HomeMy WebLinkAboutCampaign Finance Records - Statement of organization - Best of the West - 7/2/2020❑Initial Application STATE OF ARIZONA
E]Amendea Application COMMITTEE STATEMENT
Date A -R-9020 OF ORGANIZATION
COMMITTEE TYPE (choose one):
Q Candidate
` Committee Name (required): BEST OF THE WEST
(first or last name & office)
Candidate information: Candidate's Name (required):
Candidate's mailing address (required):
Candidates email address (required):
Candidate's phone number (required): _
Candidate's website (if any).
Office Sought (choose one): ❑ Governor ❑ Secretary of State
❑ Superintendent of Public Instruction
i
COMMITTEE ID NUMBER
(office use only)
119-04
❑ Attorney General 0 State Treasurer
❑ State Mine Inspector ❑ Corporation Commissioner
❑ State Senate ❑ State House of Representatives ❑ District (required):
❑ County Office: — ❑ District (if applicable):
n CitylTown Office: _. E)Districl (if applicable):
Election Cycle for Office Sought (year the election will take place) (required):
Party Affiliation: ❑ Democrat ❑ Green ❑ Libertarian ❑ Republican ❑ Other:
(required for partisan offices)
❑✓ Political Action Committee (PAC)
Committee Name (required). BEST OF THE WEST
(if sponsored, must include
sponsor's name)
Political Function (optional): Contributions Candidate -Related Independent Expenditures
(select any that apply) Ballot Measure Expenditures ❑ Recall Expenditures
Sponsorship Information: Sponsor's name or nickname (required): Diane B. McCarthy
_ _ _
(it applicable) Sponsor's mailing address (required): 5835 W. Belmont Ave Glendale, AZ
Sponsor's email address (required): d ane.mccafthy(Ct)West-mec.Ot"4 _
Sponsors phone number (if any): 602-315-3517
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 committee registration)
0 Mega PAC (must provide proof of Mega PAC status to filing officer) (amended applications only)
ElPolitical Party BEST OF THE WEST
Committee Name (required): _ _ -
(must include party affiliation)
Jurisdiction. E] State Party (must include proof of qualification pursuant to A-R.S. § 16-801 or § 16-604)
County Party (must include proof of qualification pursuant to A.R.S. § 16-802 or § 18-804)
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 ❑ Standing Committee (must also complete separate standing committee registration)
(it applicable)
Arizona Secretary of State Revision 11/55116
❑ Initial Application
Amended Application
Date: A_-$-2020
COMMITTEE INFORMATION:
STATE OF ARIZONA
COMMITTEE STATEMENT
OF ORGANIZATION
COMMITTEE ID NUMBER
(office use only)
19-04
Contact Information: Committee's mailing address (required):
5835 W. Belmont Ave Glendale, AZ
Committee's email address (required): —
Committee's phone number (if any):
Committee's website (if any):
Chairperson's Information: Chairperson's name (required): Diane B. McCarthy
Chairperson's physical address (required): 5835 W. Belmont Ave Glendale, AZ
Treasurer's Information:
Bank or Financial Institution:
(do not list acct numbers)
DECLARATION AND SIGNATURES:
Chairperson's mailing address (if different):
Chairperson's email address (required): dlane.mccarthy@West-mec.org
Chairperson's phone number (required): _602-31 5-3517
Chairperson's employer (required): retired
Chairperson's occupation (required): retired
Treasurer's name (required): Diane B. McCarthy
Treasurer's physical address (required): 5835 W. Belmont Ave Glendale, AZ
Treasurer's mailing address (if different):
Treasurer's email address (required): diane.mccarthy@West-mec.org
Treasurer's phone number (required): 602-315-3517
Treasurer's employer (required): retired
Treasurer's occupation (required): retired
Bank name (required): BMO Harris Bank
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 he/re'!'!2.
Chairperson's signature. V Date:
(Az'�, a
Treasurer's signature: _ Date:
Candidate's signature (if applicable): Date:
Arizona Secretary of State Revision 11/5/16