HomeMy WebLinkAboutRodman For Oro Valley - Statement of Organization - 3/9/2020 r` ":�� . •• . i
E sT STATE OF �RIZONA COMMITTEE ID NUMBER
j� Initial Application
C l A m e n d d p l i c a t i o n w� � C Q M 1 1 1 1 I T T E E S T/�T E M E N T (o ff ice use on iy)
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�ate: � 9 - a OF ORGANIZATION �v"+ ��b� ��
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COMMITTEE TYPE(choose one):
� Candidate
% Committee Name(required): `'���•- ��p�`'l� ���'R C�Rc����� •�C�i� �a ti`L! �--. �
(first or last name&office) �
Candidate Information: Candidate's Name(required}: � ��-�--- ��'�a'l��
Candidate's mailing address(required): Z-17 c� !�f• CI�~•��w't� ��.t..-�i�y��� n f,Acc 2� S7�'�,f'�
Candidate's email address(required): �����,i��R�v�Zt.�y�..��vrC.e�_
Candidate's phone number(required): �Z-t3�7�f�-,5��'��
Candidate's website(if any):
Office Sought(choose one): ❑Governor ❑Secretary of State �Attorney General ❑State Treasurer
❑Superintendent of Public Instruction ❑State Mine Inspector ❑Corporation Commissioner
❑State Senate O State House of Representatives ❑District(required):
❑County Office: ❑District(if applicable):
�City/Town Office: �dc�(�v� C{�l{1��'i�- ❑District(if applicable):
Election Cycle for Office Sought(year the election will take place)(required}: ���-�
Party Affiliation: �Democrat ❑Green ❑Libertarian ❑Republican ❑Other:
(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: 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):
Specia/Status ❑Separate Segregated Fund of a Corporation,LLC,Partnership,or Union �
� (if applicable) O 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 �`
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Committee Name(req u i red):
(must include party affiliation)
Jurisdiction: O State Party(must include proof of qualification pursuant to A.R.S.§16-801 or§16-804)
CJ 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 0 Standing Committee(must also complete separate standing committee registration)
(if applicable)
�rizona Secretary of State Revision 11/5/16
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° E T STATE OF ARIZONA COMMITTEE ID NUMBER
� Initial Application �
❑ Amended Application `� � (office use only)
� C�MMITTEE STATEMENT
Date: d ;��.��,�M�. �
OF ORGAN IZATION
� �91 *
�
COMMITTEE INFORMATION:
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Contact Information: Committee's mailing address(required): 12.t�C1 N�����.�Afc� �t?�t j�af��_ L'���A-���I �''��
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Committee's email address(required): �� '�t% �.�.E�� � r '.'G��
Committee's phone number(if any}: �
Committee's website(if any):
Chairperson's lnformation: Chairperson's name(required): �t�� ��MA�
Chairperson's physical address(required): �2.1 S'�`�'-C�N1r�� ���L����t��i�Ci�t��j��L�.-�7,�5
Chairperson's mailing address(if different): ��1�
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Chairperson's email address(required): � �1�v�` �� a �r,�� , �
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Chairperson's phone number(required): �` -�7`�� �1�`��
Chairperson's employer(required):
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Chairperson's occupation(required): ����
Treasurer's Information: Treasurer's name(required): ��I��-- ���.��v'
Treasurer's physical address(required): �Z�,�c� �'- G%+��1��� S�-t-����ZR� 4�.�C. v�4�S,�y,Ptz ��"7�.,�
Treasurer's mailing address(if different): ���'
Treasurer's email address(required): 1�`b��w►-� r�a���=�lA t�,�� �' � C4� . + .tic,.
Treasurer's phone number(required): �Z�'f `�`�2 �--S?� �
Treasurer's employer(required): �L''`S�
Treasurer's occupation(required): IZ�%�"��F''�
Bank or Financia/Institufion: Bank name(required): ��� ��,�.
(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.
Chairperson's signature: � .��..�--- Date: �S `" �" �
Treasurer's si nature: ���`-�''� Date: �` ` �
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Candidate's signature(if applicable): � • -��-��� Date:
Arizona Secretary of State Revision 11/5/16