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HomeMy WebLinkAboutCampaign Finance Records - Statement of organization - Bart Turner for Glendale City Council 2018 - 6/30/2017Q Initial Application ❑Amended Application Date: 06.130117 COMMITTEE TYPE (choose one): CITY OF GLENDALE STATE OF ARIZONA COMMITTEE STATEMENT OF ORGANIZATION Q Candidate Committee Name (required): Bart Turner for Glendale City Council 2018 (first or last name & office) Candidate Information: Candidate's Name (required): Bart Turner COMMITTEE ID NUMBER (office use only) t`a-0� Candidate's mailing address (required): 8217 N 57th Drive Glendale, AZ 853Qa Candidate's email address (required): Dart turner(()-coX.net Candidate's phone number (required): 623-487-3808 Candidate's website (if any): Office Sought (choose one): ❑ Governor ❑ Secretary of State ❑ Attorney General ❑ Superintendent of Public Instruction ❑ State Mine Inspector ❑ State Senate ❑ State House of Representatives ❑ County Office: ❑ State Treasurer ❑ Corporation Commissioner ❑ District (required): ❑ District (if applicable): p City/Town Office: Glendale ❑District (if applicable): Barrel Election Cycle for Office Sought (year the election will take place) (required): 2018 Party Affiliation: NIA ❑ Democrat ❑ Green ❑ Libertarian ❑ Republican ❑ Other: (required for partisan offices) ❑ Political Action Committee (PAC) Committee Name (required): Bart Turner for Glendale City Council 2018 (if sponsored, must include sponsor's name) Political Function (optional): ❑Contributions ❑Candidate -Related Independent Expenditures (select any that apply) ❑ Ballot Measure Expenditures ❑ Recall Expenditures Sponsorship Information: (if applicable) Sponsor's name or nickname (required): Sponsor's mailing address (required): _ Sponsor's email address (required): Sponsor's phone number (if any): Sponsor's website (if any): Special Status []Separate Segregated Fund of a Corporation, LLC, Partnership, or Union (if applicable) 0Standing Committee (must also complete separate standing committee registration) 0 Mega PAC (must provide proof of Mega PAC status to filing officer) (amended applications only) ❑Political Party Committee Name (required): (must include party affiliation) Bart Turner for Glendale City Council 2018 Jurisdiction: ❑ State Party (must include proof of qualification pursuant to A.R.S. § 16-801 or § 16-804) ❑ County Party (must include proof of qualification pursuant to A.R.S. § 16-802 or § 16-804) ❑ Legislative District Party (must include proof of organization pursuant to A.R.S. § 16-823) ❑ City or Town Party (must include proof of qualification pursuant to A.R.S. § 16-802 or § 16-804) { Special Status ❑ Standing Committee (must also complete separate standing committee registration) (if applicable) Arizona Secretary of State Revision 11/5/16 0 Initial Application STATE OF ARIZONA COMMITTEE ID NUMBER Amended Application (office use only) ❑ COMMITTEE STATEMENT Date: 06/30/17 OF ORGANIZATION J s � COMMITTEE INFORMATION: Contact Information: Committee's mailing address (required): 8217 N. 57th Drive Glendale AZ 85302 Committee's email address (required): bart_turner@coX.net Committee's phone number (if any): 623-487-3808 Committee's website (if any): Chairperson's Information: Chairperson's name (required): Bart Turner Treasurer's Information: Sank or Financial Institution: (do not list acct numbers) DECLARATION AND SIGNATURES: Chairperson's physical address (required): 8217 N. 57th Drive Glendale AZ 85,V Chairperson's mailing address (if different): Chairperson's email address (required): bart_turner@coX.net Chairperson's phone number (required): 623-487-3808 Chairperson's employer (required): City of Glendale Chairperson's occupation (required): Councilmember Treasurer's name (required): Bart Turner Treasurer's physical address (required): 8217 N. 57th Drive Glendale AZ 85302 Treasurer's mailing address (if different): Treasurer's email address (required): bart_turner@coX.net Treasurer's phone number (required): 623-487-3808 Treasurer's employer (required): City of Glendale Treasurer's occupation (required): Councilmember Bank name (required): BMO Harris Additional bank name (ifapplicable): Additional bank name (if applicable): I declare under penalty of perjury that the foregoing information is true and correct. I further declare that I: (1) consent to serve as chairperson or treasurer of the committee named herein, if applicable; (2) designate the above-named committee as my official candidate committee and authorize it to receive/make contributions/expenditures on my behalf, if applicable; (3) have read the Secretary of State's campaign finance and reporting guide; (4) agree to comply with Arizona election law, including campaign finance laws codified at A.R.S. §§ 16-901 to 16-938; and (5) agree all noti ations and legal service of process for campaign finance purposes via the email address(es) provid_d-T'� in. Chairperson's Treasurer's sig Candidate's signature (if Arizona Secretary of State Revision 11/5/16