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HomeMy WebLinkAboutJoyce Jones-Ivey for Oro Valley Town Council - Statement of Organization - 3/21/2018 lw1i, TOWN OF ORO VALLEY COMMITTEE ID NUMBER 0 Initial Application ., Amended Application j COMMITTEE STATEMENT (office use only) Date: -: !y OF ORGANIZATION VTG lg-os briEico- COMMITTEE TYPE(choose one): MAR Ll 18GM 2•4 g Candidate � f IC 3-0,t) 5 Committee Name(required): `� ,1 ��v � `'2 v �"' ,/ (first or last name&office) -v W N Candidate Information: Candidate's Name(required): JD'ICC ONES --11 � Candidate's mailing address(required):/5 3 ' W 50 Er �Br6E Z&T Co cL/21 Candidate's email address(required): JJ 0A) (1)E V t•'1/1 L(i• (t/1/4,1 Candidate's phone number(required): 5470'33"-02(5 3 Candidate's website(if any): Office Sought(choose one): 0 Governor 0 Secretary of State 0 Attorney General 0 State Treasurer ❑Superintendent of Public Instruction 0 State Mine Inspector 0 Corporation Commissioner ❑State Senate 0 State House of Representatives 0 District(required): ❑County Office: .f 0 District(if applicable): Cityfrown Office: TOW/v(oweL.0 District(if applicable): Election Cycle for Office Sought(year the election will take place)(required): le Party Affiliation: 0 Democrat 0 Green 0 Libertarian 0 Republican 4lOther:ND Al f►7erl S4 (required for partisan offices) 0 Political Action Committee(PAC) Committee Name(required): (if sponsored,must include sponsor's name) Political Function(optional): 0 Contributions 0 Candidate-Related Independent Expenditures (select any that apply) 0 Ballot Measure Expenditures 0 Recall Expenditures Sponsorship Information: Sponsor's name or nickname(required): (if applicable) Sponsor's mailing address(required): Sponsor's email address(required): Sponsor's phone number(if any): Sponsor's website(if any): Special Status 0 Separate Segregated Fund of a Corporation,LLC,Partnership,or Union (if applicable) 0 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) ( Af Ea Jurisdiction: 0 State Party(must include proof of qualification pursuant to A.R.S.§16-801 or§16-804) ❑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) must include ornof oftificatiorrpursuant-te-A,s,S_ 1&:802 or§16-854)_. Special Status 0 Standing Committee(must also complete separate standing committee registration) (if applicable) Arizona Secretary of State Revision 11/5/16 kr Initial Application il.)�6 '7� TOWN OF ORO VALLEY COMMITTEE ID NUMBER fyi O Amended Application l COMMITTEE STATEMENT (office use only) Date: ,y OF ORGANIZATION tkilii COMMITTEE INFORMATION: AR L 18ty 2:47 TN Contact Information: Committee's mailing address(required): 153 8 til'50 FT FOC 5e le- Co 1(./1 Committee's email address(required): jj 0a/et I U ey @ 6moi V• G0'"1 Committee's phone number(if any): 5 o20 •395-a/5., Committee's website(if any): Chairperson's Information: Chairperson's name(required): LD Y C e. Pt L K6 TT Chairperson's physical address(required): 5039' W• 14 I 5TL c PoPPy l;cOP Chairperson's mailing address(if different): Chairperson's email address(required): 1-0 YG E p)0167f eY Yet I-t OD• COdi Chairperson's phone number(required): '7'93'•1 G C?' 533 5/ Chairperson's employer(required): Re-4 wreit Chairperson's occupation(required): ' tre CA T`/ Treasurer's Information: Treasurer's name(required): /O'IL E skik G/r� V 5 6 Y COTreasurer's physical address(required): )53 8 'VU• 50 FT 5E/DZ�W OT Treasurer's mailing address(if different): Treasurer's email address(required): j J 04e•`✓1 Uey®O1,1Ia)L•l3m Treasurer's phone number(required):"" 57D-3'76•02153 Treasurer's employer(required): /�"}(Y' uL' Treasurer's occupation(required):��``�� -t,rein Bank or Financial Institution: Bank name(required): LIFI/Uk or ig1614 (do not list acct numbers) Additional bank name(ifapplicable): 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. /a z4,140 Chairperson's signature:A,A._' V�-• ,.. t A Date: _G , e. j)-,q--e--) 31 zi idOti? Treasurer's signature: j--- � Date: Candidate's signature(if applicable): '" •'' '4 4I-13_ Date: � 42//.21)/1? Arizona Secretary of State Revision 11/5/16