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CEi^'TER
FEC FORM 2
STATEMENT OF CANDIDACY
1. (a) Name of Candidate (in full) (b) Address (nUmber and street) (c) City. State, and ZiP Code 4. Part^AffiliationM ^ 5. Office Sought . ^Check if address changed y 2. Candidate's FEC Identification Numt)er 3. Is This Statement 6. State & District of Candidate New (N) . ^ OR Amended (A)
(c) City,State, and ZIP Code (c) City, State, and ZIP Code
I certthL that I have examined this Statement and to the tjest of my knowlec^e and lielief it is true, correct and complete.
T
NOTE: Submi
neous, or jncomplete information may subject the person signing this Statement to penalties of 2 U.S.C. 437g.