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FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-808441

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1. Dr. Raul Ruiz

    NOTE: Address is different than previously reported

PO Box 6116
La Quinta, CA 92248

2. Identification Number: H2CA36439

3. Party: Democratic Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: California - 36

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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).

    Dr. Raul Ruiz for Congress 2012 Committee
    FEC ID #: C00502575

    PO Box 6116
    La Quinta, CA 92248

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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.

    Ruiz 2012 Victory Fund
    FEC ID #: C00525402

    PO Box 6116
    La Quinta, CA 92248

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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: Dr. Raul Ruiz
Signed by the candidate on: 08/29/2012

Filed: 08/31/2012

(End FEC FORM 2)

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