8/10/2019 Officer Intent to Run

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Democratic Party of Georgia

2015 Officer of the Democratic Party of Georgia

Notice of Intent to Run

I, ______________________________, intend to run for _________________________of the

Democratic Party of Georgia. I affirm that I am/am not a current State Committee Member.

I have made an X under the statement that is true for me.

_________ As a current State Committee Member, I serve under __________________ County or I am

an At-large member.

_________Conversely, I am not a current State Committee Member and therefore the 30 signatures of

current State Committee Members supporting my candidacy are attached as Exhibit A.

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Signature

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Date