HomeMy WebLinkAboutCampaign Finance Records - Statement of organization - Best of the West - 7/14/2023E Initial Application
Amended Application
Date:
COMMITTEE TYPE (choose one):
0 Candidate
Committee Name (required):
(first or last name & office)
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COMMITTEE STATEMENT
OF ORGANIZATION
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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): 13 County Office:
IMCity/Town Office
m School Board Office:
13 Special District Board:
Election Cycle for Office Sought (year the election will take place) (required): _
Party Affiliation: Ell Democrat 0 Green 0 Libertarian
(required for partisan offices)
®District (if applicable):
1313istrict (if applicable):
M District (if applicable):
®District (if applicable):
® Republican ® Other
C�;Political Action Committee (PAC)
Committee Name (required): BEST OF THE WEST
(if sponsored, must include
sponsor's name)
Political Function (optional): ❑ Contributions ❑ Candidate -Related Independent Expenditures
(select any that apply) 8 Ballot Measure Expenditures ❑ Recall Expenditures
Sponsorship Information:
(if applicable)
Special Status
(if applicable)
13 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):
COMMITTEE ID NUMBER
(office use only)
❑ 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 application:
13 State Party (must include proof of qualification pursuant to A.R.S. § 16-801 or § 16-804)
13 County Party (must include proof of qualification pursuant to A.R.S. § 16-802 or § 16-804)
B 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)
® Standing Committee (must also complete separate standing committee registration)
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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: @6f29QG2 OF ORGANIZATION
COMMITTEE INFORMATION:
Contact Information: Committee's mailing address (required): (-—` 1�
Committee's email address (required): ��
Committee's phone number (if any):
Committee's website (if any): ��-
Chairperson's Information: Chairperson's name (required): -JD CLI�
Chairperson's physical address (required): 1 a
Chairperson's mailing address (if different):
Chairperson's email address (required): J0
Chairperson's phone number (required): V
Chairperson's employer (required): S-e J P
Chairperson's occupation (required):Emc
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Treasurer's Information: Treasurer's name (required): `u}
Treasurer's physical address (required): 750N . "C�
Bank or Financial Institution:
(do not list acct numbers)
DECLARATION AND SIGNATURES:
Treasurer's mailing address (if different):
Treasurer's email address (required):
Treasurer's phone number (required): `�—
Treasurer's employer (required):
Treasurer's occupation (required):
Bank name (required): J_A,D AA
Additional bank name (if applicable): --
Additional bank name (if applicable):
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 o accept all notifications and legal service of process for campaign finance purposes via the email
address(es) provided herein. � l--I
Chairperson's signature:
Treasurer's signature:
Candidate's signature (if applicable):
_ Date: Li
Date:
Date:
Arizona Secretary of State Revision 7/29/2021