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FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-1502797

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1. JINGER Madison KELLEY

657 N Rugby Rd
Hendersonville, NC 28791

2. Identification Number: H0NC11233

3. Party: Republican Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: North Carolina - 11

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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).

    CAWTHORN FOR NC
    FEC ID #: C00732958

    638 SPARTANBURG HWY, STE 70 #362
    HENDERSONVILLE, NC 28792

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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.

    CRUZ 20 FOR 20 VICTORY FUND
    FEC ID #: C00751206

    PO BOX 341027
    AUSTIN, TX 78734

    TAKE BACK THE HOUSE 2022
    FEC ID #: C00766782

    PO BOX 30844
    BETHESDA, MD 208240844

    CAWTHORN TRIUMPH COMMITTEE
    FEC ID #: C00771402

    3103 JULIAN GLEN CIR
    WAXHAW, NC 28173

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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: JINGER Madison KELLEY
Signed by the candidate on: 03/04/2021

Filed: 03/04/2021

(End FEC FORM 2)

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