HomeMy WebLinkAboutCampaign Finance Records - Statement of organization - Committee to Elect Jamie Aldama - 1/24/2014CITY / TOWN OF Glendale
POLITICAL COMMITTEE CITY CLERK
STATEMENT OF ORGANIZATION CITY OF G L E N D A L
Titles 16 & 19 Arizona Revised Statutes
Definitions, statutory references and import t information on rf 9040 N 2 4 AM 10;
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❑ Initial Registration ❑ Out of State Committee Amended Statement
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NAME OF POLITICAL COMMITTEE
DATE
ADDRESS (NUMBER & STREET)
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STATE
ZIP
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MAILING ADDRESS (If different from above)
CITY
STATE
ZIP
COMMITTEE TELEPHONE #
COMMITTEE FAX #
COMMITTEE E -M IL ADDRESS
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DOES THE POLITICAL COMMITTEE HAVE A SPONSORING ORGANIZATION? ❑ YES �NO
If yes, please provide the following information:
NAMEOFSPONSORING ORGANIZATION
TYPE OF ORGANIZATION
ADDRESS OF SPONSORING ORGANIZATION
RELATIONSHIP TO POLITICAL COMMITTEE
OF POLITICAL COMMITTEE - Please check only one box:
17CANDIDATE'SCAMPAIGN COMMITTEE (primary or general) ❑ COMMITTEE 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).
NA E OF COMMITTEE HAIRMAN
CHAIRMAN'S TELEPHONE #
CHAIRMAN'S FAX #
CHAIRMAN'S ADDRESS
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CITY
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ZIP
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CHAIRMAN'S OCCUPATION
CHAIRMAN'S EMPLOYER
CHAIRMAN'S -MAIL ADDRESS
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NAME OF COMMITTEE TREASURER
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TREASURER'S TELEPHONE #
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TREASURER'S FAX #
TREASURER'S ADDRESS
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ZIP
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TREASURER'S OCCUPATION
TREASURER'S EMPLOYER
TREASURER'S F IL ADDRESS
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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. �- k D` A w o -e /� t 1 e c, 2.
3.
FOR AN EXPLORATORY COMMITTEE OR A CANDIDATE'S CAMPAIGN
COMMITTEE, PROVIDE THE FOLLOWING INFORMATION:
(Office sought is optional for an Exploratory Committee.)
NA. E OF DESIGNATING INDIVIDUAL (DI) OR CANDIDATE
CANDIDA'S OR 9ESIGNATING INDIVIDUAL'S E-MAIL ADDRESS
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DI's OR C NDIDATE'S ADDRSS
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STATE
ZIP
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CANDIDATE'S (or DESIGNATING INDIVIDUAL'S) STATEMENT: I authorize the above-named political committee
contributions and make expenditures on my behalf. .
Date: S– C/—... ell / Candidate's or D/1's signature:
CHAIRMAN'S AND TREASURER'S STATEMENT: We, the undersigned, pursuayt to A.R.S. § 16-902.01(136)
campaign finance and reporting and have examined the information contained in his s ent of organizatioi
it is true, correct and complete.
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Date: /~ Z- �, 2,0s.v Chairman's signature:
Date: A ? ee-- r / Treasurer's signature:
al committee to receive
M all the applicable laws relating to
the best of our knowledge and belief,
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.