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FEC Form 2 for Report FEC-1350672FEC Form 2 for Report FEC-1350672

FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-1350672

1. Tom Palzewicz

17145 Greenwood Court West
Brookfield, WI 53005

2. Identification Number: H8WI05165

3. Party: Democratic Party

4. Office Sought: House of Representatives

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

DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE

7. I hereby designate the following named political committee as my Principal Campaign Committee for the 2020 election(s).

    PALZEWICZ FOR WISCONSIN
    FEC ID #: C00653733

    17145J W. BLUEMOUND RD. #123
    BROOKFIELD, WI 53005

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, and
    9B. 0.00 for the general election

Signed as: Tom Palzewicz
Signed by the candidate on: 09/04/2019

Filed: 09/04/2019

(End FEC FORM 2)


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