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FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-810025

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1. Ann Marie Buerkle

3779 Underwood Way
Syracuse, NY 132156600

2. Identification Number: H0NY25078

3. Party: Republican Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: New York - 24

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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 2012 election(s).

    Ann Marie Buerkle for Congress
    FEC ID #: C00473751

    PO Box 219
    Syracuse, NY 132140219

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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.

    Patriot Day IV
    FEC ID #: C00519744

    228 S Washington Street
    Suite 115
    Alexandria, VA 223145404

    Benishek Buerkle Committee
    FEC ID #: C00522755

    901 N Washington Street
    Suite 700
    Alexandria, VA 223141535

    Replace Obamacare Democrats
    FEC ID #: C00524579

    2470 Daniell's Bridge Road
    Suite 121
    Athens, GA 30606

    Freshman Hold'em JFC
    FEC ID #: C00523985

    209 Pennsylvania Avenue SE
    Suite 2109
    Washington, DC 200031107

    Good To Great Victory Fund
    FEC ID #: C00528851

    228 S Washington Street
    Suite 115
    Alexandria, VA 223145404

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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: Ann Marie Buerkle
Signed by the candidate on: 09/18/2012

Filed: 09/18/2012

(End FEC FORM 2)

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