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FEC Form 2 for Report FEC-516192FEC Form 2 for Report FEC-516192

FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-516192


1. MARK CRITZ

201 FREDERICK ST
JOHNSTOWN, PA 15902

2. Identification Number: H0PA12132

3. Party: Democratic Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: Pennsylvania - 12


DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE

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

    MARK CRITZ FOR CONGRESS COMMITTEE
    FEC ID #: C00476861

    647 MAIN STREET
    SUITE 110
    JOHNSTOWN, PA 15901


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.

    CRITZ-DAHLKEMPER VICTORY FUND
    FEC ID #: C00488692

    1050 17TH STREET NW SUITE 590
    WASHINGTON, DC 20036


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: MARK CRITZ
Signed by the candidate on: 11/16/2010

Filed: 11/16/2010

(End FEC FORM 2)


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