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HomeMy WebLinkAboutCampaign Finance Records - Statement of organization - Hirsch for Glendale City Council - 5/12/20263 Initial Application ® STATE OF ARIZONA Amended Application Date: 05/1212026 Y COMMITTEE STATEMENT OF ORGANIZATION COMMITTEE TYPE (choose one): COMMITTEE fD NUMBER (office use only) 13 Candidate Committee Name (required): t S C� 1 �-���e C �-� tjA) C f (first or last name & office) Candidate Information: Candidate's Name (required): Gary E Hirsch Candidate's mailing address (required): 4520 West Echo Lane Candidate's email address (required): gary.hirsch@cox.not Candidate's phone number (required): (480) 234-4.975 Candidate's website (if any): Office Sought (choose one): 13 County Office: 0131strict (if applicable): ■, ity/Town Office: City of Glendale ■District (if applicable): Cactus © School Board Office: El District (if applicable ® Special District Board: ®District (if applicable Election Cycle for Office Sought (year the election will take place) (required): 2028 Party Affiliation: (required for partisan offices) a Democrat M Green ® Libertarian 13 Republican 13 Other: — El 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) 0 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. El 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) 0 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 p Standing Committee (must also complete separate standing committee registration) (if applicable) ta'ti ;:X iR Arizona Secretary of State Revision 7/29/2021 ® Initial Application STATE OF ARIZONA 13 Amended Application i = ,` ' �'' t1 COMMITTEE STATEMENT Date: 05/12/2026 OF ORGANIZATION COMMITTEE INFORMATION: COMMITTEE ID NUMBER (office use only) Contact Information: Committee's mailing address (required): 4520 W Echo Lane Glendale AZ 85302 Committee's email address (required): gary.hirsch@cox.net Committee's phone number (if any): Committee's website (if any): Chairperson's Information: Chairperson's name (required): Gary Hirsch Chairperson's physical address (required): 4520 W Echo Lane Glendaae AZ 85302 Chairperson's mailing address (if different): Chairperson's email address (required): gary.hrisch@cox.net Chairperson's phone number (required): (480) 234-4975 Chairperson's employer (required): Enviroscape Services LLC Chairperson's occupation (required): Manger Treasurer's Information: Treasurer's name (required): Gary Hirsch Treasurer's physical address (required): 4520 W Echo Lane Glendale AZ 85302 Treasurer's mailing address (if different): Treasurer's email address (required): gary.hirsch@cox.net Treasurer's phone number (required): (480) 234-4975 Treasurer's employer (required): Enviroscape Services LLC Treasurer's occupation (required): Manager Bank or Financial Institution: Bank name (required): Wells Fargo Bank N.A. (do not list acct numbers) Additional bank name (if applicable): Additional bank name (if applicable): DECLARATION AND SIGNATURES: I declare under penalty of perjury that the foregoing information is true and correct. 1 further declare that 1: (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 acce_ "-notifications and legal service of process for campaign finance purposes via the email address(es) provided herein. % 1 Chairperson's signature: Treasurer's signature:r Candidate's signature (if applicab .- Date: 05/12/2026 Date: 05/12/2026 Date: 05/12/2026 Arizona Secretary of State Revision 7/29/2021