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FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-1151783

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1. Dr. Paul Gosar

PO Box 2967
Prescott, AZ 86302

2. Identification Number: H0AZ01259

3. Party: Republican Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: Arizona - 4

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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 2018 election(s).

    PAUL GOSAR FOR CONGRESS
    FEC ID #: C00461806

    PO Box 2967
    Prescott, AZ 86302

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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.

    FreedomWorks PAC
    FEC ID #: C00573550

    PO Box 75760
    Washington, DC 20013

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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. Paul Gosar
Signed by the candidate on: 03/09/2017

Filed: 03/09/2017

(End FEC FORM 2)

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