FEC Form 2 for Report FEC-819406FEC Form 2 for Report FEC-819406

FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-819406

1. Michael Coffman

9249 South Broadway #200-501
Highlands Ranch, CO 80129

2. Identification Number: H8CO06138

3. Party: Republican Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: Colorado - 6

DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE

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

COFFMAN FOR CONGRESS 2012
FEC ID #: C00497180

9249 SOUTH BROADWAY #200-501
HIGHLANDS RANCH, CO 80129

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.

GOOD TO GREAT VICTORY FUND
FEC ID #: C00528851

228 S WASHINGTON ST STE 115
ALEXANDRIA, VA 22314

PATRIOT DAY III
FEC ID #: C00511519

228 S WASHINGTON ST STE 115
ALEXANDRIA, VA 22314

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: Michael Coffman
Signed by the candidate on: 10/16/2012

Filed: 10/16/2012

(End FEC FORM 2)

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