08/20/2015 13 : 17
Image# 201508209000876507

PAGE 1 / 1

FEC FORM 2
STATEMENT OF CANDIDACY
1. (a) Name of Candidate (in full)
Mr. Not Sure
(b) Address (number and street)

Check if address changed

2. Candidate’s FEC Identification Number

817 Grandview St

(c) City, State, and ZIP Code
Wheeling

WV

4. Par ty Affiliation

5. Office Sought

P60010519
3. Is This
Statement

26003

New
(N)

OR

Amended
(A)

6. State & District of Candidate

Presidential

SOC

DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE
7. I hereby designate the following named political committee as my Principal Campaign Committee for the

2016
election(s).
(year of election)

NOTE: This designation should be filed with the appropriate office listed in the instructions.
(a) Name of Committee (in full)

Not Sure For President 2016
(b) Address (number and street)
817 Grandview St
(c) City, State, and ZIP Code

WV

Wheeling

26003

DESIGNATION OF OTHER AUTHORIZED COMMITTEES
(Including Joint Fundraising Representatives)
8. I hereby authorize the following named committee, which is NOT my principal campaign committee, to receive and expend funds on behalf of my
candidacy.
NOTE: This designation should be filed with the principal campaign committee.
(a) Name of Committee (in full)

(b) Address (number and street)

(c) City, State, and ZIP Code

I certify that I have examined this Statement and to the best of my knowledge and belief it is true, correct and complete.
Signature of Candidate

Not Sure

.

Date

[Electronically Filed]

08/20/2015

NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Statement to penalties of 2 U.S.C. §437g.

FEC FORM 2 (REV. 02/2009)