HomeMy WebLinkAboutCampaign Finance Records - Statement of organization - Glendale Chamber PAC - 12/14/2021O Initial Application
M Amended Application
Date: 12/13/2021
COMMITTEE TYPE (choose one):
O Candidate
Committee Name (required):
(first or last name & office)
_3 DP
STATE OF ARIZONA COMMITTEE ID NUMBER
COMMITTEE STATEMENT (office use only)
OF ORGANIZATION V7— 01
x
Candidate Information: Candidate's Name (required):
Candidate's mailing address (required):
Candidate's email address (required): _
Candidate's phone number (required): _
Candidate's website (if any):
Office Sought (choose one): O County Office:
OCity/Town Office:
O School Board Office:
O Special District Board:
Election Cycle for Office Sought (year the election will take place) (required):
ODistrict (if applicable):
ODistrict (if applicable):
O District (if applicable):
ODistrict (if applicable):
Party Affiliation: O Democrat O Green O Libertarian 0 Republican O Other:
(required for partisan offices)
0 Political Action Committee (PAC)
Committee Name (required): Glendale Chamber PAC
(if sponsored, must include
sponsor's name)
Political Function (optional): M Contributions 8 Candidate -Related Independent Expenditures
(select any that apply) N Ballot Measure Expenditures B Recall Expenditures
Sponsorship Information:
(if applicable)
Special Status
(if applicable)
El Political Party
Committee Name (required):
(must include party affiliation)
Jurisdiction:
Special Status
(if applicable)
Sponsor's name or nickname (required): NIA
Sponsors mailing address (required): N/A
Sponsor's email address (required): N/A
Sponsor's phone number (if any):
Sponsors website (if any): NIA
❑ 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)
O State Party (must include proof of qualification pursuant to A.R.S. § 16-801 or § 16-804)
O County Party (must include proof of qualification pursuant to A.R.S. § 16-802 or § 16-804)
El Legislative District Party (must include proof of organization pursuant to A.R.S. § 16-823)
Cl City or Town Party (must include proof of qualification pursuant to A.R.S. § 16-802 or § 16-804)
El Standing Committee (must also complete separate standing committee registration)
Arizona Secretary of State Revision 7/29/2021
El Initial Application STATE OF ARIZONA COMMITTEE ID NUMBER
M Amended Applicationgo
COMMITTEE STATEMENT (office use only)
Date: lzna/zo21 OF ORGANIZATION
COMMITTEE INFORMATION:
Contact information: Committee's mailing address (required): 5800 W. Glenn Dr., Ste. 275, Glendale AZ 85301
1
Committee's email address (required): rheidt@glendaleazchamber.org
Committee's phone number (if any): (623) 937-4754
Committee's website (if any): glendaleazchamber.org
Chairpersons information: Chairperson's name (required): Yvonne Knaack
Chairperson's physical address (required): 5314 W. Whispering Wind Dr., Glendale AZ 85310
Chairperson's mailing address (if different): Same as Above
Chairperson's email address (required): yvonne.knaack@hotmail.com
Chairperson's phone number (required): (602) 319-2010
Chairperson's employer (required): Retired
Chairperson's occupation (required): Downtown Business Owner
Treasurer's information: Treasurer's name (required): Amber Wilson
Treasurer's physical address (required): 2738 E. Decatur St.
Treasurer's mailing address (if different): Same as Above
Treasurer's email address (required): awilson@glendaleazchamber.org
Treasurer's phone number (required): (602) 510-5375
Treasurer's employer (required): Glendale Chamber of Commerce
Treasurer's occupation (required): Senior Director of Public Policy, Education, & Workforce
Bank or Financial institution: Bank name (required): BMO Harris Bank
(do not list acct numbers) Additional bank name (if applicable):
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 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: T[rn n _ O 1ti 4
Amber Wilson Digitally signed by Amber Wilson
Treasurer's signature: Date: 2021.12.1316:11:28-07'00'
Candidate's signature (if applicable):
Date: 12/13/2021
Date: 12/13/2021
Date:
Arizona Secretary of State Revision 7/29/2021