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FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-858325

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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 2014 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.

    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

    Down With Debt
    FEC ID #: C00539940

    2470 Daniels Bridge Road
    Suite 121
    Athens, GA 306066191

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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: 02/25/2013

Filed: 02/25/2013

(End FEC FORM 2)

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