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FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-841373

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1. Adam Kinzinger

250 Raven Drive
Apt. GB
Manteno, IL 609508401

2. Identification Number: H0IL11052

3. Party: Republican Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: Illinois - 11

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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 2014 election(s).

    Kinzinger for Congress
    FEC ID #: C00458877

    PO Box 487
    New Lenox, IL 604510487

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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.

    Illinois House Republican Freshman PAC
    FEC ID #: C00491597

    PO Box 2719
    Washington, DC 200132719

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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: Adam Kinzinger
Signed by the candidate on: 12/10/2012

Filed: 12/10/2012

(End FEC FORM 2)

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