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FEC Form 2 for Report FEC-1096519FEC Form 2 for Report FEC-1096519

FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-1096519


1. Jacky Rosen

1000 N Green Valley Pkwy
#440-177
Henderson, NV 89074

2. Identification Number: H6NV03139

3. Party: Democratic Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: Nevada - 3


DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE

7. I hereby designate the following named political committee as my Principal Campaign Committee for the 2016 election(s).

    Rosen for Nevada
    FEC ID #: C00606939

    1000 N. Green Valley Pkwy
    #440-177
    Henderson, NV 89074


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.

    Rosen Victory Fund
    FEC ID #: C00624338

    1000 N. Green Valley Pkwy
    #440-177
    Henderson, NV 89074


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: Jacky Rosen
Signed by the candidate on: 08/22/2016

Filed: 08/22/2016

(End FEC FORM 2)


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