FEC Form 2 for Report FEC-1021843FEC Form 2 for Report FEC-1021843

FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-1021843

1. W BLAINE LUETKEMEYER

215 MAIN STREET
ST ELIZABETH, MO 65075

2. Identification Number: H8MO09153

3. Party: Republican Party

4. Office Sought: House of Representatives

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

DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE

7. I hereby designate the following named political committee as my Principal Campaign Committee for the 2016 election(s).

BLAINE FOR CONGRESS
FEC ID #: C00458679

PO BOX 1025
JEFFERSON CITY, MO 65102

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.

BLAINE FOR CONGRESS 2008
FEC ID #: C00447748

P.O. BOX 25
HOLTS SUMMIT, MO 65043

INSURING OUR FUTURE
FEC ID #: C00583583

824 S Milledge Ave.
Suite 101
Athens, GA 30605

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: W BLAINE LUETKEMEYER
Signed by the candidate on: 08/18/2015

Filed: 08/18/2015

(End FEC FORM 2)

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