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FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-1107747

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1. Dr. Matthew Gerald Heinz

PO Box 57698
Tucson, AZ 85732

2. Identification Number: H6AZ02189

3. Party: Democratic Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: Arizona - 2

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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).

    Dr. Matt Heinz for Arizona
    FEC ID #: C00582221

    PO Box 57698
    Tucson, AZ 85732

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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.

    Southern Arizona Victory Fund
    FEC ID #: C00626895

    2910 E Gary Way
    Phoenix, AZ 85042

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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. Matthew Gerald Heinz
Signed by the candidate on: 10/15/2016

Filed: 10/15/2016

(End FEC FORM 2)

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