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FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-802067

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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 2012 election(s).

    Friends of Susan Brooks
    FEC ID #: C00500207

    9333 N Meridian Street
    Suite 230
    Indianapolis, IN 462601882

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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.

    Messer-Brooks Joint Fundraising Committee
    FEC ID #: C00525287

    1006 Pendleton Street
    Alexandria, VA 223141837

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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: 07/30/2012

Filed: 07/30/2012

(End FEC FORM 2)

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