HomeMy WebLinkAboutAmended Statement of Organization - Gerry Friedel for MayorEI Initial Application
EI Amended Application
Date:
COMMITTEE TYPE (choose one):
STATE OF ARIZONA
COMMITTEE STATEMENT
OF ORGANIZATION
COMMITTEE ID NUMBER
(office use only)
C C 2-c/2,y- oZ,
I) Political Action Committee (PAC)
Committee Name (requlwed)..
(if sponsored, must include
sponsor's name)
Political Function (opriional)..
(select any that apply)
Sponsorship lnformafron'.
(if applicable)
Special Status
(if applicable)
I] Contributions I candidate-Related Independent Expenditures
I Ballot Measure Expenditures t] 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):
H Separate Segregated Fund of a Corporation, LLC, Partnership, or Union
I Standing Committee (must also complete separate standing committee registration)
I Mega PAC (must provide proof of Mega PAC status to filing officer) (amended applications only)
Arizona Secretary of State Revision 7/29/2021
I Initial Applicatwh
B Amended Application
Daike'. __] -1/ -as
COMMITTEE INFORMATION:
STATE OF ARIZONA
COMMITTEE STATEMENT
OF ORGANIZATION
COMMITTEE ID NUMBER
(office use only)
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Chairperson's mailing address (if di
Chairperson's email address (requi
Chairperson's phone number (requ
Chairperson's employer (required):
Chairperson's occupation (required)
Treasurer's I nformation..
Bank or Financial Institution..
(do not list acct numbers)
Treasurer's name (required):
Tre]aisNIcts errvprtyer (iedyNIedly He;1I PQJl
Treasurer's occupation (req uired) :
Bank name (required):
Additional bank name (if applicable):
Additional bank name (if applicable):
DECLARATION AND SIGNATURES:
I declare under penalty Of periury 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 aooept all notifications and legal service of process for campaign finance purposes via the email
add ress(es) provided
Chairperson's signatu
Treasu rer's sig natu re:
Candidate's signature
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Arizona Secretary of State Revision 7/29/2021