HomeMy WebLinkAboutCampaign Finance Records - Statement of organization - Parks Not Parking Lots - 3/28/2025Arizona Secretary of State Revision / /
COMMITTEE ID NUMBER
(office use only)STATE OF ARIZONA
COMMITTEE STATEMENT
OF ORGANIZATION
Initial Application
Amended Application
Date: _______________
COMMITTEE TYPE (choose one):
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): County Office:
City/Town2IILFH
District (if applicable):
District (if applicable):
Election Cycle for Office Sought (year the election will take place) (required):
Party Affiliation: Democrat Green Libertarian Republican Other:
(required for partisan offices)
Political Action Committee (PAC)
Committee Name (required):
(if sponsored, must include
sponsor’s name)
Political Function (optional): Contributions Candidate-Related Independent Expenditures
(select any that apply) Ballot Measure Expenditures Recall Expenditures
Sponsorship Information: Sponsor’s name or nickname (required):
(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)
Political Party
Committee Name (required):
(must include party affiliation)
Jurisdiction: 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)
City or Town Party (must include proof of qualification pursuant to A.R.S. § 16-802 or § 16-804)
Special Status Standing Committee (must also complete separate standing committee registration)
(if applicable)
City/Town2IILFH
6FKRRO%RDUG2IILFH 'LVWULFW LIDSSOLFDEOH
6SHFLDO'LVWULFW%RDUG 'LVWULFW LIDSSOLFDEOH
Parks Not Parking Lots
■
68%0,77('72&,7<2)
*/(1'$/($5,=21$
Doc ID: 2266e33eb66c50d3bc76528f96f5275675707d6a
25-04
Arizona Secretary of State Revision / /
COMMITTEE ID NUMBER
(office use only)STATE OF ARIZONA
COMMITTEE STATEMENT
OF ORGANIZATION
Initial Application
Amended Application
Date: _______________
COMMITTEE INFORMATION:
DECLARATION AND SIGNATURES:
Contact Information: Committee’s mailing address (required):
Committee’s email address (required):
Committee’s phone number (if any):
Committee’s website (if any):
Chairperson’s Information: Chairperson’s name (required):
Chairperson’s physical address (required):
Chairperson’s mailing address (if different):
Chairperson’s email address (required):
Chairperson’s phone number (required):
Chairperson’s employer (required):
Chairperson’s occupation (required):
Treasurer’s Information: Treasurer’s name (required):
Treasurer’s physical address (required):
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 or Financial Institution: Bank name (required):
(do not list acct numbers) 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 to accept all notifications and legal service of process for campaign finance purposes via the email
address(es) provided herein.
Chairperson’s signature: Date:
Treasurer’s signature: Date:
Candidate’s signature (if applicable): Date:
1021 South 7th Avenue, Phoenix, AZ 85007
bwalsh@workerpower.com
(602) 252-0618
Brendan Walsh
1021 South 7th Avenue, Phoenix, AZ 85007
bwalsh@workerpower.com
(602) 252-0618
Worker Power
Executive Director
Jordan Greenslade
1021 South 7th Avenue, Phoenix, AZ 85007
jgreenslade@workerpower.com
(805) 907-9520
Worker Power
Organizer
California Bank & Trust
03 / 27 / 2025
03 / 26 / 2025
Doc ID: 2266e33eb66c50d3bc76528f96f5275675707d6a
Hello
Political_Action_...ure_Committee.pdf
2266e33eb66c50d3bc76528f96f5275675707d6a
MM / DD / YYYY
Signed
This document was requested on bartonmendezsoto.cliogrow.com and signed on bartonmendezsoto.cliogrow.com
03 / 26 / 2025
19:49:01 UTC
Sent for signature to Brendan Walsh (bwalsh@workerpower.com)
and Jordan Greenslade (jgreenslade@workerpower.com) from
jim@bartonmendezsoto.com
IP: 98.170.139.155
03 / 26 / 2025
20:05:44 UTC
Viewed by Brendan Walsh (bwalsh@workerpower.com)
IP: 184.181.13.99
03 / 26 / 2025
20:06:05 UTC
Signed by Brendan Walsh (bwalsh@workerpower.com)
IP: 184.181.13.99
03 / 27 / 2025
17:04:56 UTC
Viewed by Jordan Greenslade (jgreenslade@workerpower.com)
IP: 184.181.13.99
03 / 27 / 2025
22:41:27 UTC
Signed by Jordan Greenslade (jgreenslade@workerpower.com)
IP: 184.181.13.99
The document has been completed.03 / 27 / 2025
22:41:27 UTC