HomeMy WebLinkAboutHarry "MO" Greene for Oro Valley - Statement of Organization - 2/25/2020 :� .�
E sT STATE OF �RIZONA COMMITTEE ID NUMBER
.�Initial Application
❑ Amended Application `�� �' 9 CO M M ITTE E ST/�TE M E N T (office use only)
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OF ORGANIZATION ��Tw Z
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COMMITTEE TYPE(choose one):
❑ Candidate ��
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� Committee Name(required): " ��!.� ���� ��'--- �c.�� Q � l�� ��,,,,,�
(first or last name&office) �
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Candidate Information: Candidate's Name(required}: �.,. �
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Candidate's mailing address(required): ( ���-�r-�
Candidate's email address(required): • � � -� � -y , ���
Candidate's phone number(required): ����J .��-�/� ���.'�.-.
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Candidate's website(if any): �� � C.6 U�,tv►G 1 �
Office Sought(choose one): ❑Governor �Secretary of State 0 Attorney General ❑State Treasurer
❑Superintendent of Public Instruction ❑State Mine Inspector ❑Corporation Commissioner
�State Senate ❑State House of Representatives ❑District(required):
O County Office: ❑District(if applicable):
C�ity/Town Office: Tr��.��y�(��,c,��f� ❑District(if applicable):
Election Cycle for Office Sought(year the election will take place)(required): �,C; �jL�
Party A�liation: ❑Democrat ❑Green ❑Libertarian ❑Republican �Other: N�� �/-�--�,�`j��Q-1�
(required for partisan offices)
❑ Political Action Committee(PAC) N1�-
Committee Name(req ui red):
(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: 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 ❑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 N;�.
Committee Name(required):
(must include party affiliation)
Jurisdiction: O 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)
❑City or Town Party(must include proof of qualification pursuant to A.R.S.§16-802 or§16-804)
Special Status O Standing Committee(must also complete separate standing committee registration) �
(if applicable)
�rizona Secretary of State Revision 11/5/16
� . i a '.
f�Initial Appiication
E T STATE OF ARIZONA COMMITTEE ID NUMBER
❑ Amended Application � � � CO M M ITTE E S TATE M E N T (office use on�y)
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Date: � .�;��;�r r- ` �• "�
'� F O �r T,� �C�-���L
O RGANIZATION
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COMMITTEE INFORMATION:
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Contact Information: Committee's mailing address(required): �3 �(,�'� ����' � �
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Committee's email address(required): � � _' } � '�' c� �.y�C�! �
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Committee's hone number if an : t �
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Committee's website(if any):
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Chairperson's Information: Chairperson's name(required): �E�,�V'2� '� �����A�+1
Chairperson's physical address(required): ,�`��� �:✓.:� �i����t,,, �u t,��"(�',. �")(��
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Chairperson's mailing address(if different)��r�..i r!���(� ��..�=t-=: (;r,t;l�,(
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Chairperson's email address(required):��
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Chairperson's phone number(required): �-Q� �����]r
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Chairperson's employer(required):��,����p_�
Chairperson's occupation(required}: �]���'�e e �
Treasurer's Information: Treasurer's name(required): � ,
Treasurer's physical address(required): 1�f�;3�� ; ��j , r�iy (��', :
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Treasurer's mailing address(if different): � ��► �� $�
Treasurer's email address(required): ����� i�i�-� ���,.,,�;,,�,,��,t;;i������,��•
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Treasurer's phone number(required):__ ���.—(�(� ;��
Treasurer's employer(required): ��'��_��
Treasurer's occupation(required): ������'-c�
Bank or Financial lnstitution: Bank name(required): +`�C����
(do not list acct numbers) Additional bank name(ifapplicable):
Additional bank name(if applicable):
DECLARATION AND SIGNATURES:
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I decla�-e 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 acce�t II notificat' s and legal service of process for campaign finance purposes via the email
address(es)provided herein.
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Chairperson's signature: Date: .
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Treasurer's signature: &—� Date: �'-G�� ` ��,,,�
Candidate's signature(if applicable): Date: ' . O �
Arizona Secretary of State Revision 11/5/16