HomeMy WebLinkAboutCampaign Finance Records - Statement of organization - Glendale Chamber PAC - 12/9/20240 Initial Application
\`` STATE OF ARIZONA
® Amended Application
II COMMITTEE STATEMENT
Date: 11/19/2024
` 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:
MCity/Town Office:
0 School Board Office:
0 Special District Board:
Election Cycle for Office Sought (year the election will take place) (required):
Party Affiliation: 0 Democrat 0 Green 0 Libertarian
(required for partisan offices)
M Political Action Committee (PAC)
Committee Name (required): Glendale Chamber PAC
(if sponsored, must include
sponsor's name)
COMMITTEE ID NUMBER
(office use only)
ODistrict (if applicable):
ODistrict (if applicable):
0 District (if applicable):
ODistrict (if applicable):
0 Republican 0 Other:
i�
Political Function (optional): 9 Contributions 9 Candidate -Related Independent Expenditures
(select any that apply) 9 Ballot Measure Expenditures 9 Recall Expenditures
Sponsorship Information: Sponsor's name or nickname (required): We
(if applicable) 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)
i"
0 Political Party
Committee Name (required):
(must include party affiliation)
Jurisdiction: 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)
Special Status 0 Standing Committee (must also complete separate standing committee registration)
(if applicable)
Arizona Secretary of State Revision 7/29/2021
0 Initial Application � STATE OF ARIZONA COMMITTEE ID NUMBER
M Amended Appllcation COMMITTEE STATEMENT (office use only)
Date, 11/19/2024 OF ORGANIZATION L _
COMMITTEE INFORMATION:
e' Conran Information:
Chairperson's Information:
Treasurer's Information:
Committee's mailing address (requfredt 9524 W Camelback Road, Ste E130-342, Glendale, A7 65305
Committee's email address (requitedi igunn@glendateazchamber,org
Committees phone number (if any): (623) 937-4754
Committee's website (If any): glendaleazclmafnber.org/publicactioncommittee
Chairperson's name (required)` Lisa Baker
Chairperson's physical address (required): 8715 W. Union Bills Drive, Suite 104, Peoria, AZ 8W82
Chairperson's mailing address (if different):
Chairperson's email address (required): Me@LisaRBaker.com
Chairperson's phone number (required): (602) 633-5525
Chairperson's employer (required): Fuss Lyon Sotheby's Intemafional Realty
Chairperson's occupation (required): Realtor
Treasurer's name (required): Yvonne J .Knaack
Treasurer's physical address (required): 5413 W Whispering Wind Dr, Glendale, AZ 86310
Treasurer's mailing address (if different):
Treasurer's email address (required): yvonne.knaack@hotmaii,eom
Treasurars phone number (required): (602) 319-2010
Treasurer's employer (required): retired
Treasurer's occupation (required): retired
Bank or Financial Insthutlon: Bank name (required): Wells Fargo Bank
(do not list acct numbers) Additional bank name (If applicable):
Additional bank name (if applicable):
DECLARATION AND SIGNATURES:
1 declare under penalty or perjury that the foregoing information is true and correct. I further declare that is (1) consent to serve as
chairperson or treasurer of the committee named herein, if applicable; (2) designate tyre above -named committee as my official candidate
committee and authorize it to receivelmake contributionslexpenditures on my behalf, If applicable; (3) have read the Secretary of StaWs
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 noti€ications and legal service of process for campaign finance purposes via the email
address(es) provided herein.
Chairperson's signature: ' _ Date: �2-1 7 4
/ a
Treasurers signature:Date:
Candidates signature (f applicable): Date:
Arizona Secretary of State Revision 7/29/2021