HomeMy WebLinkAboutCampaign Finance Records - Statement of organization - Conchas for Glendale City Council - 1/19/20244 _jpj%j -j f=i pm-1 r 41 � :I T Y C':._EPK
Initial Application STATE OF ARIZONA
El Amy COMMITTEE STATEMENT
Dam ! OF ORGANIZATION
COMMfTTEE TYPE (chose one):
COMMITTEE ID NUMBER
(office use only)
o9LA' CA
® Candidate
Co►rrmittee Name (requirady Conchas for Glendale City Council
(first or last name & office)
Candidate !nkwnw tam. Candidate's Name (sequined): Jose Guadalupe Congas Jr.
Candidate's maTwg address (required): 4529 west Ocktillo Road Apt #211 Glendale, AZ 85301
Candid'ate°s emal address (nxpriredy lupe@lupeconchas.00m
CandidgWs phone number (required): (602) 312-59N
Candidate's website (if any):
Office Sought (choose ones 0 County Office: ®District (iapplicable):
93Cityrrown Office: Glendale ®District (if applicable): Callus District
0 School Board Office: p District (if appicablek Geet�
13 Special District Board: aDistric (if applicable): GooluBiaMet
Becton Cycle far Office Sought (year the election will take place) (required):
ParlyAfhlratiorr. 19 Democrat 13 Green M Libertarian
(required for partisan offices)
13 Political Action Committee (PAC)
Corru►irttee Name (required):
(if sponsored, must include
sponsor's name)
13 Republican B 01he
Piordical Function (optional): ❑ Contributions ❑ Candidate -Related Independent Expenditures
(select any that apply) ❑ Ballot Measure Expenditures ❑ Recall FIendihxes
Sponsorship IrA n at iow
Cif applicable)
(d applicable)
B Political Party
Cormniffee Wame (requiredy
(must include party affiliation)
Jurisadion.
SpecW Status
(if apples)
Sponsors name or nickname (required _
Sponsors mailing address (required):
Sponsors email address (required):
Sponsors phone number (if any):
Sponsors 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 fling officer) (amended applications only)
10 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. § 164302 or § 16-804)
13 Legislative District Party (must kx*We proof of organization pursuant to A.R.S. § 164123)
13 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
® 6ilial Application STATE OF ARIZONA COMMITTEE ID NUMBER
13 Ameiided Application COMMITTEE STATEMENT (off use only)
Date: OF ORGANIZATION aL(- D\
_i
[0 X �7711aItd1ZI-f.,i FAIiVI"Q
Conmd hrba naftr Comnittee's mailing address (required): Jose Guadalupe Conchas Jr.
Committee's email address (required): lupe@lupeconchas.com
Committee's phone number (d anyr (602) 312-59M
Commmmittee's website (if any):
Chairpersons Infonnaffor Chairperson's name (required): Jose Guadalupe Conchas Jr.
Chairperson's physical address (required): 4529 W Ocotillo Road Apt #211 Glendale 85301
Chairperson's mailing address (d different): 4529 W Ocatgo Road Apt #211 Glendale AZ 85301
Chairperson's email address (required): lupe@lupeconchas.00m
Chaxpersois phone number (mquiredr (602) 312-5908
Chairperson's employer (required): ONE Campaign
Chakperson s,cc upation (mquiredr Regional Organizing Manager
Treasurer's hfomaborr Treasurers name (required): Jose Guadalupe Condlas Jr. —
Treasurer's physical address (required): 4529 W Ocotillo Road Apt #211 Glendale AZ 85301
Treasurers mailing address (d different): 4529 W Ocotillo Road Apt #211 Glendale AZ 85301
Treasurers email address (required): lupe@lupeconchas.com
Treasurer's phone number (required): (602) 312-5908 - --- -
Treasurers employer (required): ONE Campaign
Treasurers occupation (required): Regional Organizing Manager
Bank or Fimmial Iruhiutiar Bank name (required): Chase Bank
(do not ist act nmbeis) Additional bank name (if applicable): None
Additional bank name (d applicable): None
DECLARATION Arm SW -A AIURES.
I declare minder penally of perjury that the foregoing irdorrnation is true and correct I firttmer declare that 1: (1) consent to serve as
chairperson or treasurer of the commilee named herein, if a ppk able; (2) desigiate the above -named committee as my official candidate
committee and authorize it to receimveJmake contributiomsfexpendihires on my behalf. if appicable; (3) have read the Secretary of State's
campaign fnarce and reporting glide; (4) agree to comply with Arizona election 12W. including campaign finaree laws codified at A.R.S.
§§ 1 ti 901 to 16a38; and (5) agree to accept all notifications and legal service of process for campaign finance purposes via the email
address(es) provided hareirL
Chairperson's signraftm n d•0
Treasurers signature: 44
Ca didale's signat re (d appficabler
llutd-
Daw !.-/Y aaaq
Date. l 1 Loa N
Date.
Arizona Secretary of State Revision 7/29/2021