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HomeMy WebLinkAboutCampaign Finance Records - Statement of organization - Bryce for Council 2020 - 3/13/202013 art � � _: (_ j �'��r (_I E!'•.!�•. CITY OF GLENDALE ilndial Application STATE OF ARIZONA Amended Application COMMITTEE STATEMENT Date: 1711110— ` OF ORGANIZATION COMMITTEE TYPE (choose one): Q Candidate Committee Name (required): E (first or last name & office) For Council 2020 Candidate Information: Candidate's Name (required): Bryce Alexander COMMITTEE ID NUMBER (office use only) 7'kJ Candidate's mailing address (required): 8042 W Oregon Ave 85303 Candidate's email address (required): b Ceale mail. corn Candidate's phone number (required): (623)845-2905 Candidate's website (if any): www.brycealexander.us Office Sought (choose one): ❑ Governor ❑ Secretary of State ❑ Attorney General ❑ State Treasurer ❑ Superintendent of Public Instruction ❑ State Mine Inspector ❑ Corporation Commissioner ❑ State Senate ❑ State House of Representatives ❑ District (required): ❑ County Office: ❑ District (if applicable): Q CityfTown office: Council person ❑District (if applicable): YUCCA Election Cycle for Office Sought (year the election will take place) (required): 2020 Party Affiliation: fA ❑ Democrat ❑ Green ❑ Libertarian ❑ Republican ❑ Other: (required for partisan offices) Political Action Committee (PAC) Committee Name (required): (if sponsored, must include sponsor's name) Political Function (optional): Contributions []Candidate -Related Independent Expenditures (select any that apply) 11 Ballot Measure Expenditures ❑ Recall Expenditures Sponsorship Information: (if applicable) f 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) Political Party Committee Name (required): (must include party affiliation) Jurisdiction: []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 § 16-804) Legislative District Party (must include proof of organization pursuant to A.R.S. § 16-823) City or Town Party (must include proof of qualification pursuant to A.R.S. § 16-802 or § 16-804) Special Status ❑ Standino Committee (must also ComDlete separate standino committee reoistration) (if applicable) Arizona Secretary of State Revision 11!5116 [alnitial Application n Amended Application Date: 03/13/2020 COMMITTEE INFORMATION: Contact Information: Chairperson's Information: Treasurer's information: Bank or Financial Institution: (do not list acct numbers) DECLARATION AND SIGNATURES: r STATE OF ARIZONA COMMITTEE ID NUMBER COMMITTEE STATEMENT (office use only) / OF ORGANIZATION 0,C3, Committee's mailing address (required): 8042 W Oregon Ave 85303 Committee's email address (required): realbrycealexander@gmaii.com Committee's phone number (f any): (623)845-2905 Committee's website (if any): WWW.brycealexander.uS Chairperson's name (required): Bryce Alexander Chairperson's physical address (required): 8042 W Oregon Ave 85303 Chairperson's mailing address (if different): Chairperson's email address (required): realbrycealexander@gmail.com Chairperson's phone number (required): 623)845-2905 Chairperson's employer (required): Retired Chairperson's occupation (required): IT Architect Treasurer's name (required): Bryce Alexander _ Treasurer's physical address (required): 8042 W Oregon Ave 85303 Treasurer's mailing address (if different): Treasurer's email address (required): realbrycealexander@gmail.com Treasurer's phone number (required): (623)845-2905 Treasurer's employer (required): Retired Treasurer's occupation (required): IT Architect Bank name (required): BMO Harris Additional bank name (ifapplicable): Additional bank name (if applicable): 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 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): j Date: zOZC� Date:.? / 3 " 7_62Z cD Date: -3 - / 3 40 Z0 Arizona Secretary of State Revision 1115/16