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FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-1082070

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1. Seth Moulton

PO Box 2013
Salem, MA 09170

2. Identification Number: H4MA06090

3. Party: Democratic Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: Massachusetts - 6

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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 2016 election(s).

    Moulton for Congress
    FEC ID #: C00547240

    PO Box 2013
    Salem, MA 01970

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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.

    Congressional Cousins Victory Fund
    FEC ID #: C00616482

    410 1 St, SE
    STE 310
    Washington, DC 20003

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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: Seth Moulton
Signed by the candidate on: 07/08/2016

Filed: 07/08/2016

(End FEC FORM 2)

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