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FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-1735747

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1. Jacqueline Boulin Romain

289 Scrub Jay
Saint Augustine, FL 32092

2. Identification Number: H4FL28059

3. Party: Democratic Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: Florida - 28

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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 2024 election(s).

    Jackie Romain For US Congress

    289 Scrub Jay Dr
    St Augustine FL, FL 32092

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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.

   

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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: Jacqueline Boulin Romain
Signed by the candidate on: 11/16/2023

Filed: 11/16/2023

(End FEC FORM 2)

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