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HomeMy WebLinkAboutCommittee to Elect Rosa Dailey - Statement of Organization - 3/3/2026© Initial Application STATE OF ARIZONA COMMITTEE ID NUMBER © Amended Application COMMITTEE STATEMENT (office use only) Date: I@ OF ORGANIZATION 0VTc a6 -03 COMMITTEE TYPE (choose one): 19 Candidate Committee Name (required): (first or last name & office) Candidate Information: Office Sought (choose one): Candidate's Name (required): D Sa Qt l t? U Candidate's mailing address (required): 13 61?D (yo rv:-L-cbSG WLui Candidate's email address (required): _. C055nC4— CQ_ �l!OS 0.A0.( I e c� O� Candidate's phone number (required): S d ' ou �10 — / U 7 I ✓ Candidate's website (if any): (J O 1 2 % O County Office: ©District (it applicablel )OCityrrown Office: TO uJ r) CoUr)[.I I ©District (if applicable): G School Board Office: © District (if applicable): 13 Special District Board: O District (if applicable): Election Cycle for Office Sought (year the election will take place) (required): a 0 OAG Party Affiliation: 17 Democrat 13 Green 17 Libertarian 0 Republican 0 Other: (required for partisan offices) O 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: (if applicable) Special Status (if applicable) 13 Political Party Committee Name (required): (must Include party affiliation) Sponsor's name or nickname (required): Sponsor's 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: 17 State Party (must include proof of qualification pursuant to A.R.S. § 16-801 or § 16-804) 13 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) 13 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) Arizona Secretary of State Revision 7/29/2021 13 Initial Application STATE OF ARIZONA COMMITTEE ID NUMBER © Amended Application COMMITTEE STATEMENT (office use only) Date: 0 OF ORGANIZATION OVrC a6-03 COMMITTEE INFORMATION: Contact Information: Committee's mailing address (required): J r+ 12 R /O Var Committee's email address (required): COSc�(O r OS a CIG61214, orG Committee's phone number (if any):.5 al a- a_�(o'L/0-7% Committee's website (if any): 1 AAUL0 f O,S,r�CL d Q r 2 u, � rQ Chairperson's Information: Chairperson's name (required): D I Chairperson's physical address (required): 3 6�0 _ r- KA3 ', 1?_ R r t!c.Jua, . C�iO VCr���y Chairperson's mailing address (if different): Chairperson's email address (required): f O SoL 0) C O S Q Qi � 2.0 , b r r) Chairperson's phone number (required): 5 a �' tci oL � fv - 707 Chairperson's employer (required): Chairperson's occupation (required): Ce+i r eA -fnnech n r cad (.i ) r i e r Treasurer's Information: Treasurer's name (required): {� o S W 2, I ( tit , R p6,u.e,+-� S('. Treasurer's physical address (required): 1111 9 A). T49 Far r Y Pr,., Qr� 62 $S, Treasurers mailing address (if different): — Treasurer's email address (required): Fr (' D b Q. r <, N'1 S 11 - co N'I Treasurer's phone number (required): �[�, O - g l - �Qd _ - Treasurer's employer (required): Treasurer's occupation (required): Bank or Financial Institution: Bank name (required): 120.Vl�of t�wterjco• (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 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 signatun Treasurer's signature: Candidate's signature ( Date: 3 Date: Date: Arizona Secretary of State Revision 7/29/2021