Loading...
HomeMy WebLinkAboutJosh Nicolson for Oro Valley Town Council - Statement of Organization - 2/7/2022 \ - �• a^�,!a �.�.{� ��. "�*�� � M. �'t' , _ ,."�F I , _.._..e,� .�.......��__..�. � �n�t�a�A ��at��, �r STATE �F ARIZONA coMM�TTEE io Nu�BEa pP , � Amended�ppiication E �z�� .�--, C O M M f TT E E STAT E M E N T (office use oniy) Date: ��'� �'�'� '"'� � � OF ORGANIZATION : �C aa � { k � � ': COMMITTEE T1r�PE(choosa on��: �_._._._._._ _��_,_.---�____ ___.__._.---------._._.___._----_��__.____�.____.___v.__�_______________________.__.___ � r .�___.________d____ _..���_.__�.______...._..__._ _._...__.______ -----.. �,.. ; , � i� Candidate � � � , Corr mitte�Nane(re�quired): .� •` � d 'p , (first o�la�t nane&�ffice) , � Can��idatP Infownati�: Candid�te's Name(required): ��'��_ �r�.t3�,�.Ca�'1 : ; CandidGte's mailing address(required): I" �" � C� �"7 , � CandidGte's email address(required): } f""' �'-� �' � °' 1 k �'a., � Candid�te's phone number(required): ���(�"'��'�Cs����� ,� , � '` Candid�te's website(if any): �` � +t�t�� ; O�c�e Sought(�.hoos�e one): O Courtiy Office: CZDistrict (if applicable): t ,l�City/T�wn Office: �`� � ' C�District(if applicable}; �� ��� []Schoal Board Office: ❑District(if applicable): C�Speci�l District Board: E�District(if applicable): EIeC`ion Cycle�or Office Sought(year�.he election will take place}(required):_ c���,v� Part,�Affifation ; L7 Democrat [�G�een �Libertafian [:1 Republican L7�ther: '� (req�ired �or pa�tisan�offices) ������ �,/ ��. . � ._ ; . _.._--_�__�_. __ _-----.. �_._ _._.,____�________..�____�___._____. _____�__.�.__.___�__���w__.___._._-- �_�______.._._____�__._____.�__.__�__�______._____.____,_..__,__�_�.___�_ . ...._._._.._.� I '; �..�... ..__._______.� ._._�___�_________.��._____________� ��.__m._____.__.�__�._��_ � E� Poitical Actia�n Committee(PAC) Corr�r»itte�Nar�e(re�uired): (if s�onso�ed,rtiust include sporsor's namE) Polit cal Fancticn(optional): �Contributions �Candidate-Related Independent Expenditures (sel�ct an,r that apply�) C7 Ballot Measure Expenditures �Recall Expenditures , Spor�sors��ip In�rma�ion: Sponsoi's name or nickname(required): � (if a�plica�le) a Sponsor's mailing address(required): Sponsoc's email address(required): � Sponsor's phone number(if any): ' Sponsor's website(if any): ;: � Special Status � �Separate Segregated Fund of a Corporation,LLC,Partnership,or Union (if a�plicable) �Stancing Committee(must also complete separate standing committee registration) O Mega PAC(rnust provide proof of Mega PAC status to filing officer)(amended applica�ions only) � C9 Po�itical Party Corrmitte�Nane(re±quired): (must inc�.,�de party��liation) Juri:dicticn: ❑State Party(must include proof of qualification pursuant to A.R.S.§16-801 or§16-8C4} � C7 County Party(must include proof of qualification pursuant to A.R.S.§16-802 or§16-304) ❑Legis�ative District Party(must include proof of organization pursuant to A.R.S.§16-�23) ; C]City c�r Town Party(must include proof of qualification pursuant to A.R.S.§16-802 or�16-804) � Special S-atus C]Standing Committee(must also complete separate standing committee registration) (if a�+plica�le) � � � :� � Arizona Secretary of State Revision 7/29/2021 � i � r`R"�' "S�':'fat4'.i ��s.��t �-,+�.q7 i� .�., _ . �.: 4 %'i�� . j .. � . ' ' . �_.^j�..µ ?' 1. z � initial Ap��licati�n � STATE �F ARIZONA c�MMITTEE ID NUMBER � Amended App�catio i '°�'� CO M M ITTE E STATE M E NT (o�ce use on�y) oate: �� OF �RGANIZATION �V�T G���C`� . � ; ; # C(�MMITTEE If�FO�MAT�N: �� � Contact nforrr ation� Comm ttee's mailing address(required): �. ;� 4�"� �, �.�, Commrttee's email address(required): C�' � ` Comm�ttee's phone number(if any): _��t��"��(�-��`��� � . Committee's website(if any): �C�`''�+ ' ' , Ch�irperon's�nfor ation: Chairperson's name(required): ___ �,�c�"��1, �����_�>>'�'► � � Chairperson's physical address(required): " "� � �7,�� Chairperson's maifing address(if diffe�ent): � , 1r► t� . � Chairperson s email address(requ�red): G '� � Chairperson's phone number(required): L-�.1`�t�' �'������-7�� k � Chairperson's employer(required): � � ` �: ` , Chairperson's occupation(required): �r°' �.�' � � �"� n� �" Treasure�'s Int�rma y�on: Treasu�er's name(requi�ed): �.,1(.�_SY'� �.��t�����=.(''�� �V � �Treasu-er's physical address(required): � �� � �' � �,. �'�� Treasu�er's mailing address(if different): Treasu�er's email address(required): � � 't.� �� ' �� ' � Treasurer's phone number(required): `"'t��"''���,-,`�'��,�"�� . � Treasurer's employer(required): � � R� �` � � � Treasurer's occupation(required): t ` �Q(''`a Bar�k or Financial ln�tirution: Bank name(required):_ ��.�� �C.�.��. (do�ot li:t acc numbers) Additio�al bank name(if applicablej: Additior�al bank name(if applicable): �_.__.____.___.�.��.__ __.__.�._ - -- DECLARATION AND SIGI�,ATU ES: : � �: � � � I declare �nder pena�ty of perjury that:he foregoing information is true and correct.I further declare that I:(1)consent �serve as chai-pers�n or:reas�rer of the commit�ee named herein,if applicable;(2)designate the above-named committee as my official candidate com�nittee and authorize it to receive/r�ake contributions/expenditures on my behalf,if applicable;(3)have read the Se�cretary of State's cam�aigr finarce and reporting guide. (4)agree to comply with Arizona efection law,including campaign finance laws rodified at A.R.S. §§1s-90' to 1 c-938�and(5)agree to accept all notifications and legal service of process for campaign finance purpo;�s via the email address(E s)pr•vided herein. ' �► �r,,.�';� , � ��i'� - : � � Cha rperson s:ignat�re: �~�"`" Date: � � '� S f`1.. /i r, .f�,.....:...._ . Tre�surer's sig iatur�: G �'` �' Date: � � /" �' , i Can�jidatF's sig�natur` (if a li able: "� `��'" `'� �r / Date: �� � c� g PP ) � � � ; ; � i i s � � t � � Arizona Secretary of State Revision 7/29/2021