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Home My WebLink AboutCampaign Finance Records - Statement of organization - Bart Turner for Glendale City Council - 3/19/2014CITY / TOWN OF Glendale STATEMENT OF ORGANIZATION CIT Y C-1 f�'p Titles 16 & 19 Arizona Revised Statutes C ( 1.. Definitions, statutory references and important informat" % o reverse. 19 , Initial Registration ❑ Out of State Committee ❑ Amended Statement j NAME OF POLITICAL COMMITTEE 6 Q dA DATE `'I - bpi L-. ADDRESS (NUMBER & STREET))ITY STATE ZIP -C -� d '6—� ^yam C� MAILING ADDRESS (If different from above) CITY STATE ZIP COMMITTEE eTELEPHONE # COMMITTEE FAX # COMMITTEE E-MAIL ADDRESS DOES THE POLITICAL COMMITTEE HAVE A SPONSORING ORGANIZATION? ❑ YES )j NO If yes, please provide the following information: NAME OF SPONSORING ORGANIZATION TYPE OF ORGANIZATION ADDRESS OF SPONSORING ORGANIZATION RELATIONSHIP TO POLITICAL COMMITTEE TYPE OF POLITICAL COMMITTEE - Please check only one box: CANDIDATE'S CAMPAIGN COMMITT (primary_�r general) [:1COMMITTEE ORGANIZED FOR THE PURPOSE OF MAKING `` - INDEPENDENT EXPENDITURES ❑ SEPARATE SEGREGATED FUND ESTABLISHED BY A CORPORATION OR LABOR ORGANIZATION ❑ COMMITTEE ORGANIZED IN SUPPORT OF OR OPPOSITION TO ONE OR MORE CANDIDATES ❑ COMMITTEE IN SUPPORT OF OR OPPOSITION TO THE ❑ QUALIFICATION, PASSAGE OR DEFEAT OF A BALLOT MEASURE POLITICAL ORGANIZATION (see A.R.S. § 16-823) Petition Serial Number Support ❑ Oppose ❑ ❑ EXPLORATORY COMMITTEE ❑ COMMITTEE ORGANIZED TO CIRCULATE OR OPPOSE A RECALL ❑ OTHER TYPE OF COMMITTEE (please describe) PETITION OR TO INFLUENCE THE RESULT OF A RECALL ELECTION ❑ POLITICAL PARTY see A.R.S. §§ 16-801, 16-804,16-821 and 16-825) ❑ CHECK HERE IF REGISTERED WITH THE SECRETARY OF STATE AS A STANDING POLITICAL COMMITTEE PURSUANT TO A.R.S. § 16-902.01. (You must provide a copy of the statement of organization filed with the Secretary of State designating standing committee status) EACH POLITICAL COMMITTEE SHALL HAVE A CHAIRMAN AND TREASURER. THE POSITION OF CHAIRMAN AND TREASURER OF A SINGLE POLITICAL COMMITTEE MAY NOT BE HELD BY THE SAME INDIVIDUAL, EXCEPT THAT A CANDIDATE MAY BE CHAIRMAN AND TREASURER OF HIS OR HER OWN CAMPAIGN COMMITTEE. A.R.S. §16-902(A). NAME OF COMMITTEE CHAIRMAN CHAIRMAN'S TELEPHONE # CHAIRMAN'S FAX # p� �� 7 K CHAIRMAN'S ADDRESS CITY STATE ZIP d 2-1 7 N len- i�A= CHAIRMAN'S OCCUPATION CHAIRMAN'S EMPLOYER CHAIRMAN'S E-MAIL ADDRESS NAME OF COMMITT E TREASURER TREASURER'S TELEPHONE # TREASURER'S FAX # " TREASURER'S ADDRESS CITY STATE P G►J EASURER'S OCCUPATION TREASURER'S EMPLOYER TREASURER'S E-MAIL ADDRESS r BEFORE A POLITICAL COMMITTEE ACCEPTS A CONTRIBUTION OR MAKES AN EXPENDITURE IT SHALL DESIGNATE AT LEAST ONE ACCOUNT AT A QUALIFIED FINANCIAL INSTITUTION (A.R.S. § 16-902(C)). LIST THE NAMES OF ALL FINANCIAL INSTITUTIONS WITH WHICH THE COMMITTEE MAINTAINS ACCOUNTS OR SAFETY DEPOSIT BOXES. (Do not list account numbers.) 1. t ' 2. 3. FOR AN EXPLORATORY COMMITTEE OR A CANDIDATE'S CAMPAIGN COMMITTEE, PROVIDE THE FOLLOWING INFORMATION: (Office sought is optional for an Exploratory Committee.) NAME OF DESIGNATING INDIVIDUAL (DI) OR CANDIDATE CANDIDATE'S OR DESIGNATING INDIVIDUAL'S E-MAIL ADDRESS SOU NDIDATE'S ADDRESS 9 ! - ZIP CANDIDATE'S (or DESIGNATING INDIVIDUAL'S) STATEMENT: I authorize the above-named political committee as my political committee to receive contributions and make expenditures on my behalf. Date: 3 . ` Candidate's or D/1's sig CHAIRMAN'S AND TREASURER'S STATEMENT: We, the undersigned, pursuant to A.R.S. § 16-902.01(B6) have read all the applicable laws relating to campaign finance and reporting and have examined the informatio ed in this atemen Qie ization and, to the best of our knowledge and belief, it is true, correct and comp Date: ® Chairman's signatur Date: -19-( Treasurer's signatu DEFINITION OF POLITICAL COMMITTEE: A.R.S. § 16-901(19) "Political committee" means a candidate or any association or combination of persons that is organized, conducted or combined for the purpose of influencing the result of any election or to determine whether an individual will become a candidate for election in this state or in any county, city, town, district or precinct in this state, that engages in political activity in behalf of or against a candidate for election or retention or in support of or opposition to an initiative, referendum or recall or any other measure or proposition and that applies for a serial number and circulates petitions and, in the case of a candidate for public office except those exempt pursuant to section 16-903, that receives contributions or makes expenditures of more than two hundred fifty dollars in connection therewith, notwithstanding that the association or combination of persons may be part of a larger association, combination of persons or sponsoring organization not primarily organized, conducted or combined for the purpose of influencing the result of any election in this state or in any county, city, town or precinct in this state" Examples of types of political committees are listed on the front of this form. NOTE FOR INDIVIDUALS INVOLVED IN POLITICAL ACTIVITIES: An individual acting alone, unless that individual is a candidate, is not a political committee under Arizona law and need not file a statement of organization. If any additional person or persons join the effort (as defined above in A.R.S. § 16-901(19)) begun by an individual, the association of persons has become a "political committee" under Arizona law, and must register the committee pursuant to A.R.S. § 16-902.01(A). NOTE FOR THOSE INVOLVED IN INITIATIVE, REFERENDUM AND RECALL EFFORTS: Before circulating initiative, referendum or recall petitions, a political committee must file its statement of organization with the appropriate filing office. Signatures obtained on petitions prior to the filing of the statement of organization are void and shall not be counted in determining the legal sufficiency of the petition. A.R.S. §§ 19-114(B) and 19-202(C). Even though an individual, acting alone, may begin the initiative, referendum or recall effort, as soon as other persons join the effort, the association of persons must register as a political committee.