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FEC Form 2 for Report FEC-867866FEC Form 2 for Report FEC-867866

FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-867866


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 2014 election(s).

    Friends of Susan Brooks
    FEC ID #: C00500207

    9425 N Meridian Street
    # 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.

    Innovation And Entrepreneur Fund

    4905 Del Ray Avenue
    Suite 405
    Bethesda, MD 208142557


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: 04/19/2013

Filed: 04/19/2013

(End FEC FORM 2)


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