HomeMy WebLinkAboutCC2024-04 - Rwatts2024 FH Town Council - Statement of Organization}I Initial Application Cl Amended Application Date: 09/20/20 23
STATE OF ARIZONA
COMMITTEE STATEMENT
OF ORGANIZATION
COMMITTEE ID NUMBER (office use only)
COMMITTEE TYPE (choose one):
f/co:m::d
::: (required) Rwatts 20 24 FH Town Council
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(first or last name & office)
Candidate Information: Candidate's Name (required): _R_ic_k_W_a_tts ____________________ _ Candidate's mailing address (required): _1_6_71_7_E_a _st_K_i_n.;:;__gs_t_re_e_B_l_v _d ___________ _
Candidate's email address (required): _R_w_a_tt_s_20_2_4_@__;;.g_m_a_il_.c_o_m ____________ _
Candidate's phone number (required): .;_(6_0_2_;._) _3_6_1 -_5_5_2_4 _______________ _
Candidate's website (if any): ________________________ _
Office Sought (choose one): C County Office: r.:JDistrict (if applicable): _________ _
11:!District (if applicable): _________ _ 11:!City/Town Office: Council ---------11:l School Board Office: 11:l District (if applicable):
11:l Special District Board: _________ 11:!District (if applicable): ________ _
Election Cycle for Office Sought (year the election will take place) (required): _2_0 _24 ______ _
Party Affiliation: 11:l Democrat (required for partisan offices) 1:1 Green E:I Libertarian Cl Republican Cl Other: _______ _
// □ Political Action Committee (PAC)
Committee Name (required): (if sponsored, must include sponsor's name)
Political Function (optional): (select any that apply)
Sponsorship Information: (if applicable)
Special Status (if applicable)
11:l Political Party
Committee Name (required): (must include party affiliation)
Jurisdiction:
D Contributions D Candidate -Related Independent Expenditures D Ballot Measure Expenditures □Recall Expenditures
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): _________________________ _
D Separate Segregated Fund of a Corporation, LLC, Partnership, or Union D Standing Committee (must also complete separate standing committee registration) D Mega PAC (must provide proof of Mega PAC status to filing officer) (amended applications only)
Cl State Party (must include proof of qualification pursuant to A.R.S. § 16-801 or§ 16-804) t:1 County Party (must include proof of qualification pursuant to A.R.S. § 16-802 or§ 16-804) Cl Legislative District Party (must include proof of organization pursuant to A.R.S. § 16-823) Cl City or Town Party (must include proof of qualification pursuant to A.R.S. § 16-802 or§ 16-804)
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Special Status ID Standing Committee (must also complete separate standing committee registration)
\ _____ (_if_a_P P_l_ic_ab_le_) _________________________________________ /
Arizona Secretary of State Revision 7/29/2021
20 24---04
ELECTRONICALLY FILED
TOWN CLERK'S OFFICE
9/21/2023 @ 1:59 P.M.
-
E! lnitialApplication
O Amended Application
As1s.0912012023
COMMITTEE INFORMATION:
STATE OF ARIZONA
COMMITTEE STATEMENT
OF ORGANIZATION
,' Contact lnformation:Committee's mailing address (required):
Committee's email address (required):
Committee's phone number (if any):
Committee's website (if any):
C h ai rpe rso n's I nfo rm ation'.Chairperson's name (required): Rick Watts
16717 East Kingstree Blvd
Rwatts2024@gmail.com
Chairperson's physical address (required):
Chairperson's maili ng address (if different):
16717 East Kingstree Blvd
Chairperson's email address (required): Rwatts2024@gmail.com
Chairperson's phone number (required): (602) 361-5524
Chairperson's employer (required): Retired
Chairperson's occupatron (required)' Retired
Tre asure r's I nform ati on:Treasurer's name (requireo;: Rick Watts
Treasurer's physicat address (required): 16717 EaSt Kingstree Blvd
Treasurer's mailing address (if different):
Treasurer's email address (requiredl' Rwatts2024@gmail.com
Treasurer's phone number (required): (602) 361-5524
Treasurer's employer (required): Retired
Treasurer's occupation (required): Retired
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Bank or Financial lnstitution:
(do not list acct numbers)
Bank name (required): Mid First
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 l: (1) consent to serve aschairperson or treasurer of the committee named herein, if applicable; (2) designate the above-named committee as my of16al candidate
committee and authorize it to receiveimake 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.
SS 16-901 to 16-938; and (5) agree to accept all notifications and legal service of process for iampaign finance purposes via the email
address(es) provided herein.
Chairperson's signature:p21".09/20/2023
Treasurer's signature:Date.09/2012023
Candidate,ssignature(ifapplicable,.Date:09120/2023
Arizona Secretary of State Revision 712912021