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FEC Form 2 for Report FEC-1126718FEC Form 2 for Report FEC-1126718

FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-1126718


1. Mrs. Susan Brooks

13406 Birkenhead Street
Carmel, IN 460328387

2. Identification Number: H2IN05082

3. Party: Republican Party

4. Office Sought: House of Representatives

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


DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE

7. I hereby designate the following named political committee as my Principal Campaign Committee for the 2018 election(s).

    Friends of Susan Brooks
    FEC ID #: C00500207

    9425 N Meridian St
    # 237
    Indianapolis, IN 462601308


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.

    2016 Brooks and Young Hoosier Republican Victory Fund
    FEC ID #: C00624759

    4703 Woodway Lane NW
    Washington, DC 20016

    Health First Committee
    FEC ID #: C00624841

    P.O. Box 30844
    Bethesda, MD 20824

    Brooks-Walorski Joint Fundraising Committee
    FEC ID #: C00565093

    4703 Woodway Lane NW
    Washington, DC 200163240

    Messer-Brooks Joint Fundraising Committee
    FEC ID #: C00525287

    4703 Woodway Ln NW
    Washington, DC 200163240

    Longhorn Innovation 2016
    FEC ID #: C00610501

    PO Box 2485
    Springfield, VA 221520485

    Team Telluride
    FEC ID #: C00611657

    824 S Milledge Ave
    Auite 101
    Athens, GA 306051332

    Brooks-Bucshon Joint Fundraising Committee
    FEC ID #: C00577171

    4703 Woodway Ln NW
    Washington, DC 200163240


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: Mrs. Susan Brooks
Signed by the candidate on: 11/23/2016

Filed: 11/23/2016

(End FEC FORM 2)


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