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FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-1009692

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1. Mark Takano

PO Box 5214
Riverside, CA 92517

2. Identification Number: H2CA43245

3. Party: Democratic Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: California - 41

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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 2016 election(s).

    Mark Takano for Congress
    FEC ID #: C00498667

    PO Box 5214
    Riverside, CA 92517

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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.

    Takano Victory
    FEC ID #: C00527242

    PO Box 5214
    Riverside, CA 92517

    Takaucus
    FEC ID #: C00578989

    410 1st St, SE
    Suite 310
    Washington, DC 20003

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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: Mark Takano
Signed by the candidate on: 06/05/2015

Filed: 06/05/2015

(End FEC FORM 2)

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