HomeMy WebLinkAboutCampaign Finance Records - Statement of organization - Committee to Elect Jamie Aldama 2018 - 6/28/2017[MAmended Application
Z] Initial Application
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COMMITTEE TYPE (choose one):
CITY OF GLENDALE
STATE OF ARIZONA
COMMITTEE STATEMENT
OF ORGANIZATION
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COMMITTEE ID NUMBER
(office use only)
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Q✓ Candidate
Committee Name (required): Committee to Elect Jamie Aldama
(first or last name & office)
Candidate Information: Candidate's Name (required): Jamie Aldama
Candidate's mailing address (required): _7329 N. 68th Drive, Glendale, AZ 85303
Candidate's email address (required): electaldama(D-gmail.com
Candidate's phone number (required): 623-206-7867
Candidate's website (if any): www.gamiealdama.com
Office Sought (choose one): ❑ Governor ❑ Secretary of State ❑ Attorney General ❑ State Treasurer
❑ Superintendent of Public Instruction ❑ State Mine Inspector ❑ Corporation Commissioner
❑ State Senate ❑ State House of Representatives ❑ District (required):
❑ County Office: ❑ District (if applicable):
❑✓ City/Town office: Glendale []District (if applicable): OCOtillo -
Election Cycle for Office Sought (year the election will take place) (required): 2018
Party Affiliation: NSA ❑Democrat ❑Green ❑Libertarian ❑Republican ❑Other: •°�"�
(required for partisan offices) I_
1
❑ Political Action Committee (PAC)
Committee Name (required):
Committee to Elect Jamie Aldama , =;
(if sponsored, must include
sponsor's name)
!
Political Function (optional):
Contributions Candidate -Related Independent Expenditures
(select any that apply)
11 Ballot Measure Expenditures Recall Expenditures
Sponsorship Information:
Sponsor's name or nickname (required):
(if applicable)
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)
Standing Committee (must also complete separate standing committee registration) /
Mega PAC (must provide proof of Mega PAC status to filing officer) (amended applications only) ,
•ElPolitical Party
Committee Name (required): Committee to Elect Jamie Aldama
(must include party affiliation)
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 1115116
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0 Initial Application STATE OF ARIZONA i COMMITTEE ID NUMBER
Amended ApplicationCOMMITTEE STATEMENT (office use only)
Date: OF ORGANIZATION
_.....__._.._.... -..............
COMMITTEE INFORMATION:
Contact Information: Committee's mailing address (required): 7329 N. 68th Dr., Glendale, AZ 85303
Committee's email address (required): electaldama@gmail.com
Committee's phone number (if any): 623-206-7867
Committee's website (if any): WWW.jamiealdama.com
Chairperson's Information: Chairperson's name (required): Jamie Aldama
Chairperson's physical address (required): 7329 N. 68th Dr., Glendale, AZ 853%
Chairperson's mailing address (if different):
Chairperson's email address (required): electaldama@gmail.Com
Chairperson's phone number (required): 623-206-7867
Chairperson's employer (required): Maricopa County Comm. Coll. Dist.
Chairperson's occupation (required): Manager of Operations
Treasurer's Information: Treasurer's name (required): Jamie Aldama
Treasurer's physical address (required): 7329 N. 68th Dr., Glendale, AZ 85303
Treasurer's mailing address (if different):
Treasurer's email address (required): electaldama@gmail.Com
Treasurer's phone number (required): 623-206-7867
Treasurer's employer (required): Maricopa County Comm. Coll. System
Treasurer's occupation (required): Manager of Operations
Bank or Financial Institution: Bank name (required):
(do not list acct numbers) Additional bank name (ifapplicable):
Additional bank name (if applicable):
DECLARATION AND SIGNATURES:
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 comp) Arizona election law, including campaign finance laws codified at A.R.S.
§§ 16-901 to 16-938; and (5) agree to accept all notifi ion nd legal service of process for campaign finance purposes via the email
address(es) provided herein. �y
Chairperson's signature:
Treasurers signature:
Candidate's signature (if
Date -
Date: 4^—
ate:
Date:4 �� ew �;,
Date:
Arizona Secretary of State Revision 11/5/16
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