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HomeMy WebLinkAboutCampaign Finance Records - Statement of organization - Bart Turner for Mayor - 7/27/20260 Initial Application \ STATE OF ARIZONA COMMITTEE ID NUMBER JM Amended Application COMMITTEE STATEMENT (office use only) Date: 7 OF ORGANIZATION 17 COMMITTEE TYPE (choose one): 10 Candidate > p� Committee Name (required): _ _31 ;7:' C CJ (first or last name & office) _ Candidate Information: Candidate's Name (required): V -� Candidate's mailing address (required): f Candidate's email address (required): Candidate's phone number (required): T 37 ` Candidate's website (if any): Office Sought (choose one): 0 County Office: ODistrict (if applicable): MCityrMft Office: ODistrict (if applicable): 0 School Board Office: 0 District (if applicable): 0 Special District Board: ODistrict (if applicable): Election Cycle for Office Sought (year the election will take place) (required): zo Z e Party Affiliation: 0 Democrat 0 Green 0 Libertarian 0 Republican 0 Other: (required for partisan offices) 0 Political Action Committee (PAC) Committee Name (required): (if sponsored, must include sponsors name) 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 (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) 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 B Standing Committee (must also complete separate standing committee registration) (if applicable) r3 r_ri I" F r•.) _U M r10 M 3? Arizona Secretary of State Revision 7/29/2021 Is Initial Application STATE OF ARIZONA COMMITTEE ID NUMBER Amend pli� on i COMMITTEE STATEMENT (office use only) Date: � OF ORGANIZATION COMMITTEE INFORMATION: F Contact Information: Committee's mailing address (required): v�-i K. �� E4 � �� Committee's email address (required): ::L d f Committee's phone number (if any): 6,�t-3 - *077 '-'2;, ` Q!© Committee's website (if any): Chairperson's Information: Chairperson's name (required): ri A-yXXp Chairperson's physical address (required): rS Z-J % -0j - 5 i A- ✓ � �"� �� Treasurer's Information: Bank or Financial Institution: (do not list acct numbers) DECLARATION AND SIGNATURES: Chairperson's mailing address (if different): Chairperson's email address (required):Ar7 --s -(V01-en Chairperson's phone number (required): _ fP Z 3 '!6 7` a _ Chairperson's employer (required): 04 72:� eW��� Chairperson's occupation (required): r •01TW Wc--qg P Treasurer's name (required): —% X/Z; Treasurer's physical address (required): 13Z/ 7 1J - 7 ! Treasurer's mailing address (if different): Treasurer's email address (required): 6id-.�4� tip Treasurees phone number (required): /t Z "-#-— ',2��"L-� Treasurer's employer (required): 0 j r L-/ Treasurer's occupation (required): Bank name (required): ' &z c'i 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 campalgn 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 vla the email address(es) provided herein. ------- Chairperson's signatun Treasurer's signature: Candidate's signature Date: Dates— -ZIr� Date Arizona Secretary of State Revision 7/29/2021