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HomeMy WebLinkAboutElizabeth Robb OV Town Council - Statement of Organization - 3/5/2024© Initial Application STATE OF ARIZONA COMMITTEE ID NUMBER X Amended Application COMMITTEE STATEMENT (office use only) Date: 3%5/,a9 6 OF ORGANIZATION owri: d -d COMMITTEE TYPE (choose one): 9RR F24AKWO TOV O Candidate r ''11 Committee Name (required): CL'tQL�%i �OQg lJ �ll�lJ-OlM!C'f I- Committee or last name & office) Candidate information: Candidate's Name (required): Ez-1-*66TH Candidate's mailing address (required):?ZO(��1 rl�s�jug�,)y KS7M_, � 42!r.�-r�i�tJ4' Candidate's email address (required): Z) o661i 0V c0V4C-1 A 0-MAu.. CaM Candidate's phone number (required): SZ'- IO - g /5'0 - 1/ Z}d Candidate's website (if any): �O (t♦ g'7 V CD urJCIL .Co M Office Sought (choose one): © County Office: A GDistrict (if applicable): *11YIfawn Office: IOWAI (,XUr3CAL GDistrict(if applicable): M School Board Office: 13District (if applicable): C Special District Board: ODistrict (if applicable): Election Cycle for Office Sought (year the election will take place) (required): Party Affiliation: 13 Democrat O Green O Ubertadan 13 Republican G Other: (required for partisan offices) 13 Political Action Committee (PAC) Committee Name (required): (if sponsored, must include sponsors name) Political Function (optional): ❑ Contribufions ❑ Candidate -Related Independent Expenditures (select any that apply) ❑ Ballot Measure Expenditures ❑ Recall Expenditures Sponsorship Information: Sponsor's name or nickname (required): (if applicable) Sponsor's mailing address (required): Sponsors email address (required): Sponsor's phone number (if any): Sponsor's website (d 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) 13 Political Party Committee Name (required): (must include party affiliation) Jurisdiction: 13 State Party (must include proof of qualification pursuant to A.R.S. § 16-801 or § 16-804) 13 County Party (must include proof of qualification pursuant to A.R.S. § 16-802 or § 16-804) G Legislative District Party (must include proof of organization pursuant to A.R.S. § 16-823) 13 City or Town Party (must include proof of qualification pursuant to A.R.S. § 16-802 or § 16-804) Special Status 17 Standing Committee (must also complete separate standing committee registration) (if applicable) Arizona Secretary of State Revision 729/2021 0 Initial Application X Amended Application Date: 3I5/x Y 0 COMMITTEE INFORMATION: STATE OF ARIZONA COMMITTEE STATEMENT OF ORGANIZATION COMMITTEE ID NUMBER (office use only) ovrc a -o MRR 72*11t38 TOV Contact Information: Committee's mailing address (required): 1%451/. CLAC.r.G-hod F&.-MIy- Ili, On V44—my... Committee's email address (required): --R086110VQ0U#x r- & GLMAfl.. UN+ Committee's phone number (if any): Committee's webshe (if any): gOa S q O ✓ C.CLNG1t . COyVt Chairperson's Information: Chairperson's name (required): EL. f LL-A-CS6TN �c 66 Chairperson's physical address (required): Voi N. CAt.[0-, isµt ✓r SA4, ORA ✓Au6Y7 31wq Chairperson's mailing address (if different): SAn+6 Chairperson's email address (required): ELo-2-A rAET(ROSSO CO Wa&uW-4L ® Qmarc. Gyh Chairperson's phone number (required): 9Z.0-8Q-'1Z 0 Chairperson's employer (required): 561-F C EL r-Zi9[iCTN g lriJKo£a Chairperson's occupation (required): F;W M&ItS /YIA&XaT VA'NDOK Treasurer's Information: Treasurer's name (required): �fC oswe.`'Le- -f ^URoad-eTS k,. Treasurer's physical address (required): I I I I IV Lry rAT1( Da.� U0 I/At1oYI A� g,�}3� Treasurer's mailing address (if different): SAwt6 Treasurer's email address (required): �MoaL'xmssi (C Q?i "rJ .CAWI Treasurer's phone number (required): 6ZO - 8 I Z- + 0 Z.S ^ Treasurer's employer (required): R6n RLD Treasurer's occupation (required): R6'Tta6D Bank" Financial Institution: Bank name (required): VArrTAGE W6�l.QBU(i ��-NrOY� (do not list acct numbers) Additional bank name (if applicable): 0W PAt, COM Additional bank name (if applicable): / DECLARATION AND SIGNATURES: I declare under penalty of perjury that the foregoing information is true and correct. 1 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. Chairperson's signature: v Y � Date: S M/,y— 1 Treasurer's signature: A1!./s'l., / Date:--%^y.L� ee (/ Candidate's signature (if applicable): L� V '� Date: / °r ae-2 l Arizona Secretary of State Revision 7/29/2021