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FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-1216194

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1. Dr Mark Green

346 Warfield Blvd Ste A
Clarksville, TN 37043

2. Identification Number: H8TN07076

3. Party: Republican Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: Tennessee - 7

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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 2018 election(s).

    MARK GREEN FOR CONGRESS
    FEC ID #: C00658385

    346 WARFIELD BLVD
    SUITE A
    CLARKSVILLE, TN 37043

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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.

    FreedomWorks Victory 2018
    FEC ID #: C00673962

    PO Box 26141
    Alexandria, VA 22313

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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 Mark Green
Signed by the candidate on: 03/29/2018

Filed: 03/29/2018

(End FEC FORM 2)

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