FEC FORM 2
STATEMENT OF CANDIDACY
FILING FEC-1055505
1. Mr. James Henry Roberts Sr.
694 Carson RoadPilot Mountain, NC 27041
2. Identification Number: H6NC06131
3. Party: Democratic Party
4. Office Sought: House of Representatives
5-6. State & District of Candidate: North Carolina - 5
DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE
7. I hereby designate the following named political committee as my Principal Campaign Committee for the 2016 election(s).
ROBERTS ELECTION COMMITTEE
FEC ID #: C00606848
PO BOX 87 PILOT MOUNTAIN, NC 27041140 W PINE ST. MOUNT AIRY, NC 2703
PILOT MOUNTAIN, NC 27041
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.
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, and9B. 0.00 for the general election