Inc.
FEC ID #: C00476192
5802 Oak AvenueIndianapolis, IN 462197219
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.
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