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HomeMy WebLinkAboutCampaign Finance Records - Statement of organization - Boyer for Glendale - 2/7/2023Ell Initial Application STATE OF ARIZONA COMMITTEE ID NUMBER E3 Amended Application COMMITTEE STATEMENT (office use only) Date: OF ORGANIZATION �3 �� COMMITTEE TYPE (choose one): ® Candidate Committee Name (required): (first or last name & office) for Glendale Candidate Information: Candidate's Name (required): Paul Boyer Candidate's mailing address (required): 5209 W. Surrey Ave. Glendale, AZ 85304 Candidate's email address (required): paul@boyerforglendale.com Candidate's phone number (required): (623) 300-0793 Candidate's website (if any): www•boyerforglendale.com Office Sought (choose one): ® County Office: ©District (if applicable): ElCity/Town Office: Mayor 13District (if applicable): ® School Board Office: ® District (if applicable): Cl Special District Board: ®District (if applicable): Election Cycle for Office Sought (year the election will take place) (required): 2024 ` Party Affiliation: El Democrat El Green 113 Libertarian E3 Republican M Other: (required for partisan offices) Cl 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) 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): . Special Status ❑ Separate Segregated Fund of a Corporation, LLC, Partnership, or Union (if applicable) ❑ Standing Committee (must also complete separate standing committee registration) ❑ Mega PAC (must provide proof of Mega PAC status to filing officer) (amended applications only) 13 Political Party Committee Name (required): (must include party affiliation) Jurisdiction: Special Status (if applicable) ® State Party (must include proof of qualification pursuant to A.R.S. § 16-801 or § 16-804) El County Party (must include proof of qualification pursuant to A.R.S. § 16-802 or § 16-804) M Legislative District Party (must include proof of organization pursuant to A.R.S. § 16-823) El 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) tl 7 ri M i__1:j —.3 Arizona Secretary of State Revision 7/29/2021 Ll Initial Application STATE OF ARIZONA Amended Application COMMITTEE STATEMENT Date: OF ORGANIZATION COMMITTEE INFORMATION: COMMITTEE ID NUMBER (office use only) a� - ar Contact Information: Committee's mailing address (required): Liq Ll 0 ` ^' I Committee's email address (required): Committee's phone number (if any): i C6O Committee's website (if any): `� t9� , Le AA Chairperson's Information: Chairperson's name (required): I Chairperson's physical address (required): P�i Co Chairperson's mailing address (if different): 5& a-,e- Cot, Q..t. Chairperson's email address (required): �jG N11P� CkS GCl�00 "e— Chairperson's phone number (required): :5WV Q_ 0L 0-6O,s Chairperson's employer (required): Chairperson's occupation (required V I ck a' Treasurer's Information: Treasurer's name (required): 1 Treasurer's physical address (required): S 6iAr1� Cos o� Treasurer's mailing address (if different): 11 Treasurer's email address (required): Gait 3 4 e' - co,-� Treasurer's phone number (required): p}� (QZ �� —0 ct Treasurer's employer (required): a Dttj2 Treasurer's occupation (required): COn5V 4 `� Bank or Financial Institution: Bank name (required): _kl�ID _ (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: Date:. Treasurer's signature: . Date: Candidate's signature (if applicable): s l Date: Z E 2-3 853rz J + Arizona Secretary of State Revision 7/29/2021