HomeMy WebLinkAboutStatement of Organization - Ben LarrabeeE] [n.rtial Application
E] Amended Application
Date:-±i±:¥I±STATE OF ARIZONA
COMMI-ITEE STATEMENT
OF ORGANIZATION
COMMITTEE ID NUMBER
(office use only)@4anw5-ci
EI Politieal Action Committee (PAC)
Committee Name (requl]red)-.
(if sponsolied, must include
sponsor's name)
Polhical Function (opeonal)..
(select any that apply)
Sponsorship lnfomation..
(if applicable)
Special Status
(if applicable)
I Contri butions l] Ca ndidate-Related I ndependent Expend itures
I Ballot Measure Expenditures
Sponsor's name or nickname (required):
Sponsor's mal]ing address (required):
Sponsor's emaiL address (required):
Sponsor's phone number (if any):
Sponsor's website (if any):
I Recall Expenditures
H Separate Segregated Fund of a Corporation. LLC, Partnership, or Union
E Standing Committee (must al§o complete separate standing committee registration)
I Mega PAC (must provide prcof of Mega PAC status to filing officer) (amended applications only)
Arizona Secretary Of State Revision 7/29/2021
EI Initial Application
E] Amended Application
COMMITTEE INFORMATION:
•\.igiviT;i.:z,-!STATE OF AFtlzoNA
COMMITTEE STATEMENT
OF ORGANIZATION
CoMMiTrEE ID NUMBER
cctrrfuarp09.
DECLARATION AND SIGNATURES:
Arizona Secretary of State Revision 7/29A2021