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FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-1572529

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1. Jake Auchincloss

PO Box 600698
Newtonville, MA 02460

2. Identification Number: H0MA04192

3. Party: Democratic Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: Massachusetts - 4

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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 2022 election(s).

    Jake Auchincloss for Congress
    FEC ID #: C00721449

    P.O. BOX 600698
    Newtonville, MA 02460

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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.

    Democratic Leadership 2022
    FEC ID #: C00782003

    PO Box 33079
    Washington, DC 20033

    Jake Auchincloss Victory Fund
    FEC ID #: C00806620

    One Park Row 5th fl
    Providence, RI 02903

    Serve America Victory Fund
    FEC ID #: C00805556

    PO Box 2013
    Salem, MA 01970

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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: Jake Auchincloss
Signed by the candidate on: 03/04/2022

Filed: 03/04/2022

(End FEC FORM 2)

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