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FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-1546606

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1. Mr. John Moolenaar

    NOTE: Address is different than previously reported

2414 Swede Ave
Apt 1412
Midland, MI 486424943

2. Identification Number: H4MI04126

3. Party: Republican Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: Michigan - 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 2022 election(s).

    Moolenaar for Congress
    FEC ID #: C00561530

    5915 Eastman Avenue
    Suite 100
    Midland, MI 486406824

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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.

    Bergman Moolenaar Leadership Committee
    FEC ID #: C00781591

    5915 Eastman Ave
    Ste 100
    Midland, MI 486406824

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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: Mr. John Moolenaar
Signed by the candidate on: 10/27/2021

Filed: 10/27/2021

(End FEC FORM 2)

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