HomeMy WebLinkAboutIndependent Expenditures - N/A - 8/11/2014c I T y" . I e, f',
CITY/TOWN OF
REGISTRATION FORM FOR ° i A'lu` � 9,A M i 1 a
CORPORATIONS, LIMITED LIABILITY COMPANIES, AND LABOR ORGANIZATIONS
Arizona Revised Statutes §16-914.02
❑Initial Registration Amended Registration
FILER ID NUMBER
Corporation ❑Limited Liability Company (LLC) ❑Labor Organization E' 12--0
NAME OF CORPORATION, LLC, OR LABOR ORGANIZATION DATE
CORPORATION, LLC, OR LABOR ORGANIZATION ADDRESS ELECTION YEAR
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CITYT ATE ZIP TELEPHONE #
EACH CORPORATION, LLC, OR LABOR ORGANIZATION SHALL DESIGNATE A PERSON AUTHORIZED TO MAKE
INDEPENDENT EXPENDITURES. A.R.S. §16-914.02(C).
NAME OF RESPONSIBLE PARTY
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TITLE OF RESPONSIBLE PARTY
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RESPONSIBLE PARTY'S TELEPHONE #
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RESPONSIBLE PARTY'S EMAIL ADDRESS
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THE ORIGINAL OF THIS FORM MUST BE RECEIVED BY THE CITY CLERK WITHIN FIVE (5) DAYS OF MAKING AN INITIAL INDEPENDENT
EXPENDITURE UNLESS PREVIOUSLY FILED.