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HomeMy WebLinkAboutNorth Tucson Fire Fighters - Statement of Organization - 7/3/2012 August 2;`213 - . ,,:-T: Election Department Official or City/Town Clerk, Enclosed you will find a"Statement of Organization" for the "Northwest Fire Fighters" independent standing political action committee (PAC). The intent of this mailing is to comply with Arizona Revised Statute 16-902.01 paragraph E. I have enclosed a copy of ARS 16-902.01 for your information and records. ARS 16-902.01 requires a standing political committee to file a statement of organization with the secretary of state and in each jurisdiction in which the committee is active, and only the secretary of state shall issue an identification number for the committee. Please do not assign an identification number for these committees. Arizona "standing committees" are not required to file reports with each jurisdiction only with the Secretary of State's office; therefore the "Northwest Fire Fighters" independent standing political action committee will not be filing regular reports within your jurisdiction. Thank you for your assistance with this matter. If you have any questions regarding this request please do not hesitate to contact me at 520-331-5575. Respectfully, Brian Sturgeon Chairman Northwest Firefighters (Standing) • SEC OF STATE o ED 1700W WASHINGTONSecretaryof StatoeSPEETCAREYI �A�Ar��®�.a a� 07/03/2012 AM **** Election Services Division 8:46 000003#2484 YOLANDA th 2 12 JUL 3 A E 1700 W. Washington St., 7 Floor P000112 ELECTION MISC $250.00 Phoenix, Arizona 85007 Date Stamp Field CHECK $250- 00 (602) 542-8683 • Campaign Finance Standing Committee NewlRenewal Receipt • 020i 000 66.1f Political committee ID#: • (q(p Name of political committee: Nor �-�Pi k+ers personT oN me f received from: 1' O o ce Name Year: 020icc .x.003 Check#.. Amount: ..t.... tr.r,1 .,•jam ' •.1 7C.,,I, - Date received: 7702/-1 Received by: YO I Q oda_ .,- ej:i .0000 1#••2484 MISC .✓�—•"tom_' r .1;ECa. 25().6: Revised:December 6,2011 -1\11;:D t F STATE �I 111111111M 1111111 I 47 'l►, STATE OF ARIZONA SECRETARY a 0000107958 ;ham- POLITICAL COMMITTEE ❑ Initial Registration \'`..orki:‘, STATEMENT OF ORGANIZAUjUL-2 FM 1:00 f4 Amended Statement O Out of State Committee Standing Political Committee COMMITTEE ID NUMBER Titles 16&19,Arizona Revised Statutes Definitions,statutory references and important information on page 2. 201000646 NAME OF POUTICAL COMMITTEE(For ballot measure committee,name shall inclu de official petition serial number) DATE NORTHWEST FIREFIGHTERS 06/22/2012 TYPE OF COMMITTEE BALLOT MEASURE 0 SUPPORT 0 OPPOSE SEGREGATED FUND COMMITTEE ADDRESS CITY STATE ZIP 11564 W.BANNERSTONE ST. MARANA AZ 85658 COMMITTEE MAILING ADDRESS(if different from above) CITY STATE ZIP 11564 W BANNERSTONE ST MARANA AZ 85658 COMMITTEE TELEPHONE# COMMITTEE FAX# COMMITTEE EMAIL ADDRESS (520)331-5575 _ N/A -.�.. BSTURGEON@IAFF3572.ORG NAME OF SPONSORING ORGANIZATION(if applicable) TYPE OF ORGANIZATION ADDRESS OF SPONSORING ORGANIZATION RELATIONSHIP TO POLITICAL COMMITTEE EACH POLITICAL COMMITTEE SHALL HAVE A CHA IRMAN AND TREASURER.THE POSITION OF CHAI RMAN AND TREASURER OF A SINGLE POLITICAL COMMITTEE MAY NOT BE HELD BY THE SAME INDIVIDUAL,EXCEPT THAT A CANDIDATE MAY BE CHAIRMAN AND TREASURER OF HIS OR HER OWN CAMPAIGN COMMITTEE.A.R.S.§16-902(A). NAME OF COMMITTEE CHAIRMAN CHAIRMAN'S TELEPHONE#. CHAIRMAN'S FAX# BRIAN ADAM STURGEON NIA (520)331-5575 N/A CHAIRMAN'S ADDRESS CITY STATE ZIP 11564 W BANNERSTONE ST MARANA AZ 85658 CHAIRMAN'S OCCUPATION CHAIRMAN'S EMPLOYER CHAIRMAN'S EMAIL ADDRESS FIREFIGHTER/PARAMEDIC NORTHWEST ARE DISTRICT FIREBSTURGEONiYAHOO.COM NAME OF COMMITTEE TREASURER TREASURER'S TELEPHONE# TREASURER'S FAX# ROGER MOORE (520)401-7574 N/A TREASURER'S ADDRESS CITY STATE ZIP 1342 W PAR THREE LN ORO VALLEY AZ 85737 TREASURER'S OCCUPATION TREASURER'S EMPLOYER TREASURER'S EMAIL ADDRESS CAPTAIN/FIREFIGHTER NORTHWEST FIRE DISTRICT _ rRMOORE@1AFF3572.0RG BEFORE A COMMITTEE ACCEPTS A CONTRIBUTION OR MAKES AN EXPENDITURE IT SHALL DESIGNATE AT LEAST ON E ACCOUNT AT A QUAUFIED FINANCIAL INSTITUTION. A.R.S.§16-902(C). UST THE NAMES OF ALL FINANCIAL INSTITUTIONS WITH WHICH THE COMMITTEE MAINTAINS ACCOUNTS OR SAFETY DEPOSIT BOXES.(Do not list account numbers.) 1. 2. 3. BANK OF AMERICA FOR A CANDIDATE'S CAMPAIGN COMMITTEE OR AN EXPLORATORY COMMITTEE,PROVIDE THE FOLLOWING INFORMATION: (For Exploratory Committees party affiliation and office sought are optional.) NAME OF CANDIDATE OR DESIGNATING INDIVIDUAL("DI") ELECTION CYCLE CANDIDATE OR DNS TELEPHONE# CANDIDATE OR D/I'S FAX# COUNTY OF RESIDENCE CANDIDATE OR D/I'S ADDRESS CITY STATE ZIP CANDIDATE OR D/i'S EMAIL ADDRESS PARTY AFFILIATION OFFICE SOUGHT PAGE 1 of 2 Office Revision 7/11 Committee ID: 201000646 Date: 06/22/2012 �tx; �w STATE OF ARIZONA ►"fi"�:� POLITICAL COMMITTEE Form ID: 0000107958 %' •`..v STATEMENT OF ORGANIZATION YOUR APPUCATiON IS NOT COMPLETE WITHOUT THE REQUIRED SIGNATURES BELOW: BOX 1 All committees require the signature of both the chairman and treasurer. Standing Committees,see BOX 3 below. CHAIRMAN'S AND TREASURER'S STATEMENT:We,the undersigned chairman and treasurer,have read all of the applicable laws relat Ing to campaign finance and reporting and ha ve examined the information contained in this statement of organization and,to the best of our knowledge and belief,it Is true,correct and complete. Date: Chairman's signature: Date: Treasurer's signature: BOX 2 Complete and sign this additional box only if the committee is a candidate's campaign committee or exploratory committee. DESIGNATING INDIVIDUAL OR CANDIDATE'S STATEMENT:I authorize the above-named political committee as my political committee to receive contributions and make expenditures on my behalf. Date: D/l's or Candidate's signature: BOX 3 Complete and notarize this box only if the committee has been in existence for more than one year and is filing for Standing Committee status. STANDING POUTICAL COMMITTEE'S STATEMENT(if applicable)(A.R.S.§16-902.1):Uwe hereby declare the status of this po litical committee as a standing political committee. OFFICIAL SEAL Oate: /Z$//Z Chairman's signature: ADRIA COLEMAN .-T1Notary Public-State of Man PIMA C011NTY Date: tv Z Trees •= ' , •• ��t a"` Nir Corms,WIN Aug.8,2014 //1-• OF ICIAL SEAL ADRIA COLEMAN State of Arizona State of Arizona ���'r ) Baittt�, , Notary Public-State of Arizona )ss. �' �� • COUNTY County of qi [ County of ! �� ,.- M i les Aug.:,2,14 UBSCRIBE AND SWORN TO before mer s .4011117.7,41,6130,411 BSCRIBED BSCRIBED ND SWORN TO before me this 2344C1141 a' My Commission Expires:6,1612b) y Commission Expires:818 JZC>14 otary Public No ry Public DEFINITION OF POLITICAL COMMITTEE: A.R.S.§16-901(19) "Political committee"means a candid ate or any association or combination of persons that is organized,conducted or combined for the purpose of influencing the result of any election or to determine whether an individual will become a candidate for election in this sta to or in any county,city,town, district or precinct in this state,that eng;.:„es in political activity in behalf of or against a candidate for election or re tention or in support of or opposition to an initiative,referendum or recall or any other measure or proposition and th at applies for a serial number and circulates petitions and,in the case of a candidate for public office except those exempt pursuant to section 16 -903,that receives contributions or makes expenditures in connection therewith, notwithstanding that the as sociation or combination of persons may be a part of a larger association,combination of persons or sponsoring organization not primarily organized,conducted or combined for the purpose of influencing the result of any election in this state or in any county,city,t own or precinct in this state. NOTE FOR INDIVIDUALS INVOLVED IN POLITICAL ACTIVITIES: An individual,acting alone,is not a political committee under Arizona law and need not file a statement of organization. I f any additional person or persons join the effort(as defined above in A.R.S.§16-901(19))begun by an individual,the association of persons has become a"political committee” under Arizona law,and must file a statement of organization before accepting contributions,making expendit ures,distributing literature or circulating petitions.A.R.S.§16-902.01(A). NOTE FOR THOSE INVOLVED IN INITIATIVE,REFERENDUM AND RECALL EFFORTS: Before circulating initiative,referendum or recall petitions,a political committee must file its state ment of organization with the appropriate filing office. Signatures obtained on petitions prior to the filing of the statement of organization are void and shall not be counted in de termining the legal sufficiency of the petition.A.R.S.§§19-114(B)and 19-202(C). Even though an individual,acting alone,may begin the initiative,referendum or recall effort,as soon as other persons join the effort,the association of persons must register as a political committee.The statement of o rganization must be filed regardless of whether the committee intends to accept contributions or make expenditures. PAGE 2 of 2 Office Revision 7/11 16-902.01. Registration of political committees; contents; amendment A. Each political committee that intends to accept contributions or make expenditures of more than five hundred dollars shall file a statement of organization with the filing officer in the format prescribed by the filing officer before accepting contributions, making expenditures, distributing any campaign literature or circulating petitions. Each political committee that intends to accept contributions or make expenditures of five hundred dollars or less, and more than two hundred fifty dollars, shall file a signed exemption statement in a form prescribed by the filing officer that states that intention before making any expenditures, accepting any contributions, distributing any campaign literature or circulating petitions. If a political committee that has filed a five hundred dollar threshold exemption statement receives contributions or makes expenditures of more than five hundred dollars, that political committee shall file a statement of organization with the filing officer in the format prescribed by the filing officer within five business days after exceeding the five hundred dollar limit. B. The statement of organization of a political committee shall include all of the following: 1. The name, address and type of committee. 2. The name, address, relationship and type of any sponsoring organization. 3. The names, addresses, telephone numbers, occupations and employers of the chairman and treasurer of the committee. 4. In the case of a candidate's campaign committee, the name, address, office sought and party affiliation of the candidate. 5. A listing of all banks, safety deposit boxes or other depositories used by the committee. 6. A statement that the chairman and treasurer have read all of the applicable laws relating to campaign finance and reporting. C. Except as prescribed by subsection E of this section, on the filing of a statement of organization, a political committee shall be issued an identification number in the format prescribed by the filing officer. D. The political committee shall file an amended statement of organization reporting any change in the information prescribed in subsections B and F of this section within five business days after the change. E. A standing political committee shall file a statement of organization with the secretary of state and in each jurisdiction in which the committee is active, and only the secretary of state shall issue an identification number for the committee. The statement of organization shall include a statement with the notarized signature of the chairman or treasurer of the standing political committee that declares the committee's status as a standing political committee. The secretary of state may charge an annual fee for the filing. F. For a political committee that makes expenditures in an attempt to influence the results of a ballot proposition election, the statement of organization shall include in the name of the political committee the official serial number for the petition, if assigned, and a statement as to whether the political committee supports or opposes the passage of the ballot measure. On completion of the designation of statewide ballot propositions by number as prescribed in section 19-125, the secretary of state is authorized to and shall amend the name of the political committee by attaching to the statement of organization the ballot proposition number as a substitute for the official serial number in the name of the political committee. The secretary of state shall promptly notify the political committee of the amended political committee name and shall make that information available to the public.