FEC FORM 2
STATEMENT OF CANDIDACY
FILING FEC-1508508
1. Mr. Derrick F. Van Orden
NOTE: Address is different than previously reported
PO BOX 565PRAIRIE DU CHIEN, WI 53821
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 2022 election(s).
Van Orden for Congress
FEC ID #: C00742007
PO BOX 565PRAIRIE DU CHIEN, WI 53821
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, and9B. 0.00 for the general election