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FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-1473756

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1. Glenn S. Grothman

PO Box 1215
Fond du Lac, WI 549641215

2. Identification Number: H4WI06048

3. Party: Republican Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: Wisconsin - 6

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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 2022 election(s).

    Glenn Grothman for Congress
    FEC ID #: C00561597

    PO Box 1215
    Fond du Lac, WI 54936

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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.

    Take Back the House 2020
    FEC ID #: C00695585

    PO Box 30844
    Bethesda, MA 20824

    Take Back the House 2020
    FEC ID #: C00695585

    PO Box 30844
    Bethesda, MD 20824

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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: Glenn Grothman
Signed by the candidate on: 11/24/2020

Filed: 11/25/2020

(End FEC FORM 2)

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