FEC Form 2 for Report FEC-1435515FEC Form 2 for Report FEC-1435515

FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-1435515

1. Mr. Derrick F. Van Orden

PO BOX 824
CHIPPEWA FALLS, WI 54729

2. Identification Number: H0WI03175

3. Party: Republican Party

4. Office Sought: House of Representatives

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

DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE

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

Van Orden for Congress
FEC ID #: C00742007

PO Box 824
Chippewa Falls, WI 54729

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.

Van Orden for WI-03
FEC ID #: C00702951

PO Box 30844
Bethesda, MD 20824

Take Back the House 2020
FEC ID #: C00695585

PO Box 30844
Bethesda, MD 20824

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: Mr. Derrick F. Van Orden
Signed by the candidate on: 08/28/2020

Filed: 08/28/2020

(End FEC FORM 2)

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