r
FEC
Form
1
(Revised 02/2009)
Page
2
5.
TYPE
OF
COMMITTEE
Candidate Committee:
(a)(b)
1
Name
of
CandidateThiscommittee
is a
principal campaign committee. (Complete
the
candidate information below.)This committee
is an
authorized committee,
and is
NOT
a
principal campaign committee. (Complete
the
candidateinformation below.)
I I i I i ' I I ' i ! I I i I i I I I I
CandidateParty AffiliationOfficeSought: House SenatePresidentStateDistrictName
of
CandidateThis committee supports/opposes only
one
candidate,
and is
NOT
an
authorized committee.
I I I
i i ii ii i I
I I I
Party
Committee:
O
This committee
is a
1
.
.^f;,.,.^.
J
(National, Stateor subordinate) committee
of the
(Democratic,
Republican,
etc.)
Party.
Political
Action
Committee
(PAC):
(e)
tt I
This committee
is a
separate segregated fund.
(Identify
connected organization on line
6.) Its
connected organization is
a:
f"''%
CorporationMembership OrganizationCorporation
w/o
Capital Stock
LJ
Trade Association
iJ
Labor Organizationl^H Cooperative
(f)In
addition, this committee is
a
Lobbyist/Registrant
PAC.
This committee supports/opposes more than
one
Federal candidate,
and is
NOT
a
separate segregated
fund
or
partycommittee, (i.e., nonconnected committee)
J
In
addition, this committee is
a
Lobbyist/Registrant
PAC.
I In
addition, this committee is
a
Leadership
PAC.
(Identify
sponsor on line
6.)
Joint Fundraising Representative:
(g)
ir l
This committee collects contributions, pays fundraising expenses and disburses
net
proceeds for two
or
more political
it:::it
committees/organizations,
at
least one
of
which is an authorized committee
of
a federal candidate.(h)This committee collects contributions, pays fundraising expenses and disburses net proceeds for two
or
more politicalcommittees/organizations, none
of
which is an authorized committee
of
a federal candidate.Committees Participating
in
Joint Fundraiser1.
2.3.4.
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