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Campaign Finance Records - Statement of organization - Standing Committee - 6/28/2023
State of Arizona l Y♦ Department of State O d� arl 1912_ � Campaign Finance Lw,,4� Statement of organization Arizona Secretary of State does hereby certify that on July 23, 2022 11:15 am "WORKER POWER PAC" filed an amended Statement of Organization and the political committee is registered with our jurisdiction. This committee has been assigned Identification Number 100387. The Chairperson and Treasurer have read the Secretary of State's campaign finance filing guide, agreed to comply with Arizona campaign finance law, and agreed to accept all notifications and service of process via email. Committee WORKER POWER PAC LOS ANGELES, CA 90017 Type: POLITICAL ACTION COMMITTEE (STANDING) Organization Date: 08/31/2020 Bank: CALIFORNIA BANK & TRUST Contact: (213) 452-6565 sshin@kaufmanlegalgroup.com Chairperson SUSAN MINATO 1021 S 7TH AVE SUITE 202 PHOENIX, AZ 85007 Employer/Occupation: UNITE HERE INTERNATIONAL/union organizer Contact: (213) 452-6565 sshin@kaufmanlegalgroup.com Treasurer BRENDAN WALSH 1021 S 7TH AVE SUITE 202 PHOENIX, AZ 85007 Employer/Occupation: CASE ACTION/director of operations Contact: (213) 452-6565 sshin@kaufmanlegalgroup.com DatefTime of Certificate: 7/23/2022 11:15:03AM Verification URL: www.azsos.gov ( Initial Application STATE OF ARIZONA COMMITTEE ID NUMBER Amended Application COMMITTEE STATEMENT (office use only) Date: 06/19/2023 a 3 — CAS OF ORGANIZATION COMMITTEE TYPE (choose one): 0 Candidate Committee Name (required): (first or last name & office) 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): 0 County Office: ©City/Town Office 0 School Board Office: ® Special District Board: Election Cycle for Office Sought (year the election will take place) (required): Party Affiliation: f3 Democrat 0 Green 0 Libertarian (required for partisan offices) 0 Political Action Committee (PAC) Committee Name (required): Worker Power PAC (if sponsored, must include sponsor's name) ODistrict (if applicable): ODistrict (if applicable): 0 District (if applicable): ®District (if applicable): O Republican M Other: Political Function (optional): ❑ Contributions ❑ Candidate -Related Independent Expenditures (select any that apply) El Ballot Measure Expenditures ❑ Recall Expenditures Sponsorship Information: (if applicable) Special Status (if applicable) 0 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) ® County Party (must include proof of qualification pursuant to A.R.S. § 16-802 or § 16-804) ® 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) 0 Standing Committee (must also complete separate standing committee registration) Arizona Secretary of State Revision 7/29/2021 13 Initial Application STATE OF ARIZONA COMMITTEE ID NUMBER ® Amended Application COMMITTEE STATEMENT (office use only) Date: 06/19/2023 -- OF ORGANIZATION COMMITTEE INFORMATION: Contact Information: Committee's mailing address (required):.777 S Figueroa St., Suite 4050, LA, CA 90017 Committee's email address (required): sshin@kaufmanlegalgroup.com Committee's phone number (if any): 213-452-6565 Committee's website (if any): Chairperson's Information: Chairperson's name (required): Susan Minato Chairperson's physical address (required): 1021 S 7th Ave Suite 202, PHX, AZ 85007 Chairperson's mailing address (if different): Same as above Chairperson's email address (required): sshin@kaufmanlegalgroup.com Chairperson's phone number (required): 213-452-6565 Chairperson's employer (required): UNITE HERE INTERNATIONAL Chairperson's occupation (required): union Organizer Treasurer's Information: Treasurer's name (required): Brendan Walsh Treasurer's physical address (required): 1021 S 7th Ave Suite 202, PHX, AZ 85007 Treasurer's mailing address (if different): Same as above Treasurer's email address (required): sshin@kaufmanlegaigroup.com Treasurer's phone number (required): 213-452-6565 Treasurer's employer (required): WORKER POWER Treasurer's occupation (required): director of operations Bank or Financial Institution: Bank name (required): CALIFORNIA BANK & TRUST (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: 6/26/23 t" 6/26/23 Treasurer's signature: �'.�'�Idw ;rla�i _ Date:. _ Candidate's signature (if applicable): Date: Arizona Secretary of State Revision 7/29/2021