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FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-1189565

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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

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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 2018 election(s).

    Friends of Susan Brooks
    FEC ID #: C00500207

    9425 N Meridian St
    # 237
    Indianapolis, IN 462601308

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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.

    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

    Health First Committee
    FEC ID #: C00624841

    P.O. Box 30844
    Bethesda, MD 20824

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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: Mrs. Susan Brooks
Signed by the candidate on: 10/25/2017

Filed: 10/25/2017

(End FEC FORM 2)

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