HomeMy WebLinkAboutRodman For Oro Valley - Statement of Organization - 3/23/2020 ^t� `:S,., . ,r"' '"`4:��
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� Initial Application
s 9 STATE OF ARIZONA COMMITTEE ID NUMBER
� Amended pplication `��-�`� � COMMITTEE STATEMENT (o�ce use on�y)
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oate: �� 2� �' � ' � QF ORGANIZATION L�'�`� ����
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COMMITTEE TYPE(choose one):
❑ Candidate
� 1-� � (� � C� '��-L�
, Committee Name(required): �� !�'1
(first or last name&office)
Candidate Information: Candidate's Name(required): ���`� ����`Ji�
Candidate's mailing address(required): �2 $� �'� ' n���1 >�.L.: ��"�� G}�j�,�,t-�.�,�
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Candidate's email address(required): "Y` t+t�� w��3����-y�'--�M,�2 ���
Candidate's phone number(required): -�����'�`5��S
Candidate's website(if any):
O�ce Sought(choose one): ❑Govemor ❑Secretary of State ❑Attomey General ❑State Treasurer
❑Superintendent of Public Instruction ❑State Mine Inspector ❑Corporation Commissioner
❑State Senate ❑State House of Representatives ❑District(required}:
CJ County Office: ❑District(if applicable):
�City/Town Office: ����G'c,���ti'�S Z-- ❑District(if applicable):
Election Cyc/e for Of�ice Sought(year the election will take place)(required):
Party A�liation: ❑Democrat ❑Green 0 Libertarian ❑Republican ❑Other:
(required for partisan offices)
0 Political Action Committee(PAC)
Committee IVame(required):
(if sponsored,must include
sponsor's name)
Political Function(optional): ❑Contributions ❑Candidate-Related fndependent Expenditures
(select any that apply) �Ballot Measure Expenditures ❑Recall Expenditures
Sponsorship Information: Sponsor's name or nickname(required):
(if applicable) Sponsor's maiting 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 affrliation)
Jurisdiction: ❑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 ❑Standing Committee(must also complete separate standing committee registration)
(if applicable)
Arizona Secretary of State Revision 11/5/16
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s STATE OF ARIZONA
❑ Initial Application COMMITTEE ID NUMBER
[� Amended pplication � ��-=� COMMITTEE ST/QITEMENT (o�ce use on�y�
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Date: � 2��' ?-'� C�,� C 7� �'�
" OF ORGANIZATION
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COMMITTEE INFORMATION:
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Contact Information: Committee's mailing address(required): l'�'�� ���"'G��a a��- �t�'�b `�����
Committee's email address(required): rG"�+�..l r av� ,����-�- C-e�
Committee's phone number(if any):
Committee's website(if any}:
Chairperson's lnformation: Chairperson's name(required): �1�� '���+�
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Chair erson's h sical address(required): zl�� • M�rac�'nF _�`��' G��� 'y �� �� �
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Chairperson's mailing address(if different): —
Chairperson's email address(required}: ►''!a�fim'�o`�G`'p�r�� ' � ,�.,��
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Chairperson's phone number(required): � -�`��-� 5 g�I
Chairperson's employer(required}: /�,� �"
Chairperson's occupation(required): �= 1�
Treasurer's Information: Treasurer's name(required}: 'j�}�,t, ��''��'i��`
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Treasurer's physical address(required): �z��� �, ���.s`"�"`i��Tj�L'xt f:���,o�4 ✓r�t t���,�
Treasurer's mailing address(if different):
Treasurer's email address(required}: ' 2`��t pV �P � ` , �,� . �t�
Treasurer's phone number(required}: zc'�7�`L�:��1�
Treasurer's employer(required): � i4
Treasurer's occupation(required): � �
Bank or Financia/Institution: Bank name(required): Irv�� C'�'��'�'
(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 inforrnation 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 �
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committee and authorize it to receive/make contributions/expenditures on my behalf,if applicable;(3)have read the Secretary of State's i
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.
Chai erson's si nature: �h Date: � ��
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Treasurer's si nature: � !`�°-�.+-L^'Gy�'- Date: Z � ?--p
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Candidate's signature(if applicable): -z����.� Date: � � �''a
Arizona Secretary of State Revision 11/5/16