FEC Form 2 for Report FEC-1006104FEC Form 2 for Report FEC-1006104

FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-1006104

1. Richard W Allen

2237 Pickens Rd
Augusta, GA 30904

2. Identification Number: H2GA12121

3. Party: Republican Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: Georgia - 12

DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE

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

Rick W. Allen for Congress
FEC ID #: C00504019

P. O. Box 338
Augusta, GA 30903

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.

FRESHMAN AGRICULTURAL REPUBLICAN MEMBERS TRUST AKA FARM TRUST
FEC ID #: C00493783

PO BOX 30844
BETHESDA, MD 20824

GEORGIA VICTORY FUND
FEC ID #: C00571190

2470 DANIELS BRIDGE RD STE 121
ATHENS, GA 30606

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: Richard W Allen
Signed by the candidate on: 04/30/2015

Filed: 04/30/2015

(End FEC FORM 2)

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