HomeMy WebLinkAboutKeep Oro Valley Strong - Statement of Organization - 10/2/2020 _. __.,.�____.�___.__.__ _�_.._._._.__.�._.._____
' 0 Initial Application . STATE OF 1�RIZONA � caMMITTEE!D NUMBER
, c�;,�� ; {office use oniy}
; ❑ Amended Appiication � ��;.�:-_.X�- � CC3MMITTE� STATEMENT
Date: �0���202o f�-�� OVPC20-01
OF �RGANIZATION __ _-----------------.--
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Rec: 10/2/20 at 8:12 a.m.
COMMITTEE TYPE(choose one}:
.______._____.___________.._____.__...__..______...._____ .__ _______.__..�..__�_._.___..._---._ ..._.____..________._._____._..____________�____.______�__.__.___._____._______..._.__.�_.__._.___�_.._..____._________ .
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. Cl Candidate `
Committee Name(required): __ __ �
� (first or last name&o�ce}
Candidate Information: Candidate's Name(required): �
� Candidate's mailing address(required):
Candidate's emaii address(required): '
Candidate's phone number(required}:
Candidate's website(if any): ;
Office Sought(choase one}: D Govemor ❑S�cretary of State ❑Attomey General ❑State Treasurer
C�Supenntendent of Public Instruction C7 State Mine lnspector L]Corporation Commissioner
�State Senate ❑State House of Representatives �District(required}: :
O County Office: � District{if applicable):
CI City/Town Office: ❑ Qistrict{if appf icable):
� E/ection Cycte for Office Sought(year the election wil!take place)(required):
Party A�liation: ❑ Democrat ❑Green �Libertarian ❑ Republican C7�ther: �'
�
``,� (required for partisan offices} �
.�. _�
� i'd Politica!�ction Committee PAC � -- . — --.___ ____..__._____ ..�.�.__ �
� )
Committee Name(required): Keep Oro Valley Strong
(if sponsored,must include
sponso�`s name)
Politica/Functior�(optional): �Contributions 0 Candidate-Related Independent Expenditures
(select any thai appty) 0 Balfot Measure Expenditures ❑Recall Expenditures
Sponsorship/nformation: 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 C3 Separate Segregated Fund of a Corporation,LLC,Partnership,or Union
� (if applicabie) L7 Standing Committee(must also complete separaie 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 a�liation)
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}
� CJ 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)
Specia/Status O Standing Committee(must also complete separate standing committee registration)
.,
(if appiicable)
Arizona Secretary of State Revision 11/5116
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___�---_____ .,�_ __�__ _�________�_ s STATE QF �RIZONA �� co�nM�TTEE fo NUMBER �
� lnitial Application (office use on{y} �
� o Amended A �icat�on � ; ���� �� C4MMITTE� STATEMENT �
� Pp �"�r ;�;' `' �.
.. .
.,.� ' j
' Date
' "� ' OF ORGANIZATl�N �
,
:__.._..........___._.�__..__.____..__._�...._._.______._._.______._...: "� yj� a
COMMiTTEE 1NFORMATiON:
���,�___._� _�_.___.____---- ._
�' 10730 N Eagfe Eye Pi. T�cson, AZ 85737
Contact lnformation: Committee's mailing address(required):
tdplantz@comcast.com ��'�
Committee's email address(required): '
�
Committee's phone number(if any): ��20}603-4492
Committee's website(if any}:
Chairperson's Information: Chairpe�son's name(required): ThOmaS D. Plantz
Chairperson's physicai address(required): (above)
Chairperson's mailing address(if different):_
Chairperson's email address(required): �a�ove� �
Chairperson's phone number(required}: (above)
Chairperson's employer�required): Retir�d
Chairperson's occupation(required): Health Care Executive
Treasurer's Information: Treasurer's name(required): Phifip D. V1/heeler
r r's h sica�address re uired : �4�5 W Bridalvei{ PI. Tu�so�, AZ 85737 :
7reasu e p y ( q )
Treasurer's maifing address(if different}: �abOVe}
Treasurers email address(required): Pdw c�Wheelerc-esources.com
Treasurers phane number(required): �520) 742-6026 �
Treasurer's employer(required): Retired ;
Treasurer's occupat�on(required): Food Manufacturer Executive
Bank or Financia!lnstitution: Bank name(required): Bank of America.
(do not fist acct numbers} Additional bank name(ifapplicable}: ,
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Additionai bank name(if applicable): ���
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DECLARATION AND SIGNATURES:
���._._� __.__ _____�� ___._.�_____�_._�_____.��___._._.-------_�_._.._.___..—��._________�__.._____.__�_._�___e___._____ __.____.._._.__..__
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`f I declar+e under penafty of perjury that the foregoing information is true and correct.I further decfare that I:(1)consent to serve as �
chairperson or treasurer ofi the committee named herein,if applicable;(2}designate the above-named cammittee as my officiaf 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,incfuding campaign finance laws codifed at A.R.S.
§§16-901 to 16-938;and(5)agree to accept all notifications and lega!service of process for campaign finance purposes via the emaii
, �ddress{es)provided herein.
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Chairperson's signature:
�' 4's- � � ..=� r��� Date: 10/1/2020
' 4
Treasurer's signature: Date: 10/1/2020 .
� Candidate's signature(if applicab{e}: Date:
.,
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Arizona Secretary of State Revision 11/5/16