FEC Form 2 for Report FEC-982529FEC Form 2 for Report FEC-982529

FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-982529

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.

Freshman Agricultural Republican Members Trust Aka Farm Trust
FEC ID #: C00493783

PO Box 30844
Bethesda, MD 208240844

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: 01/07/2015

Filed: 01/07/2015

(End FEC FORM 2)

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