FEC Form 2 for Report FEC-1008842FEC Form 2 for Report FEC-1008842

FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-1008842

1. Daniel J. Benishek M.D.

802 Pentoga Trail
Crystal Falls, MI 499208518

2. Identification Number: H0MI01088

3. Party: Republican Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: Michigan - 1

DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE

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

Benishek for Congress Inc.
FEC ID #: C00476325

PO Box 108
Gladstone, MI 498370108

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 II 2015
FEC ID #: C00578211

PO Box 9891
Arlington, VA 222191891

Good to Great Victory Fund
FEC ID #: C00528851

228 S Washington Street
Suite 115
Alexandria, VA 223145404

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: Daniel J. Benishek M.D.
Signed by the candidate on: 05/20/2015

Filed: 05/20/2015

(End FEC FORM 2)

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