FEC Form 2 for Report FEC-1077090FEC Form 2 for Report FEC-1077090

FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-1077090

1. Douglas Allen Collins

4833 T. Martin Rd.
Gainesville, GA 30506

2. Identification Number: H2GA09150

3. Party: Republican Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: Georgia - 9

DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE

7. I hereby designate the following named political committee as my Principal Campaign Committee for the 2016 election(s).

Collins for Congress
FEC ID #: C00502039

PO Box 1295
Gainesville, GA 30503

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.

GEORGIA VICTORY FUND

824 S Milledge Ave, Ste 101
Athens, GA 30605

GEORGIA 2016
FEC ID #: C00575464

824 S Milledge Ave, Ste 101
ATHENS, GA 30605

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: Douglas Allen Collins
Signed by the candidate on: 06/13/2016

Filed: 06/13/2016

(End FEC FORM 2)

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