Loading...
HomeMy WebLinkAboutCampaign Finance Records - Statement of organization - Responsible Leadership for Ocotillo - 2/12/202513 Initial Application STATE OF ARIZONA M Amended Application COMMITTEE STATEMENT Dale: 02/12/2025 J OF ORGANIZATION COMMITTEE TYPE (choose one): 13 Candidate Committee Name (required): (first or last name & office) e r 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: E3CitylTown Office: ICJ School Board Office: ID Special District Board: Election Cycle for Office Sought (year the election will take place) (required): Party Affiliation: 0 Democrat 13 Green 13 Libertarian (required for partisan offices) ® Political Action Committee (PAC) Committee Name (required): Responsible Leadersh:p for Oeotil3o,96 (if sponsored, must include sponsor's name) 1313istrict (if applicable): QDlstrict (if applicable): 13 District (if applicable): 13District (if applicable): 0 Republican 17 Other. 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 (f any): Sponsor's website (if any): COMMITTEE ID NUMBER (office use only) 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) © Political Party Committee Name (required): (must include party affiliation) Jurisdiction: 13 State Party (must include proof of qualification pursuant to A.R.S. § IM01 or § 16-804) © County Party (must include proof of qualification pursuant to A.R.S. § 16-802 or § 16-804) El Legislative District Party (must include proof of organization pursuant to A.R.S. § 16-823) 17 City or Town Party (must include proof of qualification pursuant to A.R.S. § 16-802 or § 16-804) Special Status 13 Standing Committee (must also complete separate standing committee registration) (if applicable) Arizona Secretary of State Revision 7/29/2021 13 Initial Application STATE OF ARIZONA COMMITTEE ID NUMBER B Amended Application COMMITTEE STATEMENT (office use only) Date: 02I1212025 OF ORGANIZATION a� COMMITTEE INFORMATION: Contact Information: Chairperson's Information: Treasurer's Information: Bank or Financial institution: (do not list acct numbers) DECLARATION AND SIGNATURES: Committee's mailing address (required): 5001 N 62nd Dr 85301 Committee's email address (required): homers4@msn.com Committee's phone number (if any): (623) 695-3620 Committee's website (if any): Chairperson's name (required): Warren Wilfong Chairperson's physical address (required): 5001 N 62nd Dr 85301 Chairperson's mailing address (if different): Chairperson's email address (required): homers4@msn.com Chairperson's phone number (required): (623) 695-3620 Chairperson's employer (required): retired Chairperson's occupation (required): retired Treasurer's name (required): Kathleen Collins Treasurer's physical address (required): 5820 W. Northview Ave 85301 Treasurer's mailing address (if different): Treasurer's email address (required): Kmorocco@live.com Treasurer's phone number (required): (480) 938-5593 Treasurer's employer (required): Treasurer's occupation (required): Bank name (required): Wells Fargo Additional bank name (if applicable): Additional bank name (if applicable): _ declare under penalty of perjury that the foregoing information is true and correct. I further declare that I: (1) consent to serve as 1 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 receivelmake contribut' nslexpenditures on my behalf, if applicable; (3) have read the Secretary of State's campaign finance and reporti guide; (4) agree to ply with Arizona election law, including campaign finance laws codified at A.R.S. §§ 16-901 to 16-938; and (5) a ree to a t all n f ions and legal service of process for campaign finance purposes via the email address(es) provided herein. � , Chairperson's signature: 1 _ Treasurer's signature Candidate's signature (if applicable): Date: 02/12/2025 Date: 02/12/2025 Date: Arizona Secretary of State Revision 7129/2021