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FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-924393

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1. David W. Jolly

P. O. Box 1158
Indian Rocks Beach, FL 33785

2. Identification Number: H4FL13101

3. Party: Republican Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: Florida - 13

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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 2014 election(s).

    Friends of David Jolly
    FEC ID #: C00551572

    P. O. Box 1158
    Indian Rocks Beach, FL 33785

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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.

    Patriot Day III 2014
    FEC ID #: C00561969

    228 S. Washington Street
    Suite 115
    Alexandria, VA 22314

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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: David W. Jolly
Signed by the candidate on: 05/12/2014

Filed: 05/12/2014

(End FEC FORM 2)

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