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HomeMy WebLinkAboutThe Committee to Elect Mary Murphy - Statement of Organization - 12/11/2023!4' Initial Application STATE OF ARIZONA COMMITTEE ID NUMBER El Amended Application COMMITTEE STATEMENT (office use only) Date: etc t % rt-,73 OF ORGANIZATION 4i�i"L a3`-d COMMITTEE TYPE (choose one): d Candidate Committee Name (required): t�AKZ 1 (first or last name & office) Candidate Information: Candidate's Name (required):by.� Candidate's mailing address (required): t0l,,-tz; A. rsZN .c wD r ,-- I5 73 tia "iNLLEA J KLSS131 Candidate's email address (required): Z�j n rAku Candidate's phone number (required): 4,5 j�y5 6-,a\ Candidate's website (if any): Office Sought (choose one): © County Office: 13District (if applicable): EfCity/Town Office: ono �L [3District (if applicable): © School Board Office: © District (if applicable): El Special District Board: ODistrict (if applicable): Election Cycle for Office Sought (year the election will take place) (required): 2_n-7_,j Party Affiliation: © Democrat 0 Green 0 Libertarian El Republican El Other: tgl A (required for partisan offices) ® 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 (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) © Political Party Committee Name (required): (must include party affiliation) Jurisdiction: Special Status (if applicable) 0 State Party (must include proof of qualification pursuant to A.R.S. § 16-801 or § 16-804) El 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) ® Standing Committee (must also complete separate standing committee registration) Arizona Secretary of State Revision 7/29/2021 Initial Application STATE OF ARIZONA COMMITTEE ID NUMBER 0 Amended Application COMMITTEE STATEMENT (office use only) Date: ate[ �� 2c OF ORGANIZATION OV a3--ol x � + COMMITTEE INFORMATION: Contact Information: Committee's mailing address (required): 'I bg.NS a. t,2a Lc c.,.-rE 7 r,SR . A4Lv�ti� A27,5.533 Committee's email address (required): �40M 3,& bg„T�&, -,&pkT r,'6,A , « _.«+A Committee's phone number (if any): Committee's website (if any): Chairperson's Information: Chairperson's name (required): -piz • y4i a APx y__k -c-c,r-n+Aki-A Chairperson's physical address (required): .�o �MN.Ab.� Chairperson's mailing address (if different): Chairperson's email address (required): \,-.1la m�►\ . r� Chairperson's phone number (required): 5a�u-k.�b Chairperson's employer (required):t�� Chairperson's occupation (required): V. z Treasurer's Information: Treasurer's name (required): Cx--> Treasurer's physical address (required): LpgRr-) aeuE.y sE cRa��,pt�.,ys�,���P�, ar.-43+ Treasurer's mailing address (if different): Treasurer's email address (required): e- eft" �l ! r,cn�a� . n.•t Treasurer's phone number (required): 520.2u't • i6q-i Treasurer's employer (required): j!E-r,n�� Treasurer's occupation (required): o:_-c ,rrgo Bank or Financial Institution: Bank name (required): Kr-A�e.e_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. 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 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.] 12 � \ I : Chairperson's signature: Date: Treasurer's signature: Date: rZ 7 0z Candidate's signature (if applic_a'l !�� J Date: i Z/ Arizona Secretary of State Revision 7/29/2021