HomeMy WebLinkAboutPima County Democratic Committee - Statement of Organization - 4/28/2009 .o-SHE ST��� STATE OF ARIZONA
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ti�� • o STATEMENTOF ORGANIZATION
,i.',191.2 Titles 16 8 19, Arizona Revised Statutes
Definitions, statutory references and important information on reverse.
❑ Initial Registration 0 Out of State Committee [Amended Statement ID#
❑ Registration as Standing Political Committee del f)C O'8-01
NAME OF POLITICAL COMMITTEE(For ballot measure committee,name shall include official petition serial number) DATE '
CO `D-e. �(' 'L CoceLk /05) ,
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ADDRESS(NUMBER&STREET) CITY STATE ZIP
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MAILING ADDRESS(if different from above) CITY STATE ZIP
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COMMITTEE TELEPHONE# COMMITTEE FAX# COMMITTEE E-MAIL ADDRESS
(52d) 7D-446) ( Q') 3 .). —S(-16 l t--. i raw d W,@ pi tyvvkemS.or
DOES THE POLITICAL COMMITTEE HAVE A SPONSORING ORGANIZATION? I'► YES 0 NO
If yes,please provide the following information:
,
NAME OF SPONSORING ORGANIZATION TYPE OF ORGANIZATION
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ADDRESS OF SPONSORING ORGANIZATION RELATIONSHIP TO POLIT AL COMMITTEE
860122AIo
TYPE OF POLITICAL COMMITTEE-Please check only one box:
O STANDING POLITICAL COMMITTEE($250 annual fee
❑ CANDIDATE'S CAMPAIGN COMMITTEE required)
❑ EXPLORATORY COMMITTEE (A.R.S. § 16-902.01)By selecting the above classification,the
❑ COMMITTEE ORGANIZED IN SUPPORT OF OR OPPOSITION
committee declares that it has been active in more than one
TO ONE OR MORE CANDIDATES reporting jurisdiction in this state for more than one year AND
❑ COMMITTEE IN SUPPORT OF OR OPPOSITION TO THE is one of the following.
QUALIFICATION,PASSAGE OR DEFEAT OF A BALLOT MEASURE (please check ONE of the four boxes below)
[(A.R.S.§16-902.01(F)] 0 SEPARATE SEGREGATED FUND ESTABLISHED BY A
0 support or 0 opposition to this ballot measure CORPORATION OR LABOR ORGANIZATION
❑ COMMITTEE ORGANIZED TO CIRCULATE OR OPPOSE A RECALL 0 COMMITTEE ORGANIZED FOR THE PURPOSE OF MAKING
PETITION OR TO INFLUENCE THE RESULT OF A RECALL INDEPENDENT EXPENDITURES
PETITION 0 POLITICAL ORGANIZATION (an organization that is formally
❑ OTHER COMMITTEE(please describe below) affiliated with and recognized by a political party including a
district committee that is organized pursuant to A.R.S.§ 16-823)
EL POLITICAL PARTY [only state or county committees of an
c ganization that meets the requirements for recognition as a
political party.(A.R.S.§16-801, 16-804, 16-821 and 16-825)]
EACH POLITICAL COMMITTEE SHALL HAVE A CHAIRMAN AND TREASURER. THE POSITION OF CHAIRMAN 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#
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CHAIRMAN'S ADDRESS CITY STATE ZIP
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CHAIRMAN'S OCCUPATION CHAIRMAN'S EMPLOYER
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NAME OF COMMITTEE TREASURER TREASURER'S TELEPHONE# TREASURER'S FAX#
.c-N R,..okin%C,kt1( e►. (Sl-c) 3-a-G•3--A-I (S2o)311- 54 6 t
TREASURER'S ADDRESS CITY STATE ZIP
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TREASURER'S OCCUPATION TREASURER'S EMPLOYER
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Office Revision 6/03
BEFORE A POLITICAL COMMITTEE ACCEPTS A CONTRIBUTION OR MAKES AN EXPENDITURE I-1 SHALL DESIGNATE AT LEAST ONE
ACCOUNT AT A QUALIFIED FINANCIAL INSTITUTION.A.R.S.§16-902(C). LIST THE NAMES OF ALL FINANCIAL INSTITUTIONS WITH WHICH
THE COMMITTEE MAINTAINS ACCOUNTS OR SAFETY DEPOSIT BOXES. (Do not list account numbers.)
1. t k\SFietri0
2. 3.
FOR AN EXPLORATORY COMMITTEE OR A CANDIDATE'S CAMPAIGN COMMITTEE, PROVIDE THE FOLLOWING INFORMATION:
(Party Affiliation and Office Sought are optional for Exploratory Committees.)
NAME OF DESIGNATING INDIVIDUAL("DI")OR CANDIDATE
PARTY AFFILIATION OFFICE SOUGHT COUNTY OF RESIDENCE
D/I's OR CANDIDATE'S ADDRESS CITY STATE ZIP
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/I's or Candidate's signature:
CHAIRMAN'S AND TREASURER'S STATEMENT: We,the undersigned,have examined the information contained in this statement of organization and,
to the best of our knowledge and belief,it is true,correct and come.
Date: 14 2.4 Chairman's signature:
44
1424/o'sDate. Treasurer's signature:
tA'L
Fill out this box only if the committee has been in existent for more than one year and is filing for Standing Committee status.
STANDING POLITICAL COMMITTEE'S STATEMENT(if applicable)(A.R.S.§16-902.1):I/we hereby declare the status of this political committee as
a standing political committee.
Date: Chairman's signature:
Date: Treasurer's signature:
State of Arizona ) State of Arizona
)ss. )ss.
County of ) County of
SUBSCRIBED AND SWORN TO before me this SUBSCRIBED AND SWORN TO before me this
My Commission Expires: My Commission Expires:
Notary Public Notary Public
DEFINITION OF POLITICAL COMMITTEE: A.R.S.§16-901(19)
"Political committee"means a candidate 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 state or in any county,city,town,
district or precinct in this state,that engages in political activity in behalf of or against a candidate for election or retention or in support of or opposition to an
initiative,referendum or recall or any other measure or proposition and that 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 association 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,town or precinct in
this state. Examples of types of political committees are listed on the front of this form.
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. If 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 expenditures,distributing literature or circulation 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 statement 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 determining 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 organization must be filed regardless of
whether the committee intends to accept contributions or make expenditures. Office Revision 6/03
poi:41,4 ecx447 PO Box 40211
Tucson,AZ 85717
EIVI O C RAT I C Phone: (520) 326-3716
Fax: (520) 322-5461
PARTYimadem@ imadems.or
p p g
April 27, 2009
Ms. Kathy Cuvelier, Town Clerk APR 28'89N112:19 IOU
Town of Oro Valley
Administration Building
11000 N. La Canada Dr.
Oro Valley, AZ 85737
Dear Ms. Cuvelier,
Thank you for your assistance last week. As per our conversation, I am enclosing an
amended Statement of Organization for the Town of Oro Valley's records.
I look forward to your confirmation e-mail, to be sent to pimadem@pimadems.org.
Please let me know if you have any questions about this matter. I am available at the
Pima County Democratic Headquarters at (520) 326-3716, or via e-mail at
nora@pimadems.org.
Thank you again for your assistance.
Sincerely,
Nora Evans-Reitz
Accounting, Pima County Democratic Party
Contributions or gifts to the Pima County Democratic Party are not tax deductible. Paid for by the Pima County
Democratic Party (www.pimadems.org) and not authorized by any candidate or candidate's committee.
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