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FEC Form 2 for Report FEC-734418FEC Form 2 for Report FEC-734418

FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-734418


1. Charles F. Bass

PO Box 210
Peterborough, NH 03458

2. Identification Number: H0NH02017

3. Party: Republican Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: New Hampshire - 2


DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE

7. I hereby designate the following named political committee as my Principal Campaign Committee for the 2012 election(s).

    Bass Victory Committee
    FEC ID #: C00302570

    PO Box 3451
    Concord, NH 03302


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.

    Patriot Day 2011
    FEC ID #: C00497156

    228 S. Washington St, Ste 115
    Alexandria, VA 22314

    Patriot Day 2011
    FEC ID #: C00497156

    228 S. Washington St, Ste 115
    Alexandria, VA 22314


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: Charles F. Bass
Signed by the candidate on: 07/12/2011

Filed: 07/12/2011

(End FEC FORM 2)


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