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HomeMy WebLinkAboutCampaign Finance Records - Finance report - Baldenegro for Ocotillo - 1/13/2026El Initial Application STATE OF ARIZONA Amended Application COMMITTEE ID NUMBER COMMITTEE EE STATEMENT (office use only) OF ORGANIZATION a(v —V l COMMITTEE TYPE (choose one): JAN 13 2026 ,�# IO Candidate Committee Name (required): (first or last name & office) TL L Candidate Information: Candidate's Name (required): i A MiWa 9A j Da KEvK u Candidate's mailing address (required): yb 53 GCF 0�4C� ilZ.� f �'7 Candidate's email address (required): aV Vs p.� Candidate's phone number (required): 23- 2 r— Z736 Candidate's website (if any): Office Sought (choose one): p County Office: ®District (if applicable): jI(City/Town Office: yWe_tk_ 00istrict (if applicable)- pC CTI LL% © School Board Office: p District (if applicable): © Special District Board: ©District (if applicable): Election Cycle for Office Sought (year the election will take place) (required): ZAAZAP Party Aflliation: (required for partisan offices) W Democrat 13 Green G Libertarian 13 Republican 13 Other: 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) , 13 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) 13 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 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 © Amended Application COMMITTEE ID NUMBER Date: - Y COMMITTEE STATEMENT (office use only) OF ORGANIZATION COMMITTEE INFORMATION: Contact Information: Committee's mailing address (required): Flo N• 1 LLLJ L 5`jol Committee's email address (required): 120. ew Committee's phone number (if any): Committee's website (if any): Chairperson's Information: Chairperson's name (required): Chairperson's physical address (required): A/, S-TAVV 1—i f i0Arg Aw .51,o r Chairperson's mailing address (if different); 1 1 { Chairperson's email address (required): 0L l69 9401-vao Chairperson's phone number (required): 625 2%19 73% Chairperson's employer (required): Chairperson's occupation (required): U✓ rZ Treasurer's Information: Treasurer's name (required): 1'T 7 t i Treasurer's physical address (required): C(5 [ S �� , �R Treasurers mailing address (if different):: Treasurer's email address (required): vn) ' O i�✓1 Treasurer's phone number (required): (P Oft (P Treasurer's employer (required): kE, r%e r r% R ke r Treasurer's occupation (required): k6-Y Ne +rat. k ; Bank or Financial Institution: Bank name (required): _ M 1 tit &S r (do not list acct numbers) Additional bank name (if applicable): Additional bank name (if applicable): DECLARATION AND SIGNATURES: 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 Stale'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: i'w V" Date: Treasurer's signature: �tt< Date: Candidate's signature (if applicable): Date: Arizona Secretary of State Revision 7/29/2021