HomeMy WebLinkAboutCharlie Hurt for OV - Statement of Organization - 1/13/2022 ti: �'� "" R ���
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Initial Appiication ? STATE OF ARIZONA � COMMITTEE ID NUMBER�
Amended Application � �' �-� . COM M ITTEE STATE M ENT � (o�ice use on�y) �
' oate: 0 i/13/2022 � -�� OF ORGA i ���L � "d '
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� N I Z AT I O N �.____.,___._._.._..__...__........___..�. _____,_.�__.�
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COMMiTTEE TYPE(choose one):
__._._Y.._._...._._.__.__.........................__.w.w..........._....__......._....._.........._............._.........._......_....,.�..._....._..__.....---..._.--------�--._.--..__._.. __.._.._._.,_........._.__..................�....._...___..._._...____._._,_.._.....�,,,,�--,.
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i` 0 Candidate �
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Committee Name(required): Chal'lie HU�t fOt' OV �
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(first or last name&office) �;
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Candidate lnformation: Cand�date's Name(required): CI1at'liG HUYt �
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Candidate's mailing address(required): 10144 N Eiqht It'on Ln Oro Valley AZ 85737 ;
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Candidate's email address(required): Chal'IlehUl't4V�qtY1aII.COC11 ;
_ ;
Candidate's phone number(required): 520.427.7302 #
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Candidate's website(if any): �
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�ffice Sought(choose one): � County Office� ODistrict (if applicable): �
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�City/Town Office: Oro Valley Town Council ODistrict(if applicable): �
:
s B School Board Office: p District{if applicable): �
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t�Special District Board. ODistrict(if applicable): '
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Election Cycle for Office Sought(year the election will take place)(required): 2022 ;
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Party Atfiliarion: 0 Democrat �Green 0 Libertarian 0 Republican �Other:
` (required for partisan offices}
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,�' � Political Action Committee(PAC)
Commitfee Name(required):
(if sponsored,must include
sponsor's name)
Political Function(optional): �Contributions O Candidate-Related Independent Expenditures
(select any that apply) C7 Ballot Measure E�enditures 0 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):
Special Scatus ❑Separate Segregated Fund of a Corporation,LLC,Partnership,or Union
(if applicable) O Standing Committee(must also complete separate standing committee registration)
O Mega PAC(must provide proof of Mega PAC status to filing off�icer)(amended applications only)
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<f � Political Party F
Committee Name(required): ;
{must include party affil�ation) ?
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Jurisdiction: E�State Party(must include proof of qualification pursuant to A.R.S.§16-801 or§16-804) i
�County Party(must include proof of qualification pursuant to A.R.S.§16-802 or g 16-804) �
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�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 g 16-804) �
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Special Status �Standing Committee(must also complete separate standing committee registration)
(if applicable)
Arizona Secretary of State Revision 7/29/2021
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� �tial Application � � ' STATE OF ARIZONA ; COMMITTEE ID NUMBER
� Amended Appiication ��y-V �-� COMMiTTEE STATEMENT € (otfice use on�y) �
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� oate� � OF �RGANIZATiON � �C- ��—�� �
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COMMITTEE INF�RMATIQN:
._.�._..._...____.._.._�. ._.r._...�..�..w.�..._......_.._...._._.....__.__.....__�.._._..w._.....�...._-___�........_...._.._.,._...�.._._.�.�......�._....._.._....__.....__�..._........._.. _..._,.,_....,.._..,...
Contact Information: Committee's mailing address(required): ���44 N Eight Iron Ln Oro Valley, AZ 85737
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Committee's email address(required): c h a r i i e h u rtov Qr q m a i!.C�I�1�1 `
Committee's phone number(if any):
Committee's website(if any):
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c�a�rperson's lnformation: Chairperson's name(required): I�lc',�t'Ile D. HUt`t '
Chairperson's physical address(required): 10144 N Eight Iron Ln Oro Valley, AZ 85737
Chairperson's mailing address(if different): �
. . �
Chairperson's email address(required): C arl�e l,l rtOV C�I�1 c�I�.C01�1
Chairperson's phone number(required): 520.427.73�G�
Chairperson's employer(required}: C1OYle �
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Chairperson's occupation(required): Cet1 reC� '
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Treasurer's Informarion: Treasurer's name�required): h al'I I e D. H U 1�
Treasurer's physical address(required): 10144 N Eight It'Ot1 L�Ot'0 Valley, AZ 85737
Treasurer's mailing address(if different}:
. .
Treasurer's email address(required): C a r �e h u rtov C,�!�1 al�.C�11�1 �
Treasurer's phone number(required): 520.427.73�2 �
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Treasurer's employer(required): n o n e ;
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Treasurer's occupation(required): retl re
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Bank or Financial lnstirution: Bank name(required): a1�1 o m e ri ca
(do not list acct numbers) Additional bank name(if applicable):
Additional bank name(if applicable):
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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 authorite it to receive/make contributions/expenditures on my behalf,if applicable;(3)have read the Secretary of State's
campaign finance and report� guide;(4)agree to comply with Arizona elec� n law,including campaign finance faws codified at A.R.S.
�g 16-901 to 16-938;and r o accept all notifications and le I serv� e of process for campaign finance purposes via the email
� address(es)provided h in.
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C a pe son s s�gnatur Date. i� �
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Treasurer's signatu : Date: �
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Candidate's signature(if applica e): Date: �'�
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Arizona Secretary of State Revision 7/29/2021