HomeMy WebLinkAboutCC206-03 - Statement of Organization - JTate' 0 Initial Application STATE OF ARIZONA
� Amended App�ication - � COMMITTEE STATEMEI�T
Date: 02/03/2026 ,;. Y OF ORGANIZATION
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COMMITTEE TYPE {choose one):
a Candidate
Commifiee Name (required): Jeff Tate for Councii
(first or last name & office)
�
Candidate lnformation: Candidate's Name (required): �eff Tate
Candidate's mailing address (required): 14856 N Fayette Dr, Fountain Hills, AZ 85268
Candidate's email address (required): iefftateforcouncii@gmail.com
Candidate's phone number (required): (603j 860-5246
Candidate's website (if any): iefftatetorcouncil.com
O�ce Soughf (choose one): 0 County Office: ODistrict (if applicabie):
OCity/Town Office: Councilperson
� School Board Office:
� Special District Board:
ODistrict (if applicable):
p District (if applicable):
�District (if applicable):
Election Gyc/e for O�ce Sought (year the election will take place) (required): 2026
ParfyAffiliafion: 0 Democrat � Green � Libertarian
(required for partisan offices)
� Political Action Committee (PAC)
Commitfee Name (required):
(if sponsored, must include
sponso�'s name}
Polifical Funciion (optional): ❑ Contributions ❑ Candidate-Related Independent Expenditures
{select any that apply) ❑ Ballot Measure Expenditures ❑ Recall Expenditures
Sponsorship lnformation:
{if applicable)
Special Sfatus
\ (if applicable)
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0 Political Party
Committee Name (required):
(must include party a�liation)
Jurisdicfion:
Special Status
(if applicable)
Sponsor's name or nickname (required):
Sponsor's mailing address (requirec]):
Sponsor's email address (required):
Sponsors phone ,number (if any):
Sponso�s websife (if any):
COMMITTEE ID NUMBER
(office use only)
e� �2 oz6 -,03
❑ Separafe Segregated Fund of a Corporation, LLC, Partnership, or Union
❑ Standing Committee (must also complete separate standing committee registration)
❑ Mega PAC (must provide proof of Mega PAC status to filing officer) (amended applications only)
0 State Party (must include proof of qualification pursuant to i4.R.S. § 16-801 or § 16-804)
� Counfy Party (must include proof of qualification pursuant to A.R.S. § 16-802 or § 16-804)
0 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)
0 Standing Committee (must also complete separate standing committee registration)
� Republican � Other:
�
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Arizona Secretary of State Revision 7/29/2021
O Initial Application
� Amended Application:,
Date: otio3/2o26
COMMITfEE INFORMATION:
Contact tnformation:
Chairperson's Information:
0
Treasurer's lnformation:
Bank or Financial lnstitution:
(do not list acct numbers)
DECLARATION AND SIGNATURES:
STATE OF AR(ZONA COMMITTEE ID NUMBER
� COMMITTEE STATEMENT (ottice use on�y)
� oF oR�An��z�T�oN ��' 2oz� —03
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� � � ���� ����� � �1�����
��� �-� ° �� H�ln: �€�
Commiftee's mailing address (required): 14856 N Fayette Dr, Fountain Hills, AZ 85268
Commitfee's email address (required): lefffateforcounCil@gmail.com
Committee's phone number (if any): �603) 860-5246
Committee's website (if any): lefftateforcouncil.cOm
Chairperson's name (required): �effrey Tate
Chairperson's physical address.(required): 14856 N Fayette Dr, Fountain Hills, AZ 85268
Chairperson's mailing address (if differeni): same
Chairperson's email address (required): lefftatefOrCounCil@gmail.Com
Chairperson's phone number (required): �603) 860-5246
Chairperson's employer (required): Seff-employed
Chairperson's occupation (required): CAD designer/drafter
Treasurer's name (required): Hannah Tate
Treasurer's physical address (required): 944 W Main St #1300, Mesa, AZ 85201
Treasurer's mailing address (if different): Same
Treasurer's email address (required): otistherat8@gmail.Com
Treasurer's phone number (required): i603) 860-2706
Treasurer's employer (required): � Department of Child Safety
Treasurer's occupation (required): DCS Ongoing Specialist
Bank name (required): UMB Bank
Additional bank name (if applicable):
Additional bank name (if applicable):
' I declare under penalty of perjury that ihe 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 fo 16-938; and (5) agree to accept alf notifications and legal service of process for campaign finance purposes via the email
address(es) provided herein.
Chairperson's signature:
Treasurer's signature:
_—�'�` =�/
� �//
`andidate's signature (if applicable):
Date: 02/02/2026
Date: 02/02/2026
Date:
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Arizona Secretary of State Revision 7/29/2021