HomeMy WebLinkAboutElizabeth Robb OV Town Council - Statement of Organization - 2/23/20240 Initial Application., STATE OF ARIZONA COMMITTEE ID NUMBER
0 Amended Application COMMITTEE STATEMENT (office use only)
Date: /a3/a9 OF ORGANIZATION OVTC ay-01
FEB 23TOK2.27 TOV
COMMITTEE TYPE (choose one):
0 Candidate
/� nn Old
EL ( -Z&(6C--7)4 0 i3u 0 v ' QW �
Committee Name (required):
(first or last name & office)
4� gyI ?l�i"%�367 06,8
Candidate Information:
Candidate's Name (required):
p-
;1
Candidate's mailing address (required): 9201AC(.f![[B VatS&. UQd &U&Y, R2 $$3oy
Candidate's email address (required): Rote, �t q OV IAWdCaL im Gryw9i L.c6m
Candidate's phone number (required): 5-7-0 - c85 0 - 4 2
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Candidate's website (if any): 1'S 0 8B -f 0 V WwdCt L- . co M
Office Sought (choose one):
0 County Office: 130istrict (d applicable):
ECity/Town Office: 1.,6�C Joplstrict (if applicable):
0 School Board Office: CDistrict (if applicable):
0 Special District Board: ODistrict (if applicable):
Election Cycle for Office Sought (year the election will take place) (required):
Party Affiliation:
0 Democrat 0 Green 0 Libertarian 0 Republican 0 Other:
(required for partisan offices)
0 PoMmud 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)
Special Status
(if applicable)
0 Political Party
Committee Name (required):
(must include party affiliation)
Jurisdiction:
Special Status
(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 (d any):
❑ Separate Segregated Fund of a Corporation, LLC, Partnership, or Union
❑ 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 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)
0 Standing Committee (must also complete separate standing committee registration)
Arizona Secretary of State Revision 7/29/2021
0 Initial Application STATE OF ARIZONA COMMITTEE ID NUMBER
)t( Amended Application COMMITTEE STATEMENT (office use only)
Date: 0 OF ORGANIZATION I 0VTC ay -of
COMMITTEE INFORMATION:
Contact Information: Committee's mailing address (required): QZOj N. 11AU WUCNR 457-4, ORo VRCL6Y„'?i 8S "+'t
Committee's email address (required): ELr ilrtBE rrt7te ea OVTo�N Co uauc m l'}rritre.. cam
Committee's phone number (d any):
Committee's webslte (if any): R01313 ri0V CourrAL . COrh
Chairperson's Information: Chairperson's name (required): C L t �2frr56TK -W 069
Chairperson's physical address (required): 910/ Al C1RLL6-Xe1vn'Vr 574 040 Vokz& r R? SSidY
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): 9L I24667N l-268A OVTOW nI %uNJ4L0C'M&r I. C"
Chairperson's phone number (required): SZ(3- SD' q Z 40 n
Chairperson's employer (required): 56LF
Chairperson's occupation (required): �f%2.MC372.5 ��9/pJ2rBT �fS1VD02
Treasurer's name (required): '/ O S W elx- (�- Ind QE. 2T 5 i a.
Treasurer's physical address (required): I / / 19 N. SOY AqN bIQ, Q(Ld V RLLMiz 8$723 }
Treasurer's mailing address (if different):
Treasurer's email address (required): /2 !�A'O/3G72T.SSR®M Ent .C-G r`^
Treasurer's phone number (required): �rT 5t Z 0- 8 1 2-� 0 2S
Treasurer's employer (required): eTt RED
Treasurer's occupation (required): ?Eil Rem
Bank name (required): VIq'n7 eF- k K) &:;5T C12-6b 17 L(.ryt 0/�
Additional bank name (if applicable):
Additional bank name (if applicable):
I declare under penalty of perjury that the foregoing information is true and correct. 1 fuNrer declare flat 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.
Chairperson's signature: �/ f 1 Date: IV
n
Treasurer's signature: ��i {a.fl�j/������ Date: 2✓�-I,'.�i.,rt�' G�'((
Candidate's signature (if applicable): _ C/ Date:
Arizona Secretary of State Revision 7/29/2021