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Home My WebLink AboutCampaign Finance Records - Statement of organization - Neighbors for a Better Glendale - 1/28/2014CITY/ TOWN OF GLENDALE POLITICAL COMMITTEE STATEME� E �IIZATIQN CITY CLERK Titles 16 & 99 Arizona Revised Statutes CITY OF GLENDALE Definitions, statutory references and important information on reverse. 711111, IAS# A PRS 1 ± n i (� Initial Registration ❑ Out of State Committee Amended Statement 12-19 NAME OF POLITICAL COMMITTEE DATE NEIGHBORS FOR A BETTER GLENDALE ADDRESS (NUMBER & STREET CITY STATE ZIP --2'77 0 N � 3 ` GLENDALE AZ g53a3 MAILING ADDRESS (If different from above) CITY STATE ZIP COMMITTEE TELEPHONE # CO IMIT'TEE FAX # COMMITTEE E-MAIL ADDRESS jod2-jq I r q an enol! .CIJm- DOES THE POLITICAL COMMITTEE HAVE A SPONSORING ORGANIZATION? ❑ YES X 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 COMMITTEE CK 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. § 16-825) 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 # Gary Hirsch L-4'?()— 2-"6q — L4q 7 15 CHAIRMAN'S ADDRESS _ CITY _ __ STATE P TO 60� (o � °7 3 Glendale AZ L65312 - CHAIRMAN'S OCCUPATION MQ � CHAIRMAN'S EMPLOYER ��Y CHAIRMAN'S E-MAIL ADDRESS 1 Yl �� l' n,j 11r0 S @ . U ICES gary,hirsch@cox.net NAME OF COWITTke TREASURER TREASURER'S TELEPHONE # TREASURER'S FAX # Jill Ryan 602-741-6170 TREASURER'S ADDRESS CITY. STATE _ ZIP 7740 North 83rd Avenue Glendale AZ 8530 TREASURER'S OCCUPATION TREASURER'S EMPLOYER TREASURER'S E-MAIL ADDRESS Realtor I Self Ijillryanl@gmail.com BEFORE A POLITICAL COMMITTEE ACCEPTS A CONTRIBUTION OR MAKES AN EXPENDITURE IT SHALL DESIGNATE ATLEAST ONE ACCOUNT ATAQUALIFIED FINANCIAL INSTITUTION R.S. § THE NAMES OFALL FINANCIAL INSTITUTIONS WITH WHICH THE COMMITTEE MAINTAINS ACCOUNTS 0RSAFETY DEPOSIT BOXES, (Do not list account numhwrs.) 1. 2� 3. FOR AN EXPLORATORY COMMITTEE OR A CANDIDATE'S CAMPAIGN COMMITTEE, PROVIDE THE FOLLOWING INFORMATION: (Office sought iooptional for anExploratory Cummiooe.) NAME OF DESIGNATING INDIVIDUAL (DI) OR CANDIDATE CANDIDATE'S OR DESIGNATING INDIVIDUAL'S E-MAIL ADDRESS OFFICE SOUGHT DI's OR CANDIDATE'S ADDRESS CITY ATE Zi CANDIDATE'S(or DESIGNATING |Nn|YiDUAL'SSTATEMENT: |authorize the above-named political committee aamypolitical committee to receive contributions and make expenditures onmybehalf. Date: Candidate's or D/1's signature: CHAIRMAN'S AND TREASURER'S STATEMENT: We, the undersigned, pursuant to A.RS.��- .01 (136) have read all the applicable laws relating to campaign finance and reporting and have examined the information contained itiotrue, correct and complete. Date: 1- 2- '3 -14 Chairman's signature:- | 2 Date:' Treasurer's signature: DEFINITION OFPOLITICAL COMMITTEE: &.R.S.§1M-9u1(1g) "Political committee" means acandidate many association mcombination ofpersons that |e organized, conducted or combined for the purpose of influencing the result of any election or to determine whether mn individual will become moond|date for election in this state or in |tydistrict or precincti this state, that engages in political act|vity| behalf ofonagainst a candidatefoelection 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 in connection therewith, notwithstanding that the association or combination of persons may be a 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 |MPOLITICAL 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 the effort 8.R.G. 0 (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. § NOTE FOR THOSE INVOLVED |NINITIATIVE, REFERENDUM AND RECALL EFFORTS: Before circulating initiative, referendum cvrecall petitions, a political committee must 8|a its statement of organization with the appropriate filingoffice. Signatures obtained on petitionsprior to the filing of the matememof organization are void and shall not be counted in determining the legal sufficiency ofthe petition. A.R.S.0§18'114(3) and 19-202(C). Even though anindividual, acting alunn, may begin the iniUotivn, referendum or recall offbrt, as soon as other persons join the effort, the association of persons must registerao apo||Umd committee.