HomeMy WebLinkAboutCampaign Finance Records - Statement of organization - Corey Bowen for Glendale City Council Campaign Committee - 9/10/2019CITY OF GLENDALE
✓❑Initial Application STATE OF ARIZONA COMMITTEE ID NUMBER
Amended Application COMMITTEE STATEMENT (offer use only)
Dam, ntamsaf�n� a OF ORGANIZATION L — D3
COMMITTEE TYPE (choose one):
' N Q Candidate
Crrr„dff" Name (required): Corey Bowen For Glendale City Council Campaign Committee
(first or last name & office)
Candidate lnforrnaatiorr: Candidate's Name (required): Corey bowen
Candidate's mailing address (required); 8213 w nicolet ave glendale, az 85303
Candidate's small address (required): Coreybowefof CdtytouncilcD,gmall.t om
Candidate's phone number (required): 6029003230
Candidate's website (if any): for wenfo lendale.com
Office Sought (choose one): CI Governor ❑ Secretary of State 13 Attorney General ❑ State Treasurer
❑ Superintendent of Public Instruction ❑ State Mine Inspector ❑ Corporation Commissioner
❑ State Senate 17 State House of Representatives ❑ District (required):
13 County Office: ❑ District (if appllcaWl ..
@ City/Town a nce: city' council QDlstrict (ifappli able): VtJCCa
Election Cyde for Office Sought (year the election will take place) (required): 2020
PartyAAfHet/an: NIA 13 Democrat [] Green t7 Libertarian E3Republican O Other.
{required for partisan offices} - -- - - - - - - - - -
Political Action Committee (PAC)
Commlftee Name (required):
(If sponsored, must include
sponsor's name)
PoNtical Function (optional$ [)Corrtdbutions ❑Candidate -Related Independent Expenditures
(select any that apply) 08allot Measure Expenditures ❑ Recall Expenditures
Sponsorship Information: Sponsor's name or nickname (requbred): -
(if applicable) Sponsor's mailing address (required):
Sponsor's arnall address (required):
Sponsor's phone number (if any):
Sponsor's website (If any):
Special status❑Separate Segregated Fund of a Corporation, LLC, Partnership, or Union
(if applicable) Standing Committee (must also complete separate standing carmittee registration)
0 Mega PAC (must provide proof of Mega PAC status to filing officer) (amended applications only)
011otidcal Party
Committee Name (required):
(must include party affillation)
Judsalktha. []State Party (must Include proof of qualification pursuant to A.R.S. § 16-801 or § 16-804)
❑ County Party (must include proof of qualification pursuant to A.R.S. § 16-802 or § 184104)
Legislative District Party (must include proof of organization pursuant to A.R.S. § 18-823)
City or Town Party (must include proof of qualification pursuant to A.R.S. § 16.802 or § 164104)
Special Status ❑ Standing Committee (must also complete separate standing committee registration)
(if applicable)
Arizona Secretary of State Revision 1115/16
HInitial Application
Amended Application
Date: 09/09/2019
COMMITTEE INFORMATION:
Contact Wormatfon:
Chairpersons Information:
Treasurer's Information;
Tank or Rhandal thatkudon:
(do not list acct numbers)
DECLARATION AND SIGNATURES:
STATE OF ARIZONA
COMMITTEE STATEMENT
OF ORGANIZATION
COMMITTEE ID NUMBER
(office use only)
l4 -0
Committee's mailing address (required): 8213 w nicolet ave glendale, az 85303
Committee's small address (required): coreyboweforcitycouncil@gmaii.com
Committee's phone number (if any): 6029003230
Committee's website (d any): coreybowenforglendele.com
Chairperson's name (required): Corey bowen
Chairperson's physical address (required): 8213 w nicolet ave glendale, az 8531
Chairperson's mailing address (if different):
Chairperson's email address (required): coreyboweforcitycouncil@gmaii.com
Chairperson's phone number (required): 6029003230
Chairperson's employer (required): freeway insurance
Chairperson's occupation (required): insurance agent
Treasurer's name (required): _patrice bowen
Treasurers physical address (required): 8213 w nicolet ave glendale, az 85303
Treasurers marling address (if different):
Treasurers email address (required): COreyboweforcitycouncil@gmail.Com
Treasurers phone number (required). 6024300543
Treasurers employer (required): brandon lee
Treasurers occupation (required): dental assistant
Bank name (required): Sim le
Additional bank name pfapplicable):
Additional bank name (if appflcable):
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 candidi
committee and authorize It to receive/make contributionslexpendit res on my behalf, if applicable; (3) have read the Secretary of State'
campaign finance and reporting gui r A) agree • comply with Adzona election law, including campaign finance lava codified at A.R t
§§ 16-901 to 16838; and (5) a e to ccep tions and legal service of process for campaign finance purposes As the email
addtess(es) provided herein
Chairperson's s ure:
ignat Date:
Treasurers signature,, ieA4 Dale:
Candidate's signature (if applicable): Date:
Arizona Secretary of State Revision 11/5116