HomeMy WebLinkAboutDeSimone for Oro Valley - Statement of Organization - 11/5/2025Initial Application STATE OF ARIZONA COMMITTEE ID NUMBER
0 Amendeg Applicadon COMMITTEE STATEMENT (office use only)
-
I Date: 5 ,A5 OF ORGANIZATION OV7-6 a5— 01
COMMITTEE TYPE (choose one):
................._
13 Candidate
Committee Name (required):
(first or last name & office) //� y j)Ip p,// f
Candidate Information: Candidate's Name (required): �/ 6r'� ' 4 7'e I '"��V "r,
Candidate's mailing address (required): JCS 6 M. �Qilt PCci J,v;ye—I &i7?—1
Candidate's email address (required): Chfd Q ItJm[Jig.�h'
Candidate's phone number (required): Jr2 0 VK 'f 15 '
Candidate's website (if any):
Office Sought (choose one): 13 County Office: ODistrict (if applicable):
j+City(rown Office: Dro VQI ' I GDistrict (if applicable):
0 School Board Office: O District (if applicable):
13 Special District Board: 13Dist' (if applicable):
Election Cycle for Office Sought (year the election will take place) (required): 0 26
Party Affiliation: 13 Democrat 110 Green 0 Libertarian 0 Republican 0 Other:
(required for partisan offices)
0 Political Action Committee (PAC)
Committee Name (required):
(if sponsored, must include
sponsors name)
Political Function (optional): ❑ Contributions ❑ Candidate -Related Independent Expenditures
(select any that apply) ❑ Ballot Measure Expenditures ❑ Recall Expenditures
Sponsorship Information:
(if applicable)
Special Status
(if applicable)
13 Political Party
Committee Name (required):
(must include party affiliation)
Sponsor's name or nickname (required):
Sponsors mailing address (required): _
Sponsor's email address (required):
Sponsor's phone number (if any):
Sponsor's website (if any):
❑ Separate Segregated Fund of a Corporation, LLC, Partnership, or Union
❑ Standing Committee (must also complete separate standing committee registration)
❑ Mega PAC (must provide proof of Mega PAC status to filing officer) (amended applications only)
Jurisdiction: 19 State Party (must include proof of qualification pursuant to A.R.S. § 16-801 or § 16-804)
0 County Party (must include proof of qualification pursuant to A.R.S. § 16-802 or § 16-804)
0 Legislative District Party (must include proof of organization pursuant to A.R.S. § 16-823)
0 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)
A izona Secretary of State Revision 7/29/2021
O Initial Application STATE OF ARIZONA COMMITTEE ID NUMBER
G Amended Application COMMITTEE STATEMENT (office use only)
Date: 0 OF ORGANIZATION OvTc as-o)
COMMITTEE INFORMATION:
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Contact Information:
Committee's mailing address (required):
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Committee's email address (required): GII/li to
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Committee's phone number (if any):
Committee's website (if any):
Chairperson's Information:
Chairperson's name (required): A&V
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Chairperson's physical address (required): b / L41
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Chairperson's mailing address (if different)/: ' .
Chairperson's email address (required): w /A/Vb14Lf
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Chairperson's phone number (required): 7 —
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Chairperson's employer (required):
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Chairperson's occupation (required),
Treasurer's Information:
Treasurer's name (required): r a-t-
Treasurers physical address (required): 11 L of S
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Treasurer's mailing address (if different): V fo
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Treasurer's email address (required): M p 7 dG,g
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Treasurers phone number (required): 5 ZU y(1
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Treasurer's employer (required): c q 0 G w 2 n C.
Treasurer's occupation (required): A c[. 0 U
Bank or Financial Institution:
Bank name (required): p11f. Gr(J,
'In ib
(do not list acct numbers)
Additional bank name (if applicable):
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 contributionstexpenditures 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 an legal service of process for campaign finance purposes via the email
address(es) provided herein. Ir/�
Chairperson's signature: Date: t%/O/a S
Treasurers signature: Date:
Candidate's signature (if applicable): Date:
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Arizona Secretary of State Revision 7/29/2021