HomeMy WebLinkAboutThe Committee to Elect Joe Winfield - Statement of Organization - 4/1/2022Initial Application STATE OF ARIZONA COMMITTEE ID NUMBER
Amended Application C O M M I TT E E STAT E M E N T office use on y)
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COMMITTEE TYPE(choose one):
Candidate f
C , ' t'' 1 1 ' L 1'lG. Committee Name(required):
first or last name&office)
1 (, '. t r'[Candrdate Information. Candidate s Name(required).G`
Candidate's mailin address re uired : r ` y GL f l '' G r T 2`. 7'
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Candidate's email address(required): `U' ' ` '' C
Candidate's phone number(required): '-- 7'1 r 2- u
Candidate's website(if any):
Office Sought(choose one): 0 County Office: District (if applicable):
City/Town Office: G' C J` District(if applicable):
School Board Office: District(if applicable):
Special District Board: District(if applicable):
Election Cycle for Office Sought(year the election will take place)(required): -'
Party Affiliation: Democrat Green Libertarian Republican Other:
requ red for part san offices)
0 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: 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 Status Separate Segregated Fund of a Corporation,LLC,Partnership,or Union
if applicable)Standing Committee(must also complete separate standing committee registration)
Mega PAC(must provide proof of Mega PAC status to filing officer)(amended applications only)
Political Party
Committee Name(required):
must include party affiliation)
Jurisdiction: 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)
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
C Initial Application STATE OF ARIZONA COMMITTEE ID NUMBER
Amended Application COMMITTEE STATEMENT office use only) ,
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COMMITTEE INFORMATION: F ' z.
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Z s- Contact Information. Committee s mailing address(required). z`l v L 1
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Committee's email address(required): (.L '1 Z G C-f
Committee's phone number(if any): .t'" C''`T"` -'
Committee's website(if any):
Chairperson's Information: Chairperson's name(required): ' G • "'
Chairperson's physical address(required): rl'j j ('G 1"C /'' 71_ /
Chairperson's mailing address(if different):
Chairperson's email address(required):V G` ?'' G G C r CG//l
Chairperson's phone number(required): J ' Z
Chairperson's employer(required): C.Gl I G'l ( l
Chairperson's occupation(required): G' r
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Treasurer's Information: Treasurer's name(required): V c J L l .
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Treasurer's physical address(required): • 1 j r' `'(` J~.I
Treasurer's mailing address(if different):
Treasurer's email address(required):V C ` 1= ' G 1/I
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Treasurer's phone number(required): ' 7 " E'1
Treasurer's employer(required): L C l''
Treasurer's occupation(required):
ti -Bank or Financia/Institution: Bank name(required): K-- `
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 a d legal service of process for campaign finance purposes via the email
address(es)provided herei:-""
Chair erson s si naturel Date: p 9
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l. 2 .Treasurer s signature: Date:
Candidate's signature(if applicable)` Date:
Arizona Secretary of State Revision 7/29/2021