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FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-995338

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1. Dr. Paul R Chabot

12223 Highland Avenue
# 106-228
Rch Cucamonga, CA 917392574

2. Identification Number: H4CA31071

3. Party: Republican Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: California - 31

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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 2016 election(s).

    Paul Chabot Congress
    FEC ID #: C00557884

    12223 Highland Avenue
    # 106-228
    Rancho Cucamonga, CA 917392574

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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.

    California Congressional Young Guns Victory Fund
    FEC ID #: C00568675

    2470 Daniels Bridge Road
    Suite 121
    Athens, GA 306066191

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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. Paul R Chabot
Signed by the candidate on: 02/23/2015

Filed: 02/23/2015

(End FEC FORM 2)

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