FEC FORM 2
STATEMENT OF CANDIDACY
FILING FEC-703587
1. David N Cicilline
702 Elmgrove AveProvidence, RI 02906
2. Identification Number: H0RI01073
3. Party: Democratic Party
4. Office Sought: House of Representatives
5-6. State & District of Candidate: Rhode Island - 1
DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE
7. I hereby designate the following named political committee as my Principal Campaign Committee for the 2012 election(s).
The Cicilline Committee
FEC ID #: C00476564
102 Waterman St, Suite 2Providence, RI 02906
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.
Jared Polis Majority Fund
FEC ID #: C00479139
PO Box 1174Springfield, VA 22151
Rhode Island Victory
FEC ID #: C00490169
102 WATERMAN STSUITE 2
PROVIDENCE, RI 02906
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