HomeMy WebLinkAboutCampaign Finance Records - Statement of organization - Elect Ray Malnar - 5/7/2019\~\ Initial Application
Q Amended Application
Date:
CIT/OFGLENDALE
STATE OF ARIZONA
COMMITTEE STATEMENT
OF ORGANIZATION
COMMITTEE ID NUMBER
(office use only)
COMMITTEE Ti'PE (choose one):
[3 Candidate
Committee Name (required): Elect Ray Malnar
(first or last name & office)
Candidate Information: Candidate's Name (required): Raymond L Malnar
Candidate's mailing address (required): 5343 West Desert Hills Pr, Glendale, fiti
Candidate's email address (required): ray.malnar@COX.net
Candidate's phone number (required): 623-869-1 160
Candidate's website (if any): raymalnar.COm
Office Sought (choose one): D Governor D Secretary of State D Attorney General D State Treasurer
D Corporation CommissionerD Superintendent of Public Instmction D State Mine Inspector
D State Senate D State House of Representatives D District (required):
a County Office: _ D District (if applicable):
[3 City/To\wn Office: Councilman BDistrict (if applicable): SahuarO
Election Cycle for Office Sought (year the election will take place) (required): 2020
Party Affiliation: N/A Q Democrat D Green D Libertarian D Republican a Other:
(required for partisan offices)
|/| Political Action Committee (PAC)
Committee Name (required): Elect Ray Malnar
(if sponsored, must indude
sponsor's name)
Po/fffca/Funct/on (optional): Qcontributions '^Candidate-Related Independent Expenditures
(select any that apply) j~~j Ballot Measure Expenditures Q Recall Expenditures
Sponsorship Information:
(if applicable)
Special Status
(if applicable)
Sponsor's name or nickname (required):
Sponsor's mailing address (required):
Sponsor's email address (required):
Sponsor's phone number (if any):
Sponsor's website (if any):
Separate Segregated Fund of a Corporation, LLC, Partnership, or Union
Standing Committee (must also complete separate standing committee registration)
Mega PAC (must provide proof of Mega PAC status to filing officer) (amended applications only)
IPolitical Party
Committee Name (required):
(must indude party affiliation)
Jurisdiction:
Elect Ray Malnar
Special Status
(if applicable)
D State Party (must indude proof of qualification pursuant to A.R.S. § 16-801 or § 16-804)
[_] County Party (must indude proof of qualification pursuant to A.R.S. § 16-802 or § 16-804)
[-| Legislative District Party (must indude proof of organization pursuant to A.R.S. § 16-823)
[_] City or Town Party (must include proof of qualification pursuant to A.R.S. § 1 6-802 or § 16-804)
II Standing Committee (must also complete separate standing committee registration)
Arizona Secretary of State Revision 11/5/16
|/| Initial Application
Q Amended Application
Date:
STATE OF ARIZONA
COMMITTEE STATEMENT
OF ORGANIZATION
COMMITTEE ID NUMBER
(office use only)
COMMITTEE INFORMATION:
Contact Information:Committee's mailing address (required): 5343 weSt Desert HiltS Pr, GLendale, ^
Committee's email address (required): ray.malnar@COX.net
Committee's phone number (if any): 623-869-1160
Committee's website (if any): raymalnar.COm
Chairperson's Information: Chairperson's name (required):
Chairperson's physical address (required): 5343 West Desert Hills Pr, Glendaled
Chairperson's mailing address (if different):
Chairpereon-s email address (required): ray.malnar@COX.net
Chairperson's phone number (required): o^.o-ooa-
Chairperson's employer (required): City Of Glendale
Treasurer's Information:
Chairperson's occupation (required): Council Member
Treasurer's name (required): Raymond L Malnar
Treasurer's physical address (required): 5343 West Desert Hills Pr, Glendale, /^a
Treasurer's mailing address (if different):
Treasurer's email address (required): ray.malnar@COX.net
Treasurer's phone number (required): 623-869-1 1 60
Treasurer's employer (required): ^'^V °f Glendale
Treasurer's occupation (required): Council Member
Bank or Financial Institution: Bank name (required): Bank Of America OF
(do not list acct numbers) Additional bank name (ifapplicable): Wells FarQO Or
Additional bank name (if applicable): Chase
DECLARATION AND SIGNATURES:
I dedare 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 Secretaiy of State's
campaign finance and reporting guide; (4) agree to comply with Arizona election law, including campaign finance laws codified at A.R.S.
§§ 16-901 to 16-938; and (5) agree to accept all notifications and legal service of process for campaign finance purposes via the email
address(es) provided herein.
Chairperson's signature:
Treasurer's signature:
Candidate's signature (if applicable);£: ^M/l
^:
Date:
Date:
Date:
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Arizona Secretary of State Revision 11/5/16