HomeMy WebLinkAboutCampaign Finance Records - Statement of organization - Elect Ray Malnar - 5/23/2019D Initial Application
[^Amended Application
Date: n'=;/91/9niQ
CITY OF GLENDALE
STATE OF ARIZONA
COMMITTEE STATEMENT
OFOR3^NIZATION
COMMITTEE ID NUMBER
(office use only)
i^-o^
COMMITTEE TYPE (choose one):
L/J Candidate
Committee Name (required):
(first or last name & office)
El^<^r /^ay M^lnoit-
Candidate Information: Candidate's Name (required): Raymond L Malnar
Candidate's mailing address (required): 5343 West Desert Hills Dr. Glendale, f^
Candidate's email address (required): ray.malnar@COX.net
Candidate's phone number (required): 623-869-1 1 60
Candidate's website (if any): raymalnar.COm
Office Sought (choose one): D Governor a Secretary of State
a Superintendent of Public Instruction
D Attorney General
D State Mine Inspector
D State Treasurer
D Corporation Commissioner
D State Senate D State House of Representatives D District (required):
a County Office: _ D District (if applicable):
0 City/Town Office: Councilman D District (if applicable): SahuarO
Election Cycle for Office Sought (year the election will take place) (required): 2020
D DemocratParty Affiliation: N/A
(required for partisan offices)
D Green D Libertarian D Republican D Other:
Q Political Action Committee (PAC)
Committee Name (required):
(if sponsored, must include
sponsor's name)
Political Function {optional Qcontributions Qcandidate-Related Independent Expenditures
(select any that apply) QB allot Measure Expenditures Q Recall Expenditures
Sponsorship Information:
(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):
Special Status
(if applicable)
Qseparate Segregated Fund of a Corporation, LLC, Partnership, or Union
Committee (must also complete separate standing committee registration)
[] Mega PAC (must provide proof of Mega PAC status to filing officer) (amended applications only)
I Political Party
Committee Name (required):
(must include party affiliation)
Jurisdiction:
Special Status
(if applicable)
State Party (must include proof of qualification pursuant to A.R.S. § 16-801 or § 16-804)
County Party (must include pr..nf of qualification pursuant to A.R.S. § 16-802 or § 16-804)
[_] Legislative District Party (must include proof of organization pursuant to A.R.S. § 16-823)
Q City or Town Party (must include proof of qualification pursuant to A.R.S. § 16-802 or § 16-804)
D Standing Committee (must also complete separate standing committee registration)
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Arizona Secretary of State Revision 11/5/16
[~_] Initial Application
Q Amended Application
'Date: 05/23/2019
STATE OF ARIZONA
COMMITTEE STATEMENT
OF ORGANIZATION
COMMITTEE ID NUMBER
(office use only)
^;^__._
COMMITTEE INFORMATION:
Contact Information:Co.mittee.3 mailing address (required).. 5343 West Desert Hills Pr, Glendale, ^
Committee's email address (required); ray.malnar@COX.net
Committee's phone number (if any): u^-vJ-uuo-
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): 5343 West Desert HlllS Pr, GlendaleQ
Chairperson's email address (required): raymainar.COm
Chairperson's phone number (required): D^O-ooy-
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 HIIIS Pr, Glendale, ^3
Treasurer's mailing address (if different): 5343 West Desert Hills Pr, Glendale, /h
Treasurer's email address (required): raymalnar.COm
Treasurer's phone number (required): uz.^-ou.s-
Treasurer's employer (required): City Of Glendale
Treasurer's occupation (required): Council Member
Bank or Financial Institution: Bank name (required):
(do not list acct numbers) Additional bank name (ifapplicable): Wells FarQO
Additional bank name (if applicable);
DECLARATION AND SIGNATURES:
I declare 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 Secretary of State's
campaign finance and reporting guide; (4) agree to comply with Arizona election law, including campaign finance laws codified atA.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):^^.il^
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Date:_^Y^//l_
Date
Date:
Arizona Secretary of State Revision 11/5/16