HomeMy WebLinkAboutJoyce Jones-Ivey for Oro Valley Town Council - Statement of Organization - 4/1/2022 STATE �F ARIZ4NA C�MMITTEE ID NUMBER
�Initial Applicat�on (office use only}
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COMMITTEE TYPE(choose one}:
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affrce Sou ht(choose one}: 0 County Office: �District (if applicable):
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�City/Town Office: �t,v��C� ��/Y� r �District(if applicable):
�Schoof Board Office: �District(if appiicable}:
�Special Distric�Board: �District(if applicable):
E�ection C cle for Office Sought(year the election will take place)(required): ��'�����
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Party Affiliation: 0 Democrat �Green �Libertarian 0 Republican 0�ther:
(required for partisan offices)
� Political Action Committee(PAC)
Committee Name(required):
(if sponsored,must include
sponsor's name)
Political Fr�nction(optionai}: ❑Contributions ❑Candidate-Related Independent Expenditures
(select any that apply) �Ballot Measure Expenditures ❑Recall Expenditures
Sponsorship lnformation: Sponsor's name or nickname(required):
(if applicable) Sponsor's mailing address{required):
Sponsor's email address(required): _
Sponso�'s phone number(if any):
Sponsor's website{if any}:
Special Status 0 Separate Segregated Fund of a Corporation,LLC, Partnership,or Union
(if applicable) D Standing Committee(must also complete separate standing committee registration)
0 Mega RAC(must provide proof of Mega PAC status to filing afficer}(amended applications only}
0 Political Party
Commi�ee Name(required):
(must include party affiliation)
Jurisdiction: �State Party(must include proof of qualification pursuarYt to A.R.S.§16-801 or§16-804)
L�County Party(must include proof of qualification pursuant to A.R.S.§1�-8�2 or§16-804)
�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 �Standing Committee(must also complete separate standing committee registration)
(if applicable}
Arizona Secretary of State Revision 7/29/2021
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STATE �F ARIZC�NA C�MMITTEE iD NUMBER
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p Amended Application `��� , COM MITTEE STATEM ENT
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�ate: QF ORGANIZATI�N
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COMMITTEE INFORMATI�N: ', �-� ` .`� � � 'j:'�;.
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Contact lnformation. Committee s mailing address(required).
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Treasurer s physical address(required).
Treasurer's mailing address(if different):
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Treasurer's occu ation(required): �� �� ���`�� �'�
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8ank or Financiat lnstitution: Bank name(required): ��.�`v� �'
(do not list acct numbers) Additional bank name(if applicable):
Additiona{bank name(if applicable):
DECLARATION AND SIGNATURES:
I decfare 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 contributionslexpenditures 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 taws 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 pur�ses via the email
address(es)provided herein.
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Chairperson s signature: C- -
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Treasurer s signature:
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Arizona Secretary of State Revision 7/29/2021