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HomeMy WebLinkAboutCampaign Finance Records - Statement of organization - Committee to Elect Jamie Aldama - 12/22/2021El Initial Application STATE OF ARIZONA COMMITTEE ID NUMBER 0 Amended Application (office use only) pp-� COMMITTEE STATEMENT Date:._ OF ORGANIZATION COMMITTEE TYPE (choose one): M Candidate Committee Name (required): Committee to elect Jamie Aldama (first or last name & office) Candidate Information: Candidate's Name (required): Jamie Aldama Candidate's mailing address (required): 6541 N 67th Ave #125 Glendale, AZ 85301 Candidate's email address (required): electaldama@gmail.com Candidate's phone number (required): (623) 206-7867 Candidate's website (if any): Jamiealdama.com Office Sought (choose one): 0 County Office: 13District (if applicable): 0 City/Town Office: Glendale ®District (if applicable): Ocotillo 0 School Board Office: El District (if applicable): Ocotillo 0 Special District Board: DDistrict (if applicable): Ocotillo Election Cycle for Office Sought (year the election will take place) (required): 2022 Party Affiliation: 0 Democrat 0 Green 0 Libertarian El Republican 0 Other: (required for partisan offices) 0 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) ❑ Ballot Measure Expenditures ❑ Recall Expenditures Sponsorship Information: (if applicable) Special Status (if applicable) A Political 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) ❑ Mega PAC (must provide proof of Mega PAC status to filing officer) (amended applications only) 0 State Party (must include proof of qualification pursuant to A.R.S. § 16-801 or § 16-804) 0 County Party (must include proof of qualification pursuant to A.R.S. § 16-802 or § 16-804) 0 Legislative District Party (must include proof of organization pursuant to A.R.S. § 16-823) 0 City or Town Party (must include proof of qualification pursuant to A.R.S. § 16-802 or § 16-804) 13 Standing Committee (must also complete separate standing committee registration) Arizona Secretary of State Revision 7/29/2021 '— ® Initial Application - t&EfARIZONA X Amended Application COMMITTEE STATEMENT Date: Y OF ORGANIZATION COMMITTEE INFORMATION: COMMITTEE ID NUMBER (office use only) 1-1- 05 - Contact Information: Committee's mailing address (required): 6541 N 67th Ave #125 Glendale, AZ 85301 Committee's email address (required). electaldama@gmail.com Committee's phone number (if any): (623) 206-7867 Committee's website (if any): jamiealdama.com Chairperson's Information: Chairperson's name (required): Jamie Aldama Chairperson's physical address (required): 6541�N 67th Ave #125 Glendale, AZ 85301 Chairperson's mailing address (if different): Chairperson's email address (required): electaldama@gmail.com Chairperson's phone number (required): (623) 206-7867 Chairperson's employer (required): Maricopa Community College Chairperson's occupation (required): Director of Facilties Treasurer's Information: Treasurer's name (required): Jamie Aldama Treasurer's physical address (required): 6541 N 67th Ave #125 Glendale, AZ 85301 Treasurer's mailing address (if different): Treasurer's email address (required): electaldama@gmail.com Treasurer's phone number (required): (623) 206-7867 Treasurer's employer (required): Maricopa Community College Treasurer's occupation (required): Director of Facilities Bank or Financial Institution: Bank name (required): Wells Fargo (do not list acct numbers) Additional bank name (if applicable): Additional bank name (if applicable): DECLARATION AND SIGNATURES: r - 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, ' pplicable; (2) designate the above-named committee as my official candidate committee and authorize it to receive/make contributio / xpenditures on my behalf, if applicable; (3) have read the Secretary of State's campaign finance and reporting guide; (4) agree to c ly rizona election law, including campaign finance laws codified at A.R.S. §§ 16-901 to 16-938; and (5) agree to accept all no ' 1 ti s an legal service of process for campaign finance purposes via the email address(es) provided herein. !� Chairperson's signature Date: 12-z� signatur Date: Z",? - Treasurer's / Candidate's signature (if applicable):_ _ Date: Z G —0.?=2 d �. Arizona Secretary of State Revision 7/29/2021