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FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-1521810

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1. Dr Justin Cobb Paglino MD, PhD

48 Canary Ct
Guilford, CT 06437

2. Identification Number: H0CT03163

3. Party: Green Party

4. Office Sought: House of Representatives

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

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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).

    COMMITTEE TO ELECT JUSTIN PAGLINO FOR US CONGRESS, JUSTIN4ALL
    FEC ID #: C00748400

    48 CANARY CT
    GUILFORD, CT 06437

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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.

   

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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 Justin Cobb Paglino MD, PhD
Signed by the candidate on: 06/29/2021

Filed: 06/29/2021

(End FEC FORM 2)

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