Ty, State, and ZIP Code 4. Party Affiliation 5. Office Sought New (N) Amended (A) OR 6. State & District of Candidate Designation of principal campaign Committee 7. I hereby designate the following named political committee as my Principal Campaign Committee for the NOTE: This designation should be filed with the appropriate office listed in the instructions. (year of election) election(s). (a) Name of Committee (in full) (b) Address (number and street) (c) City, State, and ZIP Code.

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