FEC Form 2 for Report FEC-798591FEC Form 2 for Report FEC-798591

FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-798591

1. Mr. Keith Rothfus

PO Box 435
Sewickley, PA 15143

2. Identification Number: H0PA04220

3. Party: Republican Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: Pennsylvania - 12

DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE

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

Rothfus for Congress
FEC ID #: C00497115

PO Box 435
Sewickley, PA 15143

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.

Young Guns 2012 Round 1
FEC ID #: C00521294

228 S. Washington Street, Ste. 115
Alexandria, VA 22314

Replace Obamacare Democrats
FEC ID #: C00524579

2470 Daniell's Bridge Rd
Ste. 121
Athens, GA 30606

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: Mr. Keith Rothfus
Signed by the candidate on: 07/16/2012

Filed: 07/16/2012

(End FEC FORM 2)

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