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FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-813571

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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

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DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE

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

    Benishek for Congress Inc.
    FEC ID #: C00476325

    PO Box 108
    Gladstone, MI 498370108

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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 III
    FEC ID #: C00511519

    228 S Washington Street
    Suite 115
    Alexandria, VA 223145404

    Freshman Hold'Em JFC
    FEC ID #: C00523985

    209 Pennsylvania Avenue SE
    Suite 2109
    Washington, DC 200031107

    Michigan Young Guns Victory Fund (Amash, Benishek, Huizenga, Walberg)
    FEC ID #: C00531574

    25 E Main Street
    Richmond, VA 232192109

    Good to Great Victory Fund
    FEC ID #: C00528851

    228 S Washington Street
    Suite 115
    Alexandria, VA 223145404

    Benishek Buerkle Committee
    FEC ID #: C00522755

    901 N Washington Street
    Suite 700
    Alexandria, VA 223141535

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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: 10/07/2012

Filed: 10/07/2012

(End FEC FORM 2)

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