HomeMy WebLinkAboutCampaign Finance Records - Statement of organization - Elect Tolmachoff - 3/2/2021[]Initial Application
QAmended Appl)a*tM ):
Date: 2/9/2021
COMMITTEE TYPE (choose one):
✓❑ Candidate
Committee Name (required):
(first or last name & office)
Candidate Information:
Elect Tolmachoff
CITY OF GLENDALE
STATE OF ARIZONA
COMMITTEE STATEMENT
OF ORGANIZATION
Candidate's Name (required):
Lauren Tolmachoff
Candidate's mailing address (required):
6820 W. Sonnet Drive
Candidate's email address (required): electtolmachoffgmall.Com
Candidate's phone number (required): 602-421-2194
Candidate's website (if any):
Office Sought (choose one): ❑ Governor ❑ Secretary of State ❑ Attorney General
❑ Superintendent of Public Instruction ❑ State Mine Inspector
❑ State Senate ❑ State House of Representatives
❑ County Office:
❑✓ City/Town Office: Glendale
COMMITTEE ID NUMBER
(office use only)
17-04
3:
❑ State Treasurer
❑ Corporation Commissioner
❑ District (required):
❑ District (if applicable):
[]District (if applicable): Cholla
Election Cycle for Office Sought (year the election will take place) (required): 2022
Party Affiliation: N/A ❑ Democrat ❑ Green ❑ Libertarian ❑ Republican ❑ Other:
(required for partisan offices)
11 Political Action Committee (PAC)
Committee Name (required): Elect TOImaChoff
(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)
Special Status
(if applicable)
FlPolitical Party
Committee Name (required):
(must include party affiliation)
Jurisdiction:
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)
0 Mega PAC (must provide proof of Mega PAC status to filing officer) (amended applications only)
Elect Tolmachoff
❑ 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 AR.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)
Standing Committee (must also complete separate standing committee registration)
Arizona Secretary of State Revision 1115116
M
Initial Application STATE OF ARIZONA COMMITTEE ID NUMBER
Amended Application COMMITTEE STATEMENT (office use only)
17_04
Date: 2/9/2021 OF ORGANIZATION
COMMITTEE INFORMATION:
Contact Information:
Committee's mailing address (required): 6820 W. Sonnet Dr. Glendale, 85308
Committee's email address (required): electtolmachoff@gmail.com
Committee's phone number (if any): 602-421-2194
Committee's website (if any):
Chairperson's Information: Chairperson's name (required):
Chairperson's physical address (required): 6820 W. Sonnet Dr. Glendale, 85308
Lauren Tolmachoff
Chairperson's mailing address (if different):
Chairperson's email address (required): laurentolmachoff @gm ai I.com
Chairperson's phone number (required): 602-421-2194
Chairperson's employer (required): Self -RE
Chairperson's occupation (required): Realtor
Treasurer's Information: Treasurer's name (required):y
Treasurer's physical address (required):
Terrell
37025 N. 33rd Ave
Treasurer's mailing address (if different):
Treasurer's email address (required): joyce@anaSazidoor.com
Treasurer's phone number (required): 602-989-5403
Treasurer's employer (required): Self
Treasurer's occupation (required): contractor
Bank or Financial Institution: Bank name (required): BMO Harris
(do not list acct numbers) Additional bank name (ifapplicable):
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 e; (4) agree to comply with Arizona election law, including campaign finance laws codified at A.R.S.
§§ 16-901 to 16-938; and (5) a ee accept all no' tionsar}d legal service of process for campaign finance purposes via the email
address(es) provided hek-in. ' 1
Chairperson's
Treasurer's signature:,
Candidate's
Date: C/
Date:
Arizona Secretary of State Revision 11/5116
11