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FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-1088290

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1. Donald T Stapley

P.O. Box 31724
Mesa, AZ 85275

2. Identification Number: H6AZ05117

3. Party: Republican Party

4. Office Sought: House of Representatives

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

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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).

    DON STAPLEY FOR CONGRESS
    FEC ID #: C00613869

    P.O. BOX 31724
    MESA, AZ 85275

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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.

    STATE SEN. BOB WORSLEY, DON STAPLEY AND FRIENDS FUNDRAISING COMMITTEE
    FEC ID #: C00621599

    63 E. MAIN ST.
    SUITE 102
    MESA, AZ 85201

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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: Donald T Stapley
Signed by the candidate on: 07/19/2016

Filed: 07/19/2016

(End FEC FORM 2)

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