Fake Green Party Arizona

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

Keith Beauchamp (012434) James J. Belanger (011393) Roopali H. Desai (024295) COPPERSMITH SCHERMER & BROCKELMAN PLC 2800 North Central Avenue, Suite 1200 Phoenix, Arizona 85004 (602) 381-5490 (Direct) [email protected] [email protected] [email protected]

Attorneys for Plaintiffs Arizona Green Party and Claudia Ellquist

UNITED STATES DISTRICT COURT

DISTRICT OF ARIZONA

Arizona Green Party, an Arizona political party; and Claudia Ellquist, an individual,

Plaintiffs, v. Ken Bennett, in his official capacity as Secretary of State for the State of Arizona; LeNora Johnson, in her official capacity as Recorder for Apache County; Jim Claw, R. John Lee and Tom White Jr., in their official capacity as members of the Board of Supervisors for Apache County; Christine Rhodes, in her official capacity as Recorder for Cochise County; Patrick Call, Ann English and Richard Searle, in their official capacity as members of the Board of Supervisors for Cochise County; Candace Owens, in her official capacity as Recorder for Coconino County; Elizabeth Archuleta, Lena Fowler, Mandy Metzger, Matt Ryan and Carl Taylor, in their official capacity as members of the Board of Supervisors for Coconino County; Sadie Dalton, in her official capacity as Recorder for Gila County; Shirley Dawson, Tommie Martin and Michael Pastor, in their official capacity as members of the Board of Supervisors for Gila County; Wendy John, in

) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) )

No. VERIFIED COMPLAINT (42 U.S.C. § 1983 and § 1988 (First Amendment and Fourteenth Amendment); Ariz. Const. Art. 7, Sec. 12; A.R.S. §§ 16-1006, 16-1013, and Injunctive Relief)

Case 2:10-cv-01902-DGC Document 1 Filed 09/06/10 Page 1 of 31

2

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

her official capacity as Recorder for Graham County; Mark Herrington, Drew John and James Palmer, in their official capacity as members of the Board of Supervisors for Graham County; Berta Manuz, in her official capacity as Recorder for Greenlee County; David Gomez, Richard Lunt, and Hector Ruedas, in their official capacity as members of the Board of Supervisors for Greenlee County; Shelly Baker, in her official capacity as Recorder for La Paz County; John Drum, Holly Irwin, and Sandy Pierce, in their official capacity as members of the Board of Supervisors for La Paz County; Helen Purcell, in her official capacity as Recorder for Maricopa County; Fulton Brock, Andrew Kunasek, Don Stapley, Mary Rose Wilcox and Max Wilson, in their official capacity as members of the Board of Supervisors for Maricopa County; Carol Meier, in her official capacity as Recorder for Mohave County; Buster Johnson, Tom Sockwell and Gary Watson, in their official capacity as members of the Board of Supervisors for Mohave County; Laurette Justman, in her official capacity as Recorder for Navajo County; Jerry Brownlow, J.R. Despain, Jonathan Nez, David Tenney and Jesse Thompson, in their official capacity as members of the Board of Supervisors for Navajo County; F. Ann Rodriguez, in her official capacity as Recorder for Pima County; Sharon Bronson, Raymond Carroll, Ann Day, Richard Elias and Ramon Valadez, in their official capacity as members of the Board of Supervisors for Pima County; Laura Dean-Lytle, in her official capacity as Recorder for Pinal County; Bryan Martyn, Pete Rios and David Snider, in their official capacity as members of the Board of Supervisors for Pinal County; Suzanne Sainz, in her official capacity as Recorder for Santa Cruz County; John Maynard Jr., Rudy Molera and Manuel Ruiz, in their official capacity as members of the Board of Supervisors for Santa Cruz County; Ana

) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) )


3

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

Wayman-Trujillo, in her official capacity as Recorder for Yavapai County; Chip Davis, Carol Springer and Thomas Thurman, in their official capacity as official capacity as members of the Board of Supervisors for Yavapai County; Robyn Stallworth-Pouquette, in her official capacity as Recorder for Yuma County; and Greg Ferguson, Russell McCloud, Kathryn Prochaska, Marco Reyes and Lenore Stuart, in their official capacity as members of the Board of Supervisors for Yuma County; Ryan Blackman, an individual; Richard Grayson, an individual; Christopher Campbell, an individual; Anthony Goshorn, an individual; Matthew Shusta, an individual; Clint Clement, an individual; Andrew Blischak, an individual; Michelle Lochmann, an individual; Thomas Meadows, an individual; Theodore Gomez, an individual; Benjamin Pearcy, an individual; Defendants.

) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) )

The Arizona Green Party, an Arizona political party, and Claudia Ellquist allege

for their Verified Complaint as follows:

NATURE OF THE ACTION

1. The First and Fourteenth Amendments to the United States Constitution

guarantee the right of individuals to associate in a political party, the right of that party

and its adherents to select their own nominees for partisan political office, and the right of

that party and its adherents to limit nominees to those individuals who share the interests

and ideologies of the party.

2. In ensuring the freedom of political parties to control and restrict their

associations, the First Amendment protects these parties from being “hijacked” by those

adverse to those parties.

3. Arizona statutes governing political party affiliation and registration,

coupled with its laws governing write-in candidates for parties not qualified for continued

representation on the official ballot, violate the association rights of the Arizona Green


4

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

Party and its members by forcing the party to be publicly associated with candidates who

have not been nominated by the party, who will alter the political message and agenda of

the party, who will mislead the voting public with respect to what the party and its

adherents believe, and who will cause party members to mistakenly vote for sham

candidates.

4. Arizona’s statutory scheme also fosters deceptive schemes, such as the

scheme alleged upon information and belief herein, such that major political parties can

manipulate minor political parties and thereby fraudulently affect the outcome of primary

and general elections and corrupt the entire electoral process.

JURISDICTION AND VENUE

5. Plaintiffs’ rights of political association and political expression are

guaranteed against abridgement by the State and those acting under color of its laws by

the First and Fourteenth Amendments to the United States Constitution and by 42 U.S.C.

§ 1983. This Court has jurisdiction over these federal questions under 28 U.S.C. § 1331.

6. This Court has pendent jurisdiction over Plaintiffs’ state law claims

pursuant to 28 U.S.C. § 1367.

7. Venue is proper in this Court pursuant to 28 U.S.C. § 1391(b)(1) because

(i) all of the Defendants reside in, and may be found and served in, the District of

Arizona; and (ii) all of the events or omissions giving rise to these claims arose in the

District of Arizona.

THE PARTIES

The Plaintiffs

8. The Arizona Green Party (“AGP”) is a recognized political party in the

State of Arizona lacking continued representation on the official ballot.

9. Claudia Ellquist is a Co-Chair of the AGP. She resides and is a registered

voter in Pima County, Arizona.

10. The AGP and Ms. Ellquist are referred to here, collectively, as “Plaintiffs.”


5

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

The Secretary of State

11. Ken Bennett is the Secretary of State for the State of Arizona and is named

in his official capacity as a defendant in this action as the officer with whom write-in

nomination papers are filed pursuant to A.R.S. §§ 16-311 and 312(C).

The County Boards of Supervisors

12. The members of the Board of Supervisors of Maricopa County are named

as defendants in their official capacities because, pursuant to A.R.S. § 16-312(D), the

Board of Supervisors of Maricopa County is responsible for notifying the appropriate

election board inspector of all candidates who have properly filed write-in nomination

papers and, pursuant to A.R.S. §§ 16-622(A) and 645(A), the Board is charged with

canvassing the election and issuing certificates of nomination to successful candidates.

The Maricopa County Supervisors are Fulton Brock, Don Stapley, Andrew Kunasek,

Max Wilson, and Mary Rose Wilcox.

13. The members of the Board of Supervisors of Apache County are named as

defendants in their official capacities because, pursuant to A.R.S. § 16-312(D), the Board

of Supervisors of Apache County is responsible for notifying the appropriate election

board inspector of all candidates who have properly filed write-in nomination papers and,

pursuant to A.R.S. §§ 16-622(A) and 645(A), the Board is charged with canvassing the

election and issuing certificates of nomination to successful candidates. The Apache

County Supervisors are Jim Claw, R. John Lee, and Tom White Jr.

14. The members of the Board of Supervisors of Cochise County are named as


of Supervisors of Cochise County is responsible for notifying the appropriate election



election and issuing certificates of nomination to successful candidates. The Cochise

County Supervisors are Patrick Call, Ann English, and Richard Searle.


6

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

15. The members of the Board of Supervisors of Coconino are named as


of Supervisors of Coconino County is responsible for notifying the appropriate election



election and issuing certificates of nomination to successful candidates. The Coconino

County Supervisors are Elizabeth Archuleta, Lena Fowler, Mandy Metzger, Matt Ryan,

and Carl Taylor.

16. The members of the Board of Supervisors of Gila County are named as


of Supervisors of Gila County is responsible for notifying the appropriate election board

inspector of all candidates who have properly filed write-in nomination papers and,


election and issuing certificates of nomination to successful candidates. The Gila County

Supervisors are Shirley Dawson, Tommie Martin, and Michael Pastor.

17. The members of the Board of Supervisors of Graham County are named as


of Supervisors of Graham County is responsible for notifying the appropriate election



election and issuing certificates of nomination to successful candidates. The Graham

County Supervisors are Mark Herrington, Drew John, and James Palmer.

18. The members of the Board of Supervisors of Greenlee County are named as


of Supervisors of Greenlee County is responsible for notifying the appropriate election




7

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

election and issuing certificates of nomination to successful candidates. The Greenlee

County Supervisors are David Gomez, Richard Lunt, and Hector Ruedas.

19. The members of the Board of Supervisors of La Paz County are named as


of Supervisors of La Paz County is responsible for notifying the appropriate election



election and issuing certificates of nomination to successful candidates. The La Paz

County Supervisors are John Drum, Holly Irwin, and Sandy Pierce.

20. The members of the Board of Supervisors of Mohave County are named as


of Supervisors of Mohave County is responsible for notifying the appropriate election



election and issuing certificates of nomination to successful candidates. The Mohave

County Supervisors are Buster Johnson, Tom Sockwell, and Gary Watson.

21. The members of the Board of Supervisors of Navajo County are named as


of Supervisors of Navajo County is responsible for notifying the appropriate election



election and issuing certificates of nomination to successful candidates. The Navajo

County Supervisors are Jerry Brownlow, J.R. Despain, Jonathan Nez, David Tenney, and

Jesse Thompson.

22. The members of the Board of Supervisors of Pima County are named as


of Supervisors of Pima County is responsible for notifying the appropriate election board



8

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28


election and issuing certificates of nomination to successful candidates. The Pima

County Supervisors are Sharon Bronson, Raymond Carroll, Ann Day, Richard Elias, and

Ramon Valadez.

23. The members of the Board of Supervisors of Pinal County are named as


of Supervisors of Pinal County is responsible for notifying the appropriate election board



election and issuing certificates of nomination to successful candidates. The Pinal

County Supervisors are Bryan Martyn, Pete Rios, and David Snider.

24. The members of the Board of Supervisors of Santa Cruz County are named

as defendants in their official capacities because, pursuant to A.R.S. § 16-312(D), the

Board of Supervisors of Santa Cruz County is responsible for notifying the appropriate

election board inspector of all candidates who have properly filed write-in nomination

papers and, pursuant to A.R.S. §§ 16-622(A) and 645(A), the Board is charged with

canvassing the election and issuing certificates of nomination to successful candidates.

The Santa Cruz County Supervisors are John Maynard Jr., Rudy Molera, and Manuel

Ruiz.

25. The members of the Board of Supervisors of Yavapai County are named as


of Supervisors of Yavapai County is responsible for notifying the appropriate election



election and issuing certificates of nomination to successful candidates. The Yavapai

County Supervisors are A.G. (“Chip” ) Davis, Carol Springer, and Thomas Thurman.

26. The members of the Board of Supervisors of Yuma County are named as



9

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

of Supervisors of Yuma County is responsible for notifying the appropriate election



election and issuing certificates of nomination to successful candidates. The Yuma

County Supervisors are Greg Ferguson, Russell McCloud, Kathryn Prochaska, Marco

Reyes, and Lenore Stuart.

The County Recorders

27. LeNora Johnson is the Recorder for Apache County and is named in her

official capacity as a defendant in this action as the officer in charge of printing ballots

for the 2010 General Election pursuant to A.R.S. §§ 16-501 – 16-503. Plaintiffs seek to

enjoin the Recorder from printing the names of certain sham candidates on the general

election ballot.

28. Christine Rhodes is the Recorder for Cochise County and is named in her




election ballot.

29. Candace Owens is the Recorder for Coconino County and is named in her




election ballot.

30. Sadie Dalton is the Recorder for Gila County and is named in her official

capacity as a defendant in this action as the officer in charge of printing ballots for the

2010 General Election pursuant to A.R.S. §§ 16-501 – 16-503. Plaintiffs seek to enjoin

the Recorder from printing the names of certain sham candidates on the general election

ballot.


10

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

31. Wendy John is the Recorder for Graham County and is named in her




election ballot.

32. Berta Manuz is the Recorder for Greenlee County and is named in her




election ballot.

33. Shelly Baker is the Recorder for La Paz County and is named in her official

capacity as a defendant in this action as the officer in charge of printing ballots for the

2010 General Election pursuant to A.R.S. §§ 16-501 – 16-503. Plaintiffs seek to enjoin

the Recorder from printing the names of certain sham candidates on the general election

ballot.

34. Helen Purcell is the Recorder for Maricopa County and is named in her




election ballot.

35. Carol Meier is the Recorder for Mohave County and is named in her




election ballot.

36. Laurette Justman is the Recorder for Navajo County and is named in her




11

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28


election ballot.

37. F. Ann Rodriguez is the Recorder for Pima County and is named in her




election ballot.

38. Laura Dean-Lytle is the Recorder for Pinal County and is named in her




election ballot.

39. Suzanne Sainz is the Recorder for Santa Cruz County and is named in her




election ballot.

40. Ana Wayman-Trujillo is the Recorder for Yavapai County and is named in

her official capacity as a defendant in this action as the officer in charge of printing

ballots for the 2010 General Election pursuant to A.R.S. §§ 16-501 – 16-503. Plaintiffs

seek to enjoin the Recorder from printing the names of certain sham candidates on the

general election ballot.

41. Robyn Stallworth-Pouquette is the Recorder for Yuma County and is

named in her official capacity as a defendant in this action as the officer in charge of

printing ballots for the 2010 General Election pursuant to A.R.S. §§ 16-501 – 16-503.

Plaintiffs seek to enjoin the Recorder from printing the names of certain sham candidates

on the general election ballot.


12

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

The Sham Candidates

42. Defendant Ryan Blackman is a write-in candidate purporting to be

affiliated with the AGP. Blackman is a write-in candidate for the U.S. House of

Representatives in District 5. Blackman registered to vote for the first time on July 13,

2010. He registered as a Green. His voter registration is attached hereto as Ex. 1.

Blackman filed as a write-in candidate on that same day, on July 13, 2010. His filing

papers are attached hereto as Ex. 2.

43. Defendant Richard Grayson is a write-in candidate purporting to be

affiliated with the AGP. Grayson is a write-in candidate for the U.S. House of

Representatives in District 6. Upon information and belief, he switched his political

party from Republican to Green sometime in late 2009. Grayson filed as a write-in

candidate on May 28, 2010. His filing papers are attached hereto as Ex. 3.

44. Defendant Christopher Campbell is a write-in candidate purporting to be

affiliated with the AGP. Campbell is a write-in candidate for State Senator in District 10.

He switched his political party from Republican to Green on July 15, 2010. His voter

registration is attached hereto as Ex. 4. Campbell filed as a write-in candidate that same

day, July 15, 2010. His filing papers are attached hereto as Ex. 5.

45. Defendant Anthony Goshorn is a write-in candidate purporting to be

affiliated with the AGP. Goshorn is a write-in candidate for State Senator in District 17.

He switched his political party from Libertarian to Green on May 17, 2010 when he

attempted to gather sufficient signatures to qualify for the ballot as an AGP candidate for

State Representative in District 17. His voter registration is attached hereto as Ex. 6.

Having failed to qualify, Goshorn filed as a write-in candidate for State Senator on July

15, 2010. His filing papers are attached hereto as Ex. 7.

46. Defendant Matthew Shusta is a write-in candidate purporting to be

affiliated with the AGP. Shusta is a write-in candidate for State Senator in District 23.

Upon information and belief, he changed his political party from Democrat to Green on


13

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

or about July 1, 2010. Shusta filed as a write-in candidate on July 15, 2010. His filing

papers are attached hereto as Ex. 8.

47. Defendant Clint Clement is a write-in candidate purporting to be affiliated

with the AGP. Clement is a write-in candidate for State Representative in District 17.

He changed his political party from Republican to Green on July 13, 2010. His voter

registration is attached hereto as Ex. 9. Clement filed as a write-in candidate that same


48. Defendant Andrew (“Drew”) Blischak is a write-in candidate purporting to

be affiliated with the AGP. Blischak is a write-in candidate for State Representative in

District 20. He changed his political party from Republican to Green on July 13, 2010.

His voter registration is attached hereto as Ex. 11. Blischak filed as a write-in candidate

that same day, July 13, 2010. His filing papers are attached hereto as Ex. 12.

49. Defendant Michelle Lochmann is a write-in candidate purporting to be

affiliated with the AGP. Lochmann is a write-in candidate for Secretary of State. She

changed her political party from Republican to Green on July 15, 2010. Her voter

registration is attached hereto as Ex. 13. Lochmann filed as a write-in candidate that

same day, July 15, 2010. Her filing papers are attached hereto as Ex. 14.

50. Defendant Thomas Meadows is a write-in candidate purporting to be

affiliated with the AGP. Meadows is a write-in candidate for State Treasurer. He

registered to vote for the first time on July 15, 2010. He registered as a Green. His voter

registration is attached hereto as Ex. 15. Meadows filed as a write-in candidate the same


51. Defendant Theodore Gomez is a write-in candidate purporting to be

affiliated with the AGP. Gomez is a write-in candidate for Corporation Commissioner.

He registered to vote for the first time on July 14, 2010. He registered as a Green. His

voter registration is attached hereto as Ex. 17. Gomez filed as a write-in candidate the

very next day, July 15, 2010. His filing papers are attached hereto as Ex. 18.


14

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

52. Defendant Benjamin Pearcy is a write-in candidate purporting to be

affiliated with the AGP. Pearcy is a write-in candidate for Corporation Commissioner.

He changed his political party from Republican to Green on July 14, 2010. His voter

registration is attached hereto as Ex. 19. Pearcy filed as a write-in candidate the very

next day, July 15, 2010. His filing papers are attached hereto as Ex. 20.

GENERAL ALLEGATIONS

53. Upon information and belief, members of the Arizona Republican Party

have conspired to place fraudulent AGP candidates on the official general election ballot

by encouraging members of their party, and others, to switch party affiliation and run as

write-in candidates in the August 24, 2010 primary election. [See e.g. Facebook message

from Matt Salmon attached hereto as Ex. 21.]

54. Ryan Blackman, Richard Grayson, Christopher Campbell, Anthony

Goshorn, Matthew Shusta, Clint Clement, Drew Blischak, Michelle Lochmann, Thomas

Meadows, Theodore Gomez, and Benjamin Pearcy (collectively, the “Sham Candidates”)

are all running as write-in AGP candidates without the endorsement of the AGP. Two

other individuals, Gail Ginger and Tim Hensley filed paperwork to run as Green write-in

candidates, and ran in the primary election, but did not qualify to advance to the general

election as the AGP nominee for the office that they sought.

55. Of the eleven Sham Candidates, none were members of the AGP for more

than a few days before becoming AGP candidates.

56. Pursuant to A.R.S. § 16-312(A), the last day to file as a write-in candidate

for the August 24, 2010 primary election was July 15, 2010.

57. Upon information and belief, the Sham Candidates do not share in the

AGP’s values and ideologies and are seeking office to confuse the electorate and siphon

votes, in violation of the Plaintiffs’ constitutional rights:

a. Campbell admits that he was approached by the Republican Party to

run as a sham AGP candidate in District 10 with the specific intent to take votes away

from the Democratic nominee. [See Transcript of phone conversation with Campbell


15

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

attached hereto as Ex. 22; Declaration of Shawn Nelson attached hereto as Ex. 23; see

also Mary Jo Pitzl, Arizona Democratic Party Alleges Fraud, The Arizona Republic,

Aug. 31, 2010, attached hereto as Ex. 24.]

b. Campbell has numerous ties to the Republican Party. Campbell

lives with the daughter of the Republican former speaker of the house, Jim Weiers, and is

an acquaintance of Senator Linda Gray, the Republican incumbent in District 10. As

noted above, Campbell was a registered Republican until the day he filed as a Green

write-in candidate, which was on July 15, 2010, the last day to file as a write-in

candidate.

c. Campbell admits he supports Senate Bill (“SB”) 1070, a position in

direct conflict with the official position of the AGP, which strongly opposes SB 1070 and

would not endorse a candidate who supported SB 1070, regardless of that candidate’s

positions on other issues. [See Ex. 22.]

d. Gail Ginger was approached by members of the Republican Party to

become a member of the AGP and to file as a write-in candidate in order to deceive

voters into voting for her rather than the Democratic Party’s nominee. The purpose of

this scheme was to ensure the re-election of Republican Senator Gray. However, by

mistake, Ginger filed as a write-in candidate for State Senator in the same district as

Campbell and, therefore, dropped out of the race. In a phone conversation, Ginger

implicated Republicans as individuals with knowledge of the sham candidate scheme.

[See Transcript of phone conversation with Ginger attached hereto as Ex. 25; see also

Transcript of phone conversation with John Mills attached hereto as Ex. 26; see also

Exs. 23-24.]

e. Lochmann admitted that she was recruited by Derrick Lee, owner of

Campaign Finance Company, LLC and Lee Petition Management, who is linked to the

campaigns of various Republican candidates, to obtain Clean Elections money. [See

Declaration of Luisa Valdez attached hereto as Ex. 27.]


16

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

f. Matt Salmon, President of the Log Cabin Republicans sent a

Facebook message seeking to recruit AGP members to run in certain election races. In

his message, Salmon stated that a Green candidate “would only need one write-in vote

(themselves).” [See Ex. 21; see also Ex. 27.]

g. Goshorn was approached by members of the Republican Party to

become a member of the AGP and to first attempt to gain access to the official general

election ballot by gathering signatures to appear on the ballot for State Representative in

Legislative District 17. After failing to gather a sufficient number of signatures, Goshorn

filed to run as a write-in candidate.

h. Steve May, a former two-term Republican State legislator, is the

driving force behind Goshorn’s nomination as an AGP nominee. [See Ex. 24; see also

attached screenshot of May’s Facebook page showing a picture of Goshorn and May

when Goshorn filed as a candidate attached hereto as Ex. 28.] May is a Republican

candidate for the same office that Goshorn is running for in Legislative District 17. His

filing papers are attached hereto as Ex. 29.

i. The nomination papers of Goshorn, Meadows, Gomez, and Pearcy

are written in the same handwriting, which matches that of May, a Republican candidate

for Legislative District 17. [See Exs. 7, 16, 18, 20 and 29.]

j. Goshorn, Pearcy, Meadows and Gomez all use the same post office

box address for their campaign mailing addresses.

k. Pearcy, Meadows, and Gomez all list a Starbucks coffee

establishment located at 420 S. Mill Avenue in downtown Tempe, Arizona as their

campaign filing addresses.

l. Goshorn, May, Pearcy, and Gomez filed their write-in nomination

papers at the exact same minute: 11:43 on July 15, 2010, the last day to file as a write-in

candidate.

m. Goshorn, May, Pearcy, and Gomez used the same notary for their

nomination papers.


17

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

n. Goshorn and perhaps several other Sham Candidates were recruited

by May to get on the ballot as Green candidates. [See Ex. 24; see also Ex. 28.]

o. Members of the Republican Party have provided financial and in-

kind support to at least some, perhaps all, the Sham Candidates named in this Verified

Complaint.

p. The Sham Candidates switched their party affiliation to the AGP

despite the fact that the Sham Candidates do not subscribe to the AGP’s principles and

ideologies. Further, they did not undergo the process to become an endorsed AGP

candidate. [See Ex. 27.]

58. Voters rely on political party designations in deciding for whom to vote.

59. Upon information and belief, the scheme to place the Sham Candidates on

the ballot is intended to confuse voters and draw votes away from candidates affiliated

with the Arizona Democratic Party:

a. Campbell admitted that he is running as a Green candidate to take

votes away from the Democratic nominee in District 10. [Exs. 22-23.]

b. In 2008, a sham Green candidate ran against Democrat Jackie

Thrasher for the same office and in the same district that Campbell is running. The sham

Green candidate obtained over 2,000 votes, which caused Thrasher to lose the election to

Jim Weiers by 553 votes. [See Declaration of Jackie Thrasher attached hereto as Ex. 30.]

c. Republicans have used Sham candidates in prior elections to divert

votes away from Democratic candidates. [See, e.g. Mary Jo Pitzl, Dems see red as

Republicans run as Greens, The Arizona Republic, Oct. 11, 2008, attached hereto as

Ex. 31.]

d. Angel Reyes, an East Coast political operative who frequently works

for the Republican Party or its members, has called registered members of the AGP and

introduced himself as “Angel,” a representative calling on behalf of the AGP, to garner

votes for the Sham Candidates. [See Ex. 27; Declaration of Jerry Joslyn attached hereto

as Ex. 32).] The Co-Chair of the AGP is Angel Torres.


18

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

e. The Sham Candidates switched their party affiliation to the AGP for

the purpose of directing votes from Democratic Party candidates.

60. A.R.S. § 16-645(D), Arizona’s statutory framework for AGP write-in

candidates, (i) forces the AGP to associate with sham candidates in violation of their

constitutional right to exclude individuals; and (ii) treats the AGP differently than the

Republican, Democratic, and Libertarian Parties in violation of the Plaintiffs’

constitutional right to equal protection:

a. Blackman secured the AGP nomination and will advance to the

general election as the Green candidate for the U.S. House of Representatives in District

5 with only four votes. [See 2010 Primary Election Official Write-In Results Summary

attached hereto as Ex. 33.] A Republican write-in candidate would have had to obtain

739 votes, a Democratic write-in candidate would have had to obtain 559 votes, and a

Libertarian write-in candidate would have had to obtain 17 votes. If the AGP was subject

to the same statutory requirement for write-in candidates as the other parties, Blackman

would have had to obtain 154 votes. [See Arizona Secretary of State minimum signature

requirements for each party attached hereto as Ex. 34.]

b. Grayson secured the AGP nomination and will advance to the

general election as the Green candidate for the U.S. House of Representatives in District

6 with only 3 votes. [See Ex. 33.] A Republican write-in candidate would have had to

obtain 1,055 votes, a Democratic write-in candidate would have had to obtain 610 votes,

and a Libertarian write-in candidate would have had to obtain 17 votes. If the AGP was

subject to the same statutory requirement for write-in candidates as the other parties,

Grayson would have had to obtain 154 votes. [See Ex. 34.]

c. Campbell secured the AGP nomination and will advance to the

general election as the Green candidate for State Senator in District 10 with only one

vote, presumably his own. [See Ex. 33.] A Republican write-in candidate would have

had to obtain 262 votes, a Democratic write-in candidate would have had to obtain 251

votes, and a Libertarian write-in candidate would have had to obtain 9 votes. If the AGP


19

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

was subject to the same statutory requirement for write-in candidates as the other parties,

Campbell would have had to obtain 29 votes. [See Ex. 34.]

d. Goshorn secured the AGP nomination and will advance to the

general election as the Green candidate for State Senator in District 17 with only four

votes. [See Ex. 33.] A Republican write-in candidate would have had to obtain 264

votes, a Democratic write-in candidate would have had to obtain 312 votes, and a


to the same statutory requirement for write-in candidates as the other parties, Goshorn

would have had to obtain 37 votes. [See Ex. 34.]

e. Shusta secured the AGP nomination and will advance to the general

election as the Green candidate for State Senator in District 23 with only five votes. [See

Ex. 33.] A Republican write-in candidate would have had to obtain 441 votes, a

Democratic write-in candidate would have had to obtain 522 votes, and a Libertarian

write-in candidate would have had to obtain 10 votes. If the AGP was subject to the

same statutory requirement for write-in candidates as the other parties, Shusta would

have had to obtain 50 votes. [See Ex. 34.]

f. Clement secured the AGP nomination and will advance to the

general election as the Green candidate for State Representative in District 17 with only

two votes. [See Ex. 33.] A Republican write-in candidate would have had to obtain 264

votes, a Democratic write-in candidate would have had to obtain 312 votes, and a


to the same statutory requirement for write-in candidates as the other parties, Clement

would have had to obtain 37 votes. [See Ex. 34.]

g. Blischak secured the AGP nomination and will advance to the

general election as the Green candidate for State Representative in District 20 with only

one vote, presumably his own. [See Ex. 33.] A Republican write-in candidate would

have had to obtain 409 votes, a Democratic write-in candidate would have had to obtain

324 votes, and a Libertarian write-in candidate would have had to obtain 9 votes. If the


20

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

AGP was subject to the same statutory requirement for write-in candidates as the other

parties, Blischak would have had to obtain 44 votes. [See Ex. 34.]

h. Lochmann secured the AGP nomination and will advance to the

general election as the Green candidate for Secretary of State with only 17 votes. [See

Ex. 33.] A Republican write-in candidate would have had to obtain 5,609 votes, a

Democratic write-in candidate would have had to obtain 5,124 votes, and a Libertarian


same statutory requirement for write-in candidates as the other parties, Lochmann would


i. Meadows secured the AGP nomination and will advance to the

general election as the Green candidate for State Treasurer with only 21 votes. [See




same statutory requirement for write-in candidates as the other parties, Meadows would


j. Gomez secured the AGP nomination and will advance to the general

election as the Green candidate for Corporation Commissioner with only 13 votes. [See




same statutory requirement for write-in candidates as the other parties, Gomez would


k. Pearcy secured the AGP nomination and will advance to the general

election as the Green candidate for Corporation Commissioner with only 11 votes. [See





21

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

same statutory requirement for write-in candidates as the other parties, Pearcy would


ARIZONA’S STATUTORY FRAMEWORK RELATING TO POLITICAL PARTIES AND WRITE-IN CANDIDATES

61. In Arizona, a political party with continued representation is entitled to

representation as a political party on the official ballot for state and local officers.

62. Pursuant to A.R.S. § 16-804(A), a political party is qualified for continued

representation to appear on the official general election ballot if “[a] political

organization that at the last preceding general election cast for governor or presidential

electors[,] . . . whichever applies, not less than five per cent of the total votes cast for

governor or presidential electors, in the state.”

63. Alternatively, under A.R.S. § 16-804(B), “a political organization is

entitled to continued representation as a political party on the official ballot . . . if . . .

such party has registered electors in the party equal to at least two-thirds of one per cent

of the total registered electors in such jurisdiction.”

64. The Arizona Democratic Party, the Arizona Republican Party, and the

Arizona Libertarian Party are entitled to continued representation.

65. The AGP failed to obtain the requisite number of votes in the 2008 general

election to be entitled to continued representation as a political party in Arizona.

66. Pursuant to A.R.S. § 16-803(A), a political party that is not entitled to

continued representation may become a recognized political party that can be represented

by an official party ballot and have access to the statewide ballot if the political party files

a petition for recognition not less than 140 days before the primary election.

67. The AGP is a recognized political party with ballot access in Arizona.

68. Under A.R.S. § 16-645(D), the State of Arizona permits a write-in

candidate for a party not qualified for continued representation to become the party’s

nominee and to appear on the general election ballot by obtaining a plurality of the votes

of the party for the office for which he or she is a candidate.


22

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

69. However, under A.R.S. § 16-645(E), a write-in candidate for a party

qualified for continued representation may become the party’s nominee and appear on the

general election ballot only if he receives a number of votes equivalent to at least the

same number of signatures required for nominating petitions for the same office.

70. Thus, A.R.S. § 16-645 permits an uncontested AGP write-in candidate to

qualify for the general election by virtue of a single vote, whereas Democrat, Republican,

and Libertarian write-in candidates are required to obtain significantly more votes to

qualify for the general election.

71. Accordingly, it is very difficult to qualify for the general election as a

Democrat, Republican, and Libertarian write-in candidate; however, unopposed Green

write-in candidates are able to qualify for the general election if they simply vote for

themselves.

72. This discrepancy makes it easy for other political parties or non-AGP

members to hijack the AGP.

73. Qualified electors can change their political party affiliation up to twenty-

nine days preceding a primary or general election.

74. The defendants named in their official capacities administered the partisan

primary elections on August 24, 2010 and will administer the general election on

November 2, 2010.

75. Upon information and belief, the County Recorder Defendants are currently

preparing the ballot for the November 2, 2010 general election, which will include the

names of the Sham Candidates.

76. Within a matter of days, the County Recorder Defendants will send the

ballots to the printer and then begin mailing ballots to military personnel, out-of-state

voters, and early ballot voters.

THE AGP IS A MINOR POLITICAL PARTY

77. In a democracy, the political ideologies of the major political parties,

representing the majority of the constituents, are likely to prevail in an election.


23

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

However, the majority is expressly limited when its actions jeopardize or violate the

constitutional rights of minor parties and their constituents.

78. Minor parties face a greater danger that their constitutional rights will be

violated simply because they operate against the ideology of the majority. Even one

election in which the AGP is forced to associate with unwanted and possibly antithetical

candidates is sufficient to irreparably damage the party.

79. The very fact that the AGP has not qualified for continued representation

on the ballot illustrates that the AGP is a minor political party with a small constituency,

as does its registration of only approximately 4,000 members.

THE STATE OF ARIZONA HAS FORCED THE AGP TO ASSOCIATE WITH INDIVIDUALS WHO DO NOT SHARE ITS POLITICAL IDEALS

80. Although states have broad power to regulate elections, they may not

exercise that power in a manner that violates the constitutional rights of their citizens and

may not force political parties to associate with individuals who do not share their

ideologies.

81. Arizona election laws severely burden the First Amendment rights of the

AGP and its constituents by forcing them to associate with candidates who have not been

selected by the AGP and who do not represent the AGP’s values and platform.

82. Because state law permits any individual to represent the AGP by simply

filing as a write-in candidate and voting for himself or herself, Arizona has permitted the

AGP to be infiltrated by sham candidates who do not share the same beliefs as the party

platform and who are running under the AGP name to steal votes away from non-

Republican candidates.

83. By forcing the AGP to associate with unwanted nominees, Arizona has

deprived the AGP of its First Amendment freedom to choose its own nominees and to

limit its association to those nominees.


24

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

84. The State has no compelling interest in severely burdening the right of its

citizens to freely associate in the selection of their own political party nominees in a

manner that prevents the political party from being hijacked.

85. A.R.S. § 16-645(D) sweeps too broadly in trying to achieve the State’s

ends. This statute is not narrowly tailored to meet the State’s alleged interests because it

has allowed ill-intentioned, non-endorsed candidates to infiltrate the AGP and become

the AGP’s nominees on the general election ballot.

THE STATE DENIES EQUAL PROTECTION TO MINOR PARTIES

86. All political parties, whether large or small, are associations of individuals

that seek to advance some form of political ideology. In this way, they are similarly

situated under the United States Constitution.

87. Minor political parties that do not qualify for continued representation on

the Arizona ballot are subject to the plurality requirement in A.R.S. § 16-645(D), whereas

major political parties are not.

88. A candidate for a political party qualified for continued representation on

the official ballot gains write-in candidate status pursuant to A.R.S. § 16-645(E), and that

candidate must receive the required number of votes as calculated by the nomination

petition requirements set forth in A.R.S. § 16-322.

89. Because Arizona allows certain write-in candidates to appear on the general

election ballot by obtaining only a plurality of the votes cast for that party and for that

office in the primary, and because this rule does not apply to major political parties,

Arizona is protecting major parties’ First Amendment right to associate while denying

that same right to minor political parties. This state action invidiously discriminates

against minor parties in violation of the Equal Protection Clause of the Fourteenth

Amendment to the United States Constitution.


25

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

FIRST CAUSE OF ACTION (Violation of 42 U.S.C. § 1983 – First Amendment)

90. Plaintiffs re-allege and incorporate all of the allegations contained in the

preceding paragraphs of this verified complaint as though fully set forth herein.

91. A.R.S. § 16-645(D) is unconstitutional under the First Amendment on its

face and as applied to the AGP.

92. A.R.S. § 16-645(D) is facially unconstitutional because it compels political

parties that have not qualified for continued representation to put forward in the general

election, and thereby associate with, candidates who receive only a plurality of the votes,

as opposed to a number of votes equivalent to at least the same number of signatures

required by A.R.S. § 16-322, which is what is required of Republican, Democrat, and

Libertarian write-in candidates. Thus, A.R.S. § 16-645(D) compels minor political

parties to associate with candidates that did not garner any modicum of support from the

party.

93. A.R.S. § 16-645(D) is unconstitutional as applied to the AGP because it

compels the AGP, following a primary election, to publicly associate with candidates

other than those with whom the AGP has freely associated, including candidates whose

views are diametrically opposed to those of the AGP. When, as with these Sham

Candidates, a write-in prevails in obtaining the AGP nomination despite holding views

antithetical to those of the AGP, the State has impermissibly forced the AGP to publicly

associate with those whom it would otherwise have chosen to exclude.

94. This statutory scheme enables an unwanted and possibly antithetical

candidate to be placed on the official general election ballot through a voting system that

deprives the AGP of its ability to control its association and the identity of its nominees.

This statutory scheme violates the AGP’s First Amendment right to free association.


26

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

SECOND CAUSE OF ACTION (Violation of 42 U.S.C. § 1983 – Fourteenth Amendment, Equal Protection Clause)



96. The Equal Protection Clause of the Fourteenth Amendment prohibits state

actors from discriminating against similarly situated individuals or groups unless the state

can demonstrate that its interest can withstand the appropriate level of scrutiny.

97. The State discriminates among political parties by subjecting minor parties

to a statutory mechanism that forces them to associate with unwanted nominees while

simultaneously shielding major parties from this same mechanism. In doing so, the State

invidiously discriminates between two similarly situated, constitutionally protected

organizations, and thus violates the Equal Protection Clause of the Fourteenth

Amendment.

THIRD CAUSE OF ACTION (Violation of 42 U.S.C. § 1983 – Fourteenth Amendment, Substantive Due Process)



99. The Fourteenth Amendment to the United States Constitution, enforceable

pursuant to 42 U.S.C. § 1983, provides that no state shall deprive any person of life,

liberty, or property without due process of law. The above-described conduct by

Defendants infringes upon Plaintiffs’ fundamental rights and protected liberty interests,

and in so doing violates Plaintiffs’ right not to be deprived of substantive due process.

100. The Fourteenth Amendment’s Due Process Clause has a substantive

component that protects against government interference with fundamental rights and

protected liberty interests. Plaintiffs have a protected, fundamental right and liberty

interest in being able to meaningfully exercise their right to vote. In fact, there are few

rights more fundamental to a functioning democracy than the right to participate in the

election of government officials.


27

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

101. Arizona law interferes with and deprives Plaintiffs of their fundamental

right to meaningfully vote because those individuals wishing to support a nominee of the

AGP will be unable to distinguish between those candidates who are legitimate AGP

nominees and those who have nominated themselves to the ballot in pursuit of ulterior

motives. These individuals are forced under A.R.S. § 16-645(D) to cast a meaningless,

possibly antithetical vote.

FOURTH CAUSE OF ACTION (Violation of Ariz. Const. Art. 7, Section 12 – Purity of Elections)



103. A.R.S. § 16-645(D) does not “secure the purity of elections and guard

against abuses of the elective franchise” and, therefore, it violates Article 7, Section 12 of

the Arizona Constitution.

104. The State of Arizona, by subjecting minority political parties to the

plurality requirement contained in A.R.S. § 16-645(D) to select party nominees, has

failed to preserve the purity of elections in violation of the Arizona Constitution.

FIFTH CAUSE OF ACTION (Violation of A.R.S. §§ 16-1006, 16-1013)



106. Defendants acted in violation of A.R.S. § 16-1006 because they

“knowingly by … corrupt means, either directly or indirectly … attempt[ed] to influence

an elector in casting his vote or to deter him from casting his vote … attempt[ed] to awe,

restrain, hinder or disturb an elector in the free exercise of the right of suffrage … [or]

defraud[ed] an elector by deceiving and causing him to vote for a different person for an

office or for a different measure than he intended or desired to vote for.”

107. Defendants acted in violation of A.R.S. § 16-1013 because they

“knowingly … [b]y … fraudulent device or contrivance [], [] impede[d], prevent[ed] or


28

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

otherwise interfere[d] with the free exercise of the elective franchise of any voter, or to

compel, induce or to prevail upon a voter either to cast or refrain from casting his vote at

an election, or to cast or refrain from casting his vote for any particular person or measure

at an election.”

SIXTH CAUSE OF ACTION (Injunctive Relief)



109. As alleged herein, A.R.S. § 16-645(D) is unconstitutional on its face and as

applied to the AGP. Plaintiffs thus have a strong likelihood of success on the merits.

110. Given the nature of Plaintiffs’ claim that A.R.S. § 16-645(D) is

unconstitutional as applied to them, Plaintiffs lack an adequate remedy at law.

111. There exists an imminent and ongoing threat to the AGP by the Defendants

to deprive Plaintiffs of their constitutional rights by permitting unwanted and possibly

antithetical nominees to appear on the general election ballot such that Plaintiffs are

forced to associate with these sham candidates in violation of their constitutional rights.

112. The AGP faces irreparable injury if the party’s candidates and nominees are

selected in a process in which the AGP is deprived of its right to define its association.

Even if the political party has a chance to disavow any unwanted or antithetical

candidates following the primary election, the mere association with these candidates

could forever alter the message and positions taken by those associated with the AGP,

and could permanently alter the public’s perception of the AGP.

113. Moreover, granting the requested injunctive relief will promote the public

interest by protecting the electoral process and safeguarding the fundamental right to

vote.

114. Plaintiffs are entitled to preliminary and permanent injunctive relief

prohibiting the Secretary of State, County Boards of Supervisors, and County Recorders

from including the Defendant Sham Candidates on the general election ballot.


29

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

115. In addition, Plaintiffs are entitled to preliminary and permanent injunctive

relief restraining Defendants from implementing A.R.S. § 16-645(D).

PRAYER FOR RELIEF

Plaintiffs respectfully request the Court enter judgment:

1. Declaring A.R.S. § 16-645(D) unconstitutional both on its face and as

applied to the Arizona Green Party;

2. Applying the same requirements relating to write-in candidates of parties

with continued representation, as set forth in A.R.S. § 16-645(E), to minority political

parties, or at least to the Arizona Green Party;

3. Preliminarily and permanently restraining the governmental defendants

named in their official capacities and all those acting in active concert and participation

with them from placing the names of the Defendant Sham Candidates on the official

general election ballot;

4. Awarding Plaintiffs’ their reasonable attorneys’ fees and costs pursuant to

42 U.S.C. § 1988; and

5. Granting such further relief as this Court deems appropriate.

RESPECTFULLY SUBMITTED this 6th day of September, 2010.

COPPERSMITH SCHERMER & BROCKELMAN PLC By s/ Roopali H. Desai

Keith Beauchamp James J. Belanger Roopali H. Desai

Attorneys for Plaintiffs Arizona Green Party and Claudia Ellquist




OJS 44 (Rev. 12/07) CIVIL COVER SHEETThe JS 44 civil cover sheet and the information contained herein neither replace nor supplement the filing and service of pleadings or other papers as required by law, except as providedby local rules of court. This form, approved by the Judicial Conference of the United States in September 1974, is required for the use of the Clerk of Court for the purpose of initiatingthe civil docket sheet. (SEE INSTRUCTIONS ON THE REVERSE OF THE FORM.)

I. (a) PLAINTIFFS DEFENDANTS

(b) County of Residence of First Listed Plaintiff County of Residence of First Listed Defendant(EXCEPT IN U.S. PLAINTIFF CASES) (IN U.S. PLAINTIFF CASES ONLY)

NOTE: IN LAND CONDEMNATION CASES, USE THE LOCATION OF THE LAND INVOLVED.

(c) Attorney’s (Firm Name, Address, and Telephone Number) Attorneys (If Known)

II. BASIS OF JURISDICTION (Place an “X” in One Box Only) III. CITIZENSHIP OF PRINCIPAL PARTIES(Place an “X” in One Box for Plaintiff(For Diversity Cases Only) and One Box for Defendant)

’ 1 U.S. Government ’ 3 Federal Question PTF DEF PTF DEFPlaintiff (U.S. Government Not a Party) Citizen of This State ’ 1 ’ 1 Incorporated or Principal Place ’ 4 ’ 4

of Business In This State

’ 2 U.S. Government ’ 4 Diversity Citizen of Another State ’ 2 ’ 2 Incorporated and Principal Place ’ 5 ’ 5Defendant (Indicate Citizenship of Parties in Item III) of Business In Another State

Citizen or Subject of a ’ 3 ’ 3 Foreign Nation ’ 6 ’ 6 Foreign Country

IV. NATURE OF SUIT (Place an “X” in One Box Only)CONTRACT TORTS FORFEITURE/PENALTY BANKRUPTCY OTHER STATUTES

’ 110 Insurance PERSONAL INJURY PERSONAL INJURY ’ 610 Agriculture ’ 422 Appeal 28 USC 158 ’ 400 State Reapportionment’ 120 Marine ’ 310 Airplane ’ 362 Personal Injury - ’ 620 Other Food & Drug ’ 423 Withdrawal ’ 410 Antitrust’ 130 Miller Act ’ 315 Airplane Product Med. Malpractice ’ 625 Drug Related Seizure 28 USC 157 ’ 430 Banks and Banking’ 140 Negotiable Instrument Liability ’ 365 Personal Injury - of Property 21 USC 881 ’ 450 Commerce’ 150 Recovery of Overpayment ’ 320 Assault, Libel & Product Liability ’ 630 Liquor Laws PROPERTY RIGHTS ’ 460 Deportation

& Enforcement of Judgment Slander ’ 368 Asbestos Personal ’ 640 R.R. & Truck ’ 820 Copyrights ’ 470 Racketeer Influenced and’ 151 Medicare Act ’ 330 Federal Employers’ Injury Product ’ 650 Airline Regs. ’ 830 Patent Corrupt Organizations’ 152 Recovery of Defaulted Liability Liability ’ 660 Occupational ’ 840 Trademark ’ 480 Consumer Credit

Student Loans ’ 340 Marine PERSONAL PROPERTY Safety/Health ’ 490 Cable/Sat TV (Excl. Veterans) ’ 345 Marine Product ’ 370 Other Fraud ’ 690 Other ’ 810 Selective Service

’ 153 Recovery of Overpayment Liability ’ 371 Truth in Lending LABOR SOCIAL SECURITY ’ 850 Securities/Commodities/ of Veteran’s Benefits ’ 350 Motor Vehicle ’ 380 Other Personal ’ 710 Fair Labor Standards ’ 861 HIA (1395ff) Exchange

’ 160 Stockholders’ Suits ’ 355 Motor Vehicle Property Damage Act ’ 862 Black Lung (923) ’ 875 Customer Challenge’ 190 Other Contract Product Liability ’ 385 Property Damage ’ 720 Labor/Mgmt. Relations ’ 863 DIWC/DIWW (405(g)) 12 USC 3410’ 195 Contract Product Liability ’ 360 Other Personal Product Liability ’ 730 Labor/Mgmt.Reporting ’ 864 SSID Title XVI ’ 890 Other Statutory Actions’ 196 Franchise Injury & Disclosure Act ’ 865 RSI (405(g)) ’ 891 Agricultural Acts

REAL PROPERTY CIVIL RIGHTS PRISONER PETITIONS ’ 740 Railway Labor Act FEDERAL TAX SUITS ’ 892 Economic Stabilization Act’ 210 Land Condemnation ’ 441 Voting ’ 510 Motions to Vacate ’ 790 Other Labor Litigation ’ 870 Taxes (U.S. Plaintiff ’ 893 Environmental Matters’ 220 Foreclosure ’ 442 Employment Sentence ’ 791 Empl. Ret. Inc. or Defendant) ’ 894 Energy Allocation Act’ 230 Rent Lease & Ejectment ’ 443 Housing/ Habeas Corpus: Security Act ’ 871 IRS—Third Party ’ 895 Freedom of Information’ 240 Torts to Land Accommodations ’ 530 General 26 USC 7609 Act’ 245 Tort Product Liability ’ 444 Welfare ’ 535 Death Penalty IMMIGRATION ’ 900Appeal of Fee Determination’ 290 All Other Real Property ’ 445 Amer. w/Disabilities - ’ 540 Mandamus & Other ’ 462 Naturalization Application Under Equal Access

Employment ’ 550 Civil Rights ’ 463 Habeas Corpus - to Justice’ 446 Amer. w/Disabilities - ’ 555 Prison Condition Alien Detainee ’ 950 Constitutionality of

Other ’ 465 Other Immigration State Statutes’ 440 Other Civil Rights Actions

V. ORIGINTransferred fromanother district(specify)

Appeal to DistrictJudge fromMagistrateJudgment

(Place an “X” in One Box Only)’ 1 Original

Proceeding’ 2 Removed from

State Court’ 3 Remanded from

Appellate Court’ 4 Reinstated or

Reopened’ 5 ’ 6 Multidistrict

Litigation’ 7

VI. CAUSE OF ACTIONCite the U.S. Civil Statute under which you are filing (Do not cite jurisdictional statutes unless diversity): Brief description of cause:

VII. REQUESTED IN COMPLAINT:

’ CHECK IF THIS IS A CLASS ACTIONUNDER F.R.C.P. 23

DEMAND $ CHECK YES only if demanded in complaint:JURY DEMAND: ’ Yes ’ No

VIII. RELATED CASE(S) IF ANY (See instructions): JUDGE DOCKET NUMBER

DATE SIGNATURE OF ATTORNEY OF RECORD

FOR OFFICE USE ONLY

RECEIPT # AMOUNT APPLYING IFP JUDGE MAG. JUDGE

Case 2:10-cv-01902-DGC Document 1-1 Filed 09/06/10 Page 1 of 1

Arizona Green Party, et al. v. Bennett, et al.

Index of Exhibits to Verified Complaint

Ex. Document

1. Ryan Blackman Voter Registration

2. Ryan Blackman Write-In Candidate Filing Papers

3. Richard Grayson Write-In Candidate Filing Papers

4. Christopher Campbell Voter Registration

5. Christopher Campbell Write-In Candidate Filing Papers

6. Anthony Goshorn Voter Registration

7. Anthony Goshorn Write-In Candidate Filing Papers

8. Matthew Shusta Write-In Candidate Filing Papers

9. Clint Clement Voter Registration

10. Clint Clement Write-In Candidate Filing Papers

11. Andrew (“Drew”) Blischak Voter Registration

12. Andrew (“Drew”) Blischak Write-In Candidate Filing Papers

13. Michelle Lochmann Voter Registration

14. Michelle Lochmann Write-In Candidate Filing Papers

15. Thomas Meadows Voter Registration

16. Thomas Meadows Write-In Candidate Filing Papers

17. Theodore Gomez Voter Registration

18. Theodore Gomez Write-In Candidate Filing Papers

19. Benjamin Pearcy Voter Registration

20. Benjamin Pearcy Write-In Candidate Filing Papers

21. Facebook Message from Matt Salmon

22. Transcript of Phone Conversation with Christopher Campbell

23. Declaration of Shawn Nelson


Arizona Green Party, et al. v. Bennett, et al.

Index of Exhibits to Verified Complaint (continued)

Ex. Document

24. Mary Jo Pitzl, Arizona Democratic Party Alleges Fraud, The Arizona Republic, Aug. 31, 2010

25. Transcript of Phone Conversation with Gail Ginger

26. Transcript of Phone Conversation with John Mills

27. Declaration of Luisa Valdez

28. Screenshot of May’s Facebook Page Showing a Picture of Goshorn and May

29. Steve May Filing Papers

30. Declaration of Jackie Thrasher

31. Mary Jo Pitzl, Dems see red as Republicans run as Greens, The Arizona Republic, Oct. 11, 2008

32. Declaration of Jerry Joslyn

33. 2010 Primary Election Official Write-In Results Summary

34. Arizona Secretary of State Minimum Signature Requirements for Each Party


EXHIBIT 1


Maricopa County Elections Page 1 of 2

Voter 10.1ö948 Name: RVAN.KINGSLEY BLACIMAN Statue: A

Re$tdanllatMd raw: 3155 E ROOSEVELT ST 217 SCOTTSDALE AZ 86257

Birth

Y! TEXAS RelstratIon Date 7113/2010

BIrthotiy ModIfIcatIon Date: 7/13/2010

Occupadon; OCCUPATION NOT DESIGNATED Polling Place Volunteer N

Preclnct 0167 SALT RIVER Party GREEN

°qrmarenl EV List: N


Maricopa County Elections - Page 1 of 2

VOTER ON HISTORY

Prhnary 2004 Previous P&nary: 2006 Current Prtmar’: 2008

Nod General: 2004 PrevIous Qenercl: 2008 Current Genere 2003

VTjGRANGE HISTORY

AIE Date Type Reason Assoo ID

713112oG;1200:00 AM-70326319 7131/2010 12:00:00 AM U COR NONCRITICAL

7/2812010 12:00:00 AM-70326319 7/13/2010 12:00:00 AM N ORIG REG

; � _

A

to

https://l 56.42.40. 50/electioninfo/VoterHistory. aspx? Voterld=3 540948 8/20/2010


0- 11310


OFFICE OF THE SECRETARY OF STATE STATE OF ARIZONA

RECEIPT WRITE-IN CANDIDATE

FILING OF REQUIRED FORMS (PRIMARY ELECTION)

\LLL L SECRETARY OF STATE

201JUL 13 PM 252

NAME OF CANDIDATE

Blackman. Ryan

ADDRESS

8155 East Roosevelt Street #217

Scottsdale

85257 Residence

City Zip

MAILING ADDRESS Same as Above City Zip

(575) 6357-968 (

Phone Number

Fax Number

EMAIL ADDRESS:

OFFICE SOUGHT

United States Conaressman

5 District Number

FORMS TO BE FILED WITH PETITIONS: STATE CANDIDATE

LI NOMINATION PAPER, AFFIDAVIT OF QUALIFICATION, CAMPAIGN FINANCE LAWS STATEMENT

El FINANCIAL DISCLOSURE STATEMENT

FEDERAL CANDIDATE II NOMINATION PAPER, AFFIDAVIT OF I QUALIFICATION

El STATEMENT ON RECALL (OPTIONAL)

OTE: Each candidate for a state office must file with the Secretary of State either a Statement of Organization of a political committee or a $500 Threshold Exemption Statement. Check one and include ID#:

ID# from D STATEMENT OF ORGANIZATION or U $500 THRESHOLD EXEMPTION STATEMENT (check one)

This is to acknowledge that all forms required by law to be submitted to the Secretary of State for nomination by Arizona Primary Election to be held on August 24, 2010 have been received in this office on the 1 3 th ofjj, 2010.

Candidate or Representative tOtJ)j.th Q&yac

KENBENNEU 60 ’ Secretary of State by:

(Office Revision 05/20/2010)


STATE OF ARIZONA JUL 13 PM Write-in Federal Candidate

NOMINATION PAPER AFFIDAVIT OF QUALIFICATION FOR OFFICE I BE ONI ’

(A.R.S. §§ 16-311,16-312)

You are hereby notified that I, the undersigned ,Aauqlified elect ate for the office of

A5 h the (if applicable)

to beyoted on at thAR GENERAL (circle one) election to be .held on the _______day

of_

I will have been a citizen of the United States for 2_ 7years next preceding my election and will

meet the age requirement for the office I seek, and when elected, be an Inhabitant of the state from which I

am chosen.

I do solemnly swear (or affirm) to the above qualifications and to having fulfilled the constitutional

and statutory requirements for holding said office.

Actual residence address or description of place of residence (city or town) (zip)

Post office address -

(city or town)

(zip)

Print or type your name on the following line as you wish it to be listed.

on the Notice of Official Write-In Candidates, last name first:

421de&a’I 1 4411

LAST NAME FIRST NAME

CANDIDATE SIGNATURE

Subscribed AND SWORN to (or affirmed) before me this _______day of

=.L.JUNIONEAL

NION Notary Public

MiiI 16, 2012 My Commission Expires N te ol Adzona

UNTY

(Seal)

Office Revision 9/30/2002


EXHIBIT 3





NAME OF CANDIDATE Grayson, Richard

ADDRESS 1093W. 14th Avenue

Apache Junction 85120 Residence

City Zip

MAILING ADDRESS Same as Above City - :i;

Phone Number Fax Number

EMAIL ADDRESS:

OFFICE SOUGHT United States Conaressman S

District Number


LI NOMINATION PAPER, AFFIDAVIT OF QUALIFICATION, CAMPAIGN FINANCE LAWS STATEMENT

El FINANCIAL DISCLOSURE STATEMENT

FEDERAL CANDIDATE NOMINATION PAPER, AFFIDAVIT OF

II QUALIFICATION Pq STATEMENT ON RECALL (OPTIONAL)

,OTE: Each candidate for a state office must file with the Secretary of State either a Statement of Organization of a political committee or a $500 Threshold Exemption Statement. Check one and include ID#:

ID# from fl STATEMENT OF ORGANIZATION or El $500 THRESHOLD EXEMPTION STATEMENT (check one)

This is to acknowledge that all forms required bylaw to be submitted to the Secretary of State for nomination by Arizona Primary Election to be held on August 24, 2010 have been received in this office on the 28 th day of JYiM, 2010.

Candidate or Representative

KEN BENNETT Secretary of State by: 4 1aJt (Office Revision 05/2012010)


STATE OF ARIZONA

191Z Write-in Federal Candidate NOMINATION PAPER

AFFIDAVIT OF QUALIFICATION FOR OFFICE USE ONLY (A.R.S. §§ 16-311,16-312)

You are hereby notified that I, the undersigne

O fi77716J (1k-i-/(( m

Party (if applicable) to be voted on at

day of. , 12 0/2

i, a qualified elector, am a candidate for the office of

R(S/o4L /J1-g’c’for the (?(: eAJ GENERAL (circle one) election to be held on the -

will have been a citizen of the United States for a) years next preceding my election and will

meet the age requirement for the office I seek, and when elected, be an Inhabitant of the state from which I

am chosen.

I do solemnly swear (or affirm) to the above qualifications and to having fulfilled the constitutional

and statutory requirements for holding said office.

Z06,

-rLf 7,~~ / 3 iJ, / Actual residence address or description of place of residence (city or town) (zip)

Post office address /__~? q7J 67 2

(city or

(zip)

Print or type your name on the following line as you wish it to be listed

on the Notice of Official Write-In Candidates, last name first:

� /./c//7’ LAST NAME

FIRST NAME

CANDIDATE SIGNATURE

Subscribed AND SWORN to (or affirmed) before me this ) 2010/Y.of.__.1)I (if’

Notary Public My

My Commission Expires: 0 5T_ (4 ([/ -.. 2-0 / /

(Seal)



11’’! ’r-

�:\

/

SECRETARY OF STATE State Capitol, West Wing

Phoenix, Arizona 85007-2808 (602) 542-4285

Fax: (602) 542-6172

STATEMENT ON RECALL

(OPTIONAL)

A.R.S., Title 19, § 221-222:

A. Prior to a primary or any election, a candidate for the office of United States senator, or representative in congress, may tile with the secretary of state a statement addressed to the people as follows:

If elected to the office 7! 5’ S .-.

(here name the office)

I shall deem myself responsible to the people and under obligation to them to resign immediately if not re-elected on a recall vote.

(4rej

OR

� If elected to the office____________________________________________________________ there name the office)

I shall not deem myself under obligation to the people to resign if not re-elected by a recall vote.

(Signature)

B. The secretary of state shall give the statement to the public press when made.

Revised 05/92


EXHIBIT 4


Supervisorial: 0U4

GTON #6 SpecIal: Q100 V23


- Name: CH1TOPHER 8ARL CAMPBELL Status: A i..V&M 12303209

1d*t!atA&drss: 3365W SANDRA TER PHOENIX, AZ $5053

U4drs

Registration Date: 611912003

/U(rotit,y: Modification Date: 7/1512010

’tptin: STUDENT Polling Place Volunteec N

Prcinct: 0423- KINGS Party: GREEN

"rmanenLEV List: N

https :// 156.42.40. 50/electioninfo/Voterinformation. aspx? Voterld=23 03209 8/6/2010



\7QTER ELF.CLIUN H rsT )RY

Date Type Reason AssolD

1Q00:00 AM-60417835 7/22/2010 12:00:00 AM U COR NON - 0 Rt.TIQAL

712112010,(2:00:00 AM-60417835 7/15/2010 12:00:00 AM M MOD PlY

"30/200812;00:00 AM-201012667 7127/2008 12:000AM M MOD RES

J51200:100:00 AM-200005604 15/2003 12:0000 AM U Added DLN to StatelDs

AM-200005604 6/9/2003 12:QO;00 AM N ORIG REG

-

�-. ;�.

P.

https://1 56.42.40. 50/electioninfo/VoterHistory. aspx? Voterld=23 03209 8/6/2010


EXHIBIT 5


ii1:p\ /431 STATE OF ARIZONA

Write-in Candidate NOMINATION PAPER

AFFIDAVIT OF QUALIFICATION CAMPAIGN FINANCE LAWS STATEMENT

[A.R.S. §§ 16-311,16-312,16.;905(K)(5)]

I -

SCREThRY OF STATE

UJ1JL5 PM 2:07

FOR OFFICE USE.ONLY

You are hereby notified that I, the undersigned, a qualified elector, am a candidate for the office of

vJr Ljc1 /0 for the

- -ire..evu Party (if applicable) to be voted on at the

RYr GENERAL (circle one) election to be held on t Iwill have been.a citizen of the United States for year(s) next preceding my election and will

have been a citizen of Arizona for -.5 year(s) next preceding my election and that my age is

and my date of birth is the ,25 day of /Yla/ , 19 _., and have resided in

/.J4arscc2\.. County for Z5 year(s) and in precinct

tiLa 5 for .....3..._ year(s) before my election.

I do solemnly swear (or affirm) that at the time of filing, I am a resident of the county, district or

precinct which 1 propose to represent, and as to all other qualifications, I will be qualified at the time of

election to hold the office that I seek, having fulfilled the constitutional and statutory requirements for holding

said office.

3305 L’\L AoehI Actual residence address, or description of place of residence (city or town) (zip)

Post office

. address

(city or town) (zip (S


on the Notice of Official Write-In Candidates.

LAS1VNAME FIRST NAME

,CANDIDA1ESIGNATURE

Subscribed AND SWORN to (or affirmed) .before me this day of 20 ) D.

My Commission Expires: I I 9. (Seat)

I have read all applicable laws relating to campaig ,financing and eporting.

J SEAL

Notary Public - stc1 t, of Z. ono ATE SIGNATURE My Comm. C)PIO Exp;res No -2, 2011






NAME OF CANDIDATE Campbell, Christopher

ADDRESS 3305 West Sandra Ter Residence

MAILING ADDRESS Same as Above

F CF V ED SECRETARY OF STP1E

ZflIU JUL 15 FM 2:

Phoenix 85053 City Zip

(623) 332-0525 Phone Number Fax Number

City

EMAIL ADDRESS

[email protected]

OFFICE SOUGHT

State Senator

10 District Number

FORMS TO BE FILED WITH PETITIONS: STATE CANDIDATE NOMINATION PAPER, AFFIDAVIT OF QUALIFICATION,

’’ CAMPAIGN FINANCE LAWS STATEMENT FINANCIAL DISCLOSURE STATEMENT

FEDERAL CANDIDATE

.LII1 NOMINATION PAPER, AFFIDAVIT OF QUALIFICATION

0 STATEMENT ON RECALL (OPTIONAL)

1UTE: Each candidate for a state office must file with the Secretary of State either a Statement of Organization of a political committee or a $500 Threshold Exemption Statement. Check one and include ID#:

201000690 ID# from 0 STATEMENT OF ORGANIZATION or IZI $500 THRESHOLD EXEMPTION STATEMENT (check one)

This is to acknowledge that all forms required by law to be submitted to the Secretary of State for nomination by Arizona Primary Election to be held on August 24, 2010 have been received in this office on the jday of July , 2010.

Candidate or Representative i4

KEN BENNETT Secretary of

1(OIfice Revision 05/20/2010)


r r r ’. -

flLi.J V Lu SECRETARY OF STATE

2010 JUL 15 PN 2:07

FINANCIAL DISCLOSURE STATEMENT (For use by Public Officers and Candidates of the State of Arizona)

Name of Public Officer or Candidate

d~ r, ~3 he

dattz2i’e 1/

Address 3

7.Ter P4 12 o3

ublic Office Held or Sought .5Me 5vi6L7’ r District 1

Check one:

LI I am a public officer filing this statement covering the 12 months of calendar year 20

� I am a candidate for a public office, and am filing this Financial Discl,sure Statement covering the 12 months preceding the date of this statement, from the month of .h)/t/ 20 (’? , to the

month of 20 16

/ Lii I have been appointed to fill a vacancy in a public office and am filing this Financial Disclosure

Statement covering the 12 month period ending with the last full month prior to the date I took office.

VERIFICATION

I do solemnly swear that the Financial Disclosure Statement filed herewith is in all things true and correct, and fully shows all information I am required to report pursuant to A.R.S. § 38-542.

� Signature o ,ptthlic Officer or Candidate

State of1c?C)rC)

County of i1

Subscribed and and sworn to (or affirmed) before me this I � I. .dayof 20

.11 -

OFFICIAL SEAL

LEYVA My Comm Expire s 11jov

. 2, 2077

My Commission expires

(Seal)

Secretary of State


3. Professional, Occupational and Business Licenses

What to disclose: List all licenses issued to or held by you or any member of your household at any time during the period covered by this Statement.

TYPE OF LICENSE OR PERMIT

NAME IN WHICH LICENSE IS ISSUED

PUBLIC OFFICER OR HOUSEHOLD MEMBER

HOLDING LICENSE, IF NOT ISSUED IF OWN NAME

JURISDICTION(S) OF LICENSE LOCATION OF BUSINESS

Aaodin, /iflC.0 1?A 1 /)M1 j. efv M Ca’j ?1y

4. Personal Creditors

What to disclose: The name and address of each creditor -to whom you, or a member of your household owed a personal debt over $1,000 during the period covered by this Statement. If the debt was incurred or discharged during this period, list the date and whether it was incurred or discharged.

You need not disclose: Debts resulting from the ordinary conduct of a business (disclose those in Section C). Debts on residences or recreational property, on motor vehicles not used for commercial purposes, on debts

secured by cash values on life insurance, or debts you owe to relatives, personal credit card transactions or istailment contracts.

PERSONAL DEBTS OVER $1,000

NAME AND ADDRESS OF CREDITOR (OR PERSON TO WHOM PAYMENTS ARE MADE)

PUBLIC OFFICER OR MEMBER OF HOUSEHOLD OWING THE DEBT

�DATE INCURRED AND/OR DISCHARGED

- AItct zI// 7/V’° ,lncurredD Discharged

5tde* ic5 Al’; Ct . P2

V 0 r? lncurredj Discharged

LIlncurred Discharged

Secretary of State


5. Personal Debtors

What to disclose: The name of each debtor who owed you or a member of your household a debt over $1,000 at any time during the period covered by this Statement, and the approximate value of the debt (See last page of value categories). If the debt was incurred or discharged during the period covered by this Statement, report the date and whether the debt was incurred or discharged.

DEBTS OVER $1,000 OWED TO YOU PERSONALLY

NAME OF DEBTOR

PUBLIC OFFICER OR MEMBER OF HOUSEHOLD TO WHOM

THE DEBT IS OWED AMOUNT BY VALUE

CATEGORY DATE INCURRED AND/OR

DISCHARGED

� _________________ D Incurred El Discharged

Ljl incurred LlDischarged

IncurredDischarged

6. Gifts

What to disclose: The name of the donor who gave you or a member of your household a single gift or an accumulation of gifts with a value over $500, if that gift does NOT fit into a category below.

VU need not disclose: Gifts you or a household member received by will, intestate succession, inter vivos Mng) trusts, or testamentary trusts established by. a spouse or ancestor. Gifts received from any other

member of the household or relatives to the second degree of consanguinity (parents, grandparents, siblings, children and grandchildren) or political contributions reported on campaign finance reports.

NAME OF DONOR OF GIFTS OVER $500 11 PUBLIC OFFICER OR MEMBER OF HOUSEHOLD - RECIPIENT


SECTION B: REPORTABLE INTERESTS

7. Offices or Fiduciary Relationships in Businesses, Nonprofit Organizations or Trusts

What to disclose: The name and address of each business, organization, trust or nonprofit organization or association in which you or any member of your household held any office OR had a fiduciary relationship during the period covered by this Statement. Describe the office or relationship.

NAME OF ORGANIZATION AND ADDRESS

NAME OF PUBLIC OFFICER OR MEMBER OF HOUSEHOLD

OFFICE OR FIDUCIARY RELATIONSHIP

9/

8. Ownership or Financial Interest in Trusts, or Investment Funds

What to disclose: The name and address of each business, trust, investment or retirement fund in which you or any member of your household had an ownership or beneficial interest of over $1 ,000. This includes stocks, partnerships, joint ventures, sole proprietorships, annuities, mutual funds and retirement accounts. List the �perbentage of ownership or interest, and categorize the value of the equity. (See last page for value

tegories.)

� NAME AND ADDRESS OF BUSINESS OR TRUST

PUBLIC OFFICER OR MEMBER OF HOUSEHOLD

DESCRIPTION OF INTEREST

EQUITY BY VALUE

CATEGORY

/

R’r,trv nf Sft


What to disclose: Bonds issued by a single agency worth more than $1,000 that you or a member of your household hold, or held during the period covered by this Statement. If the bonds were acquired or divested during the period, report the date that occurred.

PUBLIC OFFICER OR MEMBER OF VALUE � DATE ACQUIRED AND/OR

BONDS OVER $1,000 ISSUING AGENCY HOUSEHOLD CATEGORY DIVESTED

Acquired EDivested

LjAcquiredLjDivested

LijAcquiredLiDivested

10. Real Property Ownership

What to disclose: Arizona real property and improvements to which you or a member of your household hold, or held title during the period covered by this Statement. Describe the property’s location and approximate size. Using the value categories (see last page) report the value of your equity. If that property was acquired or divested during the period covered by this Statement, list the date and what occurred.

You need not disclose: Your primary residence or property you use for personal recreation.

LOCATION AND APPROXIMATE SIZE OF ARIZONA REALTY

PUBLIC OFFICER OR MEMBER OF HOUSEHOLD OR BUSINESS

EQUITY BY VALUE CATEGORY

DATE ACQUIRED OR DIVESTED

LIJAcquired1Divested

]Acquired IlDivested

JAcquired DDivested


SECTION C: BUSINESS INTERESTS

II. Business Names

What to disclose: The name of any business under which you or any member of your household did business during the period covered by this Statement. Include corporations, limited liability companies, partnerships and trade names. Using the definitions provided in statute, disclose if the business named is controlled or dependent. If the business is both controlled and dependent, mark both boxes.

PUBLIC OFFICER OR MEMBER CONTROLLED AND/OR OF HOUSEHOLD BUSINESS NAME BUSINESS ADDRESS DEPENDENT BUSINESS

� J

[]Controlled � Vl/ ]Dependent

jiControlled Dependent

ElControlled jiliDependent

LiControlled Dependent

IMPORTANT: IF A BUSINESS LISTED ABOVE DID NOT GROSS MORE THAN $10,000 OR PROVIDE MORE THAN 10% OF YOUR PERSONAL COMPENSATION DURING THE PERIOD COVERED BY THIS STATEMENT, YOU DO NOT NEED TO COMPLETE THE REST OF THIS STATEMENT.

12. Controlled Business Information

What to disclose: The name of each controlled business you listed above, and the goods or services provided � } the business. If a single client or customer (person or business) accounts for more than $10,000 and 25% of the gross income, describe what it is your business provides to that customer or client. Then, in column 4, desôribe what the client/customer’s business does (if your major client is a person, leave the last column blank). If you do not have a major client, leave the last two columns blank.

You need not disclose: The name of any customer or client, or the activities of any customer or client who is an individual rather than a business.

NAME OF YOUR

CONTROLLED BUSINESS

GOODS OR SERVICES PROVIDED BY YOUR

BUSINESS �

WHAT YOUR BUSINESS PROVIDES TO YOUR MAJOR

CUSTOMER OR CLIENT

BUSINESS AcTlvrr’y’ OF MAJOR CUSTOMER OR

� CLIENT

0 rtrv rf Stht


13. Dependent Business . Information

What to disclose: The name of each dependent business, the goods or services provided by the dependent business, the goods or services provided to the major customer or client and the business activity if the major customer or client is a business. If the dependent business is also a controlled business, disclose it only in response to #12, above.

You need not disclose: The name or identity of the customer or client, or the amount of income from the customer or client. If the customer or client is an individual (rather than a business), you are not required to disclose that person’s activities.

NAME OF DEPENDENT BUSINESS

GOODS OR SERVICES PROVIDED BY THE BUSINESS

GOODS OR SERVICES PROVIDED TO THE MAJOR

CUSTOMER OR CLIENT

BUSINESS ACTIVITY OF THE MAJOR CUSTOMER OR CLIENT, IF A BUSINESS

14. Real Property Owned by Business

What to disclose: Arizona real property and improvements the titles to which were held by a controlled or dependent business listed above. If the business is one that deals in real property and improvements, list the aggregate value of all parcels held in the period covered by this Statement. Describe the property’s location and approximate size. Using the value categories (see last page) report the value of equity in your business. If

e property was acquired or divested during the period covered by this Statement, list that and the date.





AcquiredDivested

LilAcquired []Divested

Acquired flDivested

]Acquired [:]Divested


15. Business’ Creditors

What to disclose: The name and address of each creditor to which your business owed more than $10,000, if that amount was also more than 30% of your total business indebtedness at any time during the period covered by this Statement. If the debt was incurred, or discharged during the period covered by this Statement, report that and the date.

You need not disclose: Debts resulting from a business other than a controlled or dependent business.

BUSINESS DEBTS OVER $10,000 AND 30%

NAME AND ADDRESS OF CREDITOR (OR PERSON TO WHOM PAYMENTS ARE .MADE)

NAME OF CONTROLLED OR DEPENDENT BUSINESS (FROM ITEM 3 OR 4)

DATE INCURRED AND/OR DISCHARGED

11% jIncurredJDischarged

IncurredflDischarged

lncurredDischarged

16. Business’ Debtors

What to disclose: The name of the debtor for each debt exceeding $10,000 owed to a controlled or dependent business which was also more than 30% of the total indebtedness to the business which was owed at any time during the preceding calendar year. If the debt was incurred or discharged during the year; list that and the date. �List value category.

DEBTS OVER $10,000 AND 30% OWED TO YOUR BUSINESS

NAME OF CONTROLLED OR AMOUNT BY DATE INCURRED AND/OR DEPENDENT BUSINESS TO WHOM VALUE DISCHARGED

NAME OF DEBTOR THE DEBT IS OWED CATEGORY

flincurred D Discharged

Incurred Discharged

Value Categories: (from ARS § 38-542(B)) Category I -$1,000 to $25,000 Category 2 - More than $25,000 to $100,000 Category 3 - More than $100,000

Secretary of State


111U11111111 11111111111111 0000070262 ED

flc,j L. STATE OF ARIZONA SEC RETAR Y O F STA E T $500 THRESHOLD

EXEMPTION STATEMENfO JUL 15 PH 2:02

Pursuant to A.R.S. §§ 16-902.01 and 16-903(A) COMMITTEE ID NUMBER

201000690 DATE

07/1 512010

NAME OF POLITICAL COMMITTEE

FRIENDS OF CHRIS CAMPBELL

TYPE OF COMMITTEE

$500 THRESHOLD (CANDIDATE)

COMMITTEE ADDRESS

3305W SANDRA TER.

COMMITTEE MAILING ADDRESS (if different from above)

3305W SANDRA TER

"OMMITTEE TELEPHONE # COMMITTEE FAX #

d23) 332-0525

NAME OF SPONSORING ORGANIZATION (if applicable)

ADDRESS OF SPONSORING ORGANIZATION

CITY STATE ZIP

PHOENIX AZ 85053

CITY STATE ZIP

PHOENIX AZ 85053

COMMITTEE EMAIL ADDRESS

[email protected]

TYPE OF ORGANIZATION

RELATIONSHIP TO POLITICAL COMMITTEE

FOR A CANDIDATE’S $500 THRESHOLD COMMITTEE, PLEASE PROVIDE THE FOLLOWING INFORMATION:

OFFICE SOUGHT ELECTION CYCLE

STATE SENATOR - DISTRICT NO. 10 2010

The above named committee hereby asserts the following:

The Committee has heretofore neither accepted any Contributions nor made any expenditures. � The committee intends to receive or expend less than $500. � The committee will file a Statement of Organization within five business days afterexpending or receiving

monies over the $500 limit pursuant to A.R.S. 16-902.01 and 16-903(A).

1, (’r;cpki Fr/ b// , certify that this Exemption Statement is true and complØt. (Printed Naihe of Candidate/Committee Officer)

ole Signature


F:1Th 1-011 N Wo


Status:R


Naflie: ANTHONY EDWARD GOSHORN SR Vot0rlDJ3337879

ResldentlÆlMdress: 694$ E EARLL DR 3, SCOTTSDALE, AZ 85251

Malltnpfress:

SIM Year 1966

BfrthState OHIO Registration Date: 113012009

Irt1t Coiit: Modification Date: 5/1712010

Occupation SERVICE Polling Piece Volunteer N

Precinct 0571 PAIUTE Party: GREEN

�rrnanent EV List: N

City Umlt $COTTSDALE Congressional 006

JuUeaco. M000WELL MOUNTAIN LatsIattve 011

Hlgt SchdOlj�COTTSDALE Suparvlsortab 003

EepIcntw)Lt.ntffed School’ SCOTTSDALE UNIFIED #48 SpocIaP Q100 Vol

� .-�--�-.- .- I W.w

I

g.4.

https :1/156.42.40. 50/electioninfo/Voterinformation.aspx? Voterid=3 337879 8/6/2010


HISTORY

Maricopa County Elections Page 1 of

Pna2004: . PPdn2Q06 .. .: .

xt !’r4oUs General 2004 PrevIous Generst 2000 Current GonraI 2008

VOTER CHANGE I1IS’FORY

� Date Type Reason �. Assoc ID

0001O’’JjOO.0D AM-60079697 61812010 120000 AM U COR NON CRITICAL

0/8/2010 1200 ODAM 60019697 5/17/2010 120000 AM M MOD RES PTY

12010 120000 AM 903337879 5/2712009 12.00:00 AM R RESTORATION

.41/2009 120000 AM 903337879 5127/2009 12:00 00 AM D REGISTRATION VERIFICATIO

31W200912:00o0 AM..70301813 3119/2009 120000 AM U COR NON CRITICAL

O24000AM 10301813 21712009 12:00:00 AM M MOD PTY

20t920000 AM-201 303520 2/3/2009 120000 AM U COR NON CRITICAL

1/30/2009 12.00 OOAM N ORIOREG 01 FOW . W1.

��.�

https :1/1 56.42.40.50/electioninfo/VoterHistory.aspx?Voterld=3 337879 . 8/6/2010


I Mel 10i I NFA


’1E

STATE OF ARIZONA SEC

1E

i9lZ Write-in Candidate i3 NOMINATION PAPER 7l) JUL 5

AFFIDAVIT OF QUALIFICATION FOR OFFICE USE ONLY CAMPAIGN FINANCE LAWS STATEMENT

[A.R.S. §§ 16-311,16-312,16-905(K)(5)]

You are hereby notified that I, the undersigned, a cpalified elector, am a candidate for the office of

f ( / for the

(r-clJ . Party (if applicable) to bevoted on at the

GENERAL (circle one) election lobe held on JU6_(} L( jOiC2 I will have been a citizen of the United States for ______ year(s) next preceding my election and will

have been a. citizen of Arizona for LZlO year(s) next preceding my election and that my age is

and my date of birth is the / day of 19.3%_., and have resided in

County for ttL 2 year(s) and in precinct

ar(s) before my election.


precinct whiôh I propose to represent, and as to all other qualifications, I will be qualified at the time of


said office.

)

Actual residence address r description of place of residence

(city or town) (zip)

Post office / 7/ address

(’city ori(own) (zip)



.1

J/7 _/_c/ / LAST NAME FIRS - NAM

CANOIDATE SIGNATURE

Subscribed AND SWORN to (or affirmed) befoine this I_day of

ALEXANDRA DE LA PAZ Notary Public - Arizona Notary Public

ricopa County

My Commission Expires: Sep _1__D 013

20/o

I have read all applicable laws relating to



RECEIPT WRITE-IN CANDIDATE SECRETARY OF STAlE


ZUlU JUL 15 PM I2 37

NAME OF CANDIDATE Goshorn, Anthony "Grand Pa"

ADDRESS 6949 East Earil Drive #3 Scottsdale 85251 Residence City Zip

MAILING ADDRESS P. 0. Box 186 Tempe 85280 City Zip

(480)212-6924 �Phone Number Fax Number

EMAIL ADDRESS: votegrandpagmail.com

OFFICE SOUGHT

State Senator 17

District Number


! NOMINATION PAPER, AFFIDAVIT OF QUALIFICATION, VN CAMPAIGN FINANCE LAWS STATEMENT

FINANCIAL DISCLOSURE STATEMENT

FEDERAL CANDIDATE

LI NOMINATION PAPER, AFFIDAVIT OF QUALIFICATION

LI STATEMENT ON RECALL (OPTIONAL)

OTE: Each candidate for a state office must file with the Secretary of State either a Statement of Organization of a political committee or a $500 Threshold Exemption Statement. Check one and include ID#:

201000670 ID# from 0 STATEMENT OF ORGANIZATION or M $500 THRESHOLD EXEMPTION STATEMENT (check one)

This is to acknowledge that all forms required by law to be submitted to the Secretary of State for nomination by Arizona Primary Election to be held on August 24, 2010 have been received in this office on the jday of J uly, 2010.

Candidate or Representative fl,1 ,&j)- s�,Mf C’

KEN BENNETT Secretary of State by:

(Office Revision 05120(2010)


Ri-L1 ’vD RY 0F STE

(ff ThUJUL(S Mcitd3


A Name of Public Officer or Candid t? ate

Address

Public Office Held or Sought District# / 7 Check one:

I am a public officer filing this statement covering the 12 months of calendar year 20

I am a candidate for a public office, and am filing this Financial Disclosure Statement covejn the 12 months precej the date of this star,pent, from the month of 20 , to the month of J 1-’7-. 20 1 c-’. 7

El I have been appointed to fill a vacancy in a public office and am filing this Financial Disclosure Statement covering the 12 month period ending with the last full month prior to the date I took office.

VERIFICATION

I do solemnly swear that the Financial Disclosure Statement filed herewith is in all thins-)rue and correct, and fully shows all information I am required to report pursuant to A.R.S. § 38-42. / ,

Officer or Candidate

State of Aril 0{)c ) County of ryAV -°-r Subscribed and sworn to (or affirmed) before me this ) 2 day of JLLI’/ , 20 0

C-I ía ___3

1 Notary Public

My Commission expires 4t, ALEXANDRA DE LA PAZ

_17viy Comm. Expires Sep 10, 2013

(Seal)

Secretary of State

Maricopa County

- .- - - - Office Revision September 2009


SECTION A: PERSONAL DISCLOSURE

1. Names

What to disclose: Your and your spouse’s names and the names of minor children of whom you have legal custody.

YOUR NAME A 2 1hav z: -

YOUR SPOUSE’S NAME

CHILDREN’S NAMES

2. Sources of Personal Compensation

What to disclose: The name and address of each employer who paid you, your spouse, or any member of your household more than $1,000 in salary, wages, commissions, tips or other forms of compensation during the period covered by this report. Describe each employer’s business and the services for which you or a member of your household were Łompensated.

Also, list anything of value that any other person, outside your household, received for your use or benefit of you or any member of your household. For example, if a person was paid by your employer to be your housekeeper, list that person’s wages and the name of the employer.

You need not disclose: Any money you or any member of your household received that was gross income paid to a business you or your household member owned.


NAME AND ADDRESS OF EMPLOYER OR OTHER SOURCE

OF COMPENSATION OVER $1,000

DESCRIPTION OF EMPLOYER’S BUSINESS AND SERVICES PROVIDED BY PUBLIC OFFICER OR MEMBER OFHOUSEHcLD

-

Secretary of State 2 Office Revision September 2009



What to ,disclose: List all licenses issued to or held by you or any member of your household at any time during the period covered by this Statement.






mm-

-

�


What to disclose: The name and address of each creditor to whom you, or a member of your household owed a personal debt over $1,000 during the period covered by this Statement. If the debt was incurred or discharged during this period, list the date and whether it was incurred or discharged.


secured by cash values on life insurance, or debts you owe to relatives, personal credit card transactions or installment contracts.



PUBLIC OFFICER OR MEMBER OF HOUSEHOLD OWING THE DEBT ,_--

_-DA1E INCURRED AND/OR DISCHARGED

0 Incurred 0 Discharged



Secretary of State

Office Revision September 2009


5. Personal Debtors

What to disclose: The name of each debtor who owed you or a member of your household a debt over $1,000 at any time during the period covered by this Statement, and the approximate value of the debt (See last page of value categories). if the debt was incurred or discharged during the period covered by this Statement, report the date and whether the debt was incurred or discharged.


NAME OF DEBTOR



CATDRr ATE INCURRED AND/OR

DISCHARGED

0 incurred 0 Discharged

0 Incurred _0_Discharged


6. Gifts


You need not disclose: Gifts you or a household member received by will, intestate succession, infer vivos (living) trusts, or testamentary trusts established by a spouse or ancestor. Gifts received from any other member of the household or relatives to the second degree of consanguinity (parents, grandparents, siblings, children and grandchildren) or political contributions reported on campaign finance reports.

Secretary of State Office Revision September 2009





NAME OF ORGANIZATION

AND ADDRESS

NAME OF PUBLIC OFFICER

OR MEMBER OF HOUSEHOLD

OFFICE OR

FIDUCIARY RELATIONSHIP

---


What to disclose: The name and address of each bsiness, trust, investment or retirement fund in which you or any member of your.household had an ownership or beneficial interest of over $1 ,000. This includes stocks, partnerships, joint ventures, sole proprietorships, annuities, mutual funds and retirement accounts. List the percentage of ownership or interest, and categorize the value of the equity. (See last page for value categories.)

�

NAME AND ADDRESS OF BUSINESS OR

TRUST �

H PUBLIC OFFICER OR MEMBER OF

HOUSEHOLD .

DEJSeW

---’INTEREST

VALUE

CATEGORY

�---

/

/

Secretary of State



What to disclose: Bonds issued by a single agency worth more than $1000 that you or a member of your household hold, or held during the period covered by this Statement. If the bonds were acquired or divested during the period, report the date that occurred.

BONDS OvER $1,000 ISSUING AGENCY

PUBLIC OFFICER OR

MEMBER OF

HOUSEHOLD

VALUE

CATEGORY

DATE ACQUIRED AND/OR

Djsrs-

0 Acquired 0 Divested


0 Acquired _0_Divested




LOCATION AND APPROXIMATE SIZE PUBLIC OFFICER OR MEMBER OF EQUITY BY VALUE DATE ACQUIRED OR

OF ARIZONA REALTY HOUSEHOLD OR BUSINESS CATEGORY DIVESTE







11. Business Names


� PUBLIC OFFICER OR MEMBER LED AND/OR

OF HOUSEHOLD BUSINESS NAME BUSINESS ADDESB- DEPENDENT BUSINESS

0 Controlled

0 Dependent

0 Controlled

0 Dependent

0 Controlled

0 Dependent

0 Controlled

0 Dependent



What to disclose: The name of each controlled business you listed above, and the goods or services provided by the business. If a single client or customer (person or business) accounts for more than $10,000 and 25% of the gross income, describe what it is your business provides to that customer or client. Then, in column 4, describe what the client/customer’s business does (if your major client is a person, leave the last column blank). If you do not have a.major client, leave the last two columns blank.


NAME OF YOUR

CONTROLLED BUSINESS

GOODS OR SERVICES

PROVIDED BY YOUR

BUSINESS

WHAT YOUR BUSINESS

PROVIDES TO YOURMAe - CyMERbR CLIENT

USNEtTlVffV- MAJOR CUSTOMER OR

CLIENT

Secretary of State



13. Dependent Business Information






CUSTOMER OR CLIENT

BUSINESS Aciivnx OF THE MAJOR CUSTOMER OR CLIENT, IF BUSINESS

T1


What to disclose: Arizona real property and improvements the titles to which were held by a controlled or dependent business listed above. If the business is one that deals in real property and improvements, list the aggregate value of all parcels held in the period covered by this Statement. Describe the property’s location and approximate size. Using the value categories (see last page) report the value of equity in your business. If the property was acquired or .divested during the period covered by this Statement, list that and the date.





V V

V V






IS. Business’ Creditors

What to disclose: The name and address of each creditor to which your business owed more than $10,000, if that amount was also more than 30% of your total business indebtedness at any time during the period covered by this Statement. If the debt was incurred or discharged during the period covered by this Statement, report that and the date.


BUSINESS DEBTS OVER $10000 AND 30%



DATE INCURRED AND/DR- SCHARGED




/ 16. Busness’ Debtors

What to disclose: The name of the debtor for each debt exceeding $10,000 owed to a controlled or dependent business which was also more than 30% of the total indebtedness to the business which was owed at any time during the preceding calendar year. If the debt was incurred or discharged during the year, list that and the date. List value category.



NAME OF DEBTOR THE DEBT IS OWED CATEGORY __------------- -



Value Categories: (from ARS § 38-542(B)) Category I - $1,000 to $25,000 Category 2 - More than $25,000 to $100,000 Category 3 - More than $100,000



11111111111111111111111111111 0000069889

r r’- g" r * "- r I --

SECRETARY OF STATE

ZOlU JUL IS AM 11 35

COMMITTEE ID NUMBER Pursuant to A.R.S. 16-902.01 and 16-903(A)

201000670 NAME OF POLITICAL COMMITTEE DATE

VOTE GRANDPA! 2010 0711212010

TYPE OF COMMITTEE


COMMITTEE ADDRESS CITY STATE ZIP

6949 E EARLL DR SCOTTSDALE AZ 86251

COMMITTEE MAILING ADDRESS (if different from above) CITY STATE ZIP

P0 BOX 186 TEMPE AZ 85280

COMMITTEE TELEPHONE # COMMITTEE FAX# COMMITTEE EMAIL ADDRESS

(480) 212-6924 [email protected]

NAME OF SPONSORING ORGANIZATION (if applicable) TYPE OF ORGANIZATION

ADDRESS OF SPONSORING ORGANIZATION RELATIONSHIP TO POLITICAL COMMITTEE





� The committee has heretofore neither accepted any contributions nor made any expenditures. � The committee intends to receive or expend less than $500. � The committee will file .a Statement of Organization within five business days after expending or receiving

monies over the $500 limit pursuant to A.R.S. §§ 16-902.01 and 16-903(A).

4ithat this Exemption Statement is true and complete.

?/ -/ Date

Office Revision 9/07


1 * 0 4

4414 5 111-13 9-*bl


STATE OF ARIZONA

� Write-in Candidate ( VLU

NOMINATION PAPER SCgE TTE

AFFIDAVIT OF QUALIFICATION CAMPAIGN FINANCE LAWS STATEMENT 3 02

(A.R.S. §§ 16-311,16-312,16-905(K)(5)] ZUlU J L 5 M FOR OFFICE USE ONLY

You are hereby notified that I, the undersgned, a qualified elector, am a candidate for the office of 517 7 S’?A1 &7. for

the (C ee&) Party (if applicable) to be voted on at

GENERAL (circle one) election to be held on_

WI have been a citizen of the United States for ___ year(s) next preceding my election and will

have been a citizen of Arizona for 7 year(s) next precediyg my election and that my age is YO

and my date of birth is the 9’ day. of A i tJS7 _, 19 4_7, and have resided in

___________________________________________ County for f’ year(s) and in

precinct for 3 year(s) before my election.


precinct which I propose to represent, and as to all other qualifications, I will be qualified at the time of


said office.

9’2 S V3 i1 fy _/’t r / cOPa 4z 5/- Actual residence address or description of place of residence . (city or town) . (zip)

Post office address





CANDIDATE SlG1’fATLiRE

Subscribed AND SWORN to (or affirrnE

My Commission Expires:

(Seal) I have read all applicable laws relating to campaign financing and rportin>.

CANDIDATE SI6NATU1RE OFFICIAL SEAL

RIDGEA KIMBALL Office Revision 9/30/2002

NOTARY PJStatüoMzona PINAL COUNTY

My Comm. pes A iii 30 2011


/ ,1


RECE/EO RECEIPT SECRETARY OF STI\IE

WRITE-IN CANDIDATE FILING OF REQUIRED FO7

(PRIMARY ELECTIOJUL IS M 08 3:

NAME OF CANDIDATE Shusta, Mafthew

ADDRESS 42543 West Avella Drive Maricopa 85138 Residence City Zip

MAILING ADDRESS Same as Above City Zip


EMAIL ADDRESS

mshustal I 'yahoo.com

OFFICE SOUGHT

State Senator

23 District Number

FORMS TO BE FILED WITH PETITIONS: STATE CANDIDATE NOMINATION PAPER, AFFIDAVIT OF QUALIFICATION, CAMPAIGN FINANCE LAWS STATEMENT

FINANCIAL DISCLOSURE STATEMENT

FEDERAL CANDIDATE

LI NOMINATION PAPER, AFFIDAVIT OF QUALIFICATION


.IbTE: Each candidate for a state office must file with the Secretary of State either a Statement of Organization of a political committee or a $500 Threshold Exemption Statement. Check one and include ID#:

201000675 lD# from D .STATEMENT OF ORGANIZATION or 0 $500 THRESHOLD EXEMPTION STATEMENT (check one)

This is to acknowledge that all forms required by law to be submitted to the Secretary of State for nomination by Arizona Primary Election to be held on August 24, 2010 have been received in this office on the 15 day of July, 2010.

--


KEN BENNETT Secretary of State by: IJtLj4 Vf ’iazt&.

(Office Revision 05/20/2010)


RECEJ"-P SES4 ScRET!\R OF TME

z: :O JUL IS Ni3: O


.Name of Public Officer or Candidate A7’4íi) Lc,,1LiZ7

Address /0ç3 U/ A v

Public Office Held or Sought District #

Check one:

D I am a public officer filing this statement covering the 12 months of calendar year 20

I am a candidate for a public office, and am filing this Financial Disclosure Statement covering the 12 / months preceding the date of this statement, from the month of ’ZIL-t-, 200?, to the

month of _3Tt0, A& 4

D I have been appointed to fill a vacancy in a public office and am filing this Financial Disclosure Statement covering the 12 month period ending with the last full month prior to the date I took office.

VERIFICATION

I do solemnly swear that the Financial Disclosure Statement filed herewith is in all things true and correct, and fully shows all information I am required to report pursuant

Signature of Public Officer or Candidate

State of V i )

County of___________

Subscribed and sworn to (or affirmed) before me this day of Lt_, 204.

V_BR)DGEAK:MALL

My Commission expires _0TARY N

State tMzonaj ’

M mni. r69 Arll 30. 2011




1. Names


YOUR NAME


CHILDREN’S NAMES /


What to disclose: The name and address of each employer who paid you, your spouse, or any member of your household more than $1 ,000 in salary, wages, commissions, tips or other forms of compensation during the period covered by this report. Describe each employer’s business and the services for which you or a member of your household were compensated.






DESCRIPTION OF EMPLOYER’S BUSINESS AND SERVICES PROVIDED BY PUBLIC OFFICER OR MEMBER OF HOUSEHOLD

Ca fp/ //Jorlo( V s










/A





PERSONAL DEBTSOVER $1,000

NAME AND ADDRESS OF CREDITOR (OR PERSON TO WHOM PMYMENTS ARE MADE)



W7~- i D Incurred 0 Discharged

0 Incurred Discharged

[]Incurred 0 Discharged

Secretary of State



5. Personal Debtors

What to disclose: The name of each debtor who owed you or a member of your household a debt over $1 ,000 at any time during the period covered by this Statement, and the approximate value of the debt (See last page of value categories). If the debt was incurred or discharged during the period covered by this Statement, report the date and whether the debt was incurred or discharged.


PUBLIC OFFICER OR MEMBER OF HOUSEHOLD TO WHOM AMOUNT BY VALUE DATE INCURRED AND/OR

NAME OF DEBTOR THE DEBT IS OWED CATEGORY DISCHARGED

D Incurred lDischarged

0 Incurred LjDischarged

EIncurredEJDischarged

6. Gifts


You need not disclose: Gifts you or a household member received by will, intestate succession, inter vivos (living) trusts, or testamentary trusts established by a spouse or ancestor. Gifts received from any other member of the household or relatives to the second degree of consanguinity (parents, grandparents, siblings, children and grandchildren) or political contributions reported on campaign finance reports.

NAME OF DONOR OF GIFTS OVER $500 PUBLIC OFFICER OR MEMBER OF HOUSEHOLD - RECIPIENT







AND,ADDRESS



OFFICE OR


il/A


What to disclose: The name and address of each business, trust, investment or retirement fund in which you or any member of your household had an ownership or beneficial interest of over $1 ,000. This includes stocks, partnerships, joint ventures, sole proprietorships, annuities, mutual funds and retirement accounts. List the percentage of ownership or interest, and categorize the value of the equity. (See last page for value categories.)

NAME AND ADDRESS OF BUSINESS OR � �

TRUST PUBLIC OFFICER OR MEMBER OF

HOUSEHOLD

DESCRIPTION OF

INTEREST

EQUITY BY

VALUE

CATEGORY

ierid/ie/ /4a774j S�Zi qo/



9 Bonds

What to disclose: Bonds issued by a single agency worth more than $1,000 that you or a member of your household hold, or held during the period covered by this Statement. If the bonds were acquired or divested during the period, report the date that occurred.

PUBLIC OFFICER OR MEMBER OF VALUE DATE ACQUIRED AND/OR


DAcquired DDivested

DAcquired DDivested

EjAcquired flDivested








AYA []Acquired [:]Divested

JAcquired ElDivested

acquired ElDivested



SECTION C: BUSINESS INTERESTS.

11. Business Names


PUBLIC OFFICER OR MEMBER CONTROLLED AND/OR

OF HOUSEHOLD BUSINESS NAME BUSINESS ADDRESS DEPENDENT BUSINESS

/ UControHed

Dependent

/ Controlled

� JjDependent

Controlled

[:]Dependent

flControlled

Dependent



What to disclose: The name of each controlled business you listed above, and the goods or services provided by the business. If a single client or customer (person or business) accounts for more than $10,000 and 25% of the gross income, describe what it is your business provides to that customer or client. Then, in column 4, describe what the client/customer’s business does (if your major client is a person, leave the last column blank). If you do not have a major client, leave the last two columns blank.

You need not disclose: The name of any .customer or client, or the activities of any customer or client who is an individual rather than a business.

NAME OF YOUR

CONTROLLEDBUSINESS


BUSINESS


CUSTOMER OR CLIENT

BUSINESS ACTIVITY OF MAJOR CUSTOMER OR

CLIENT

A/A______________

Secretary of State







GOODS OR SERVICES

PROVIDED BY THE BUSINESS


CUSTOMER OR CLIENT

BUSINESS ACTIVITY OF THE

MAJOR CUSTOMER OR

CLIENT, IF A BUSINESS


What to disclose: Arizona real property and improvements the titles to which were held by a controlled or dependent business listed above. If the business is one that deals in real property and improvements, list the aggregate value of all parcels held in the period covered by this Statement. Describe the property’s location and approximate size. Using the value categories (see last page) report the value of equity in your business. if the property was acquired or divested during the period covered by this Statement, list that and the date.

LOCATION AND APPROXIMATE SIZE

OF ARIZONA REALTY




Acquired EDivested

� ]Acquired flDivested

LJCqu1red LiDivested

DAcquiredDivested



Ii







DATE INCURRED AND/OR. DISCHARGED

Incurred Discharged ,/1J

jlncurredflDischarged

[]Incurred[ -] Discharged


What to disclose: The name of the debtor for each debt exceeding $10,000 owed to a controlled or dependent business which was also more than 30% of the total indebtedness to the business which was owed at anytime during the preceding calendar year. If the debt was incurred or discharged during the year, list that and the date. List value category.




D incurred fl Discharged

lncurredJDischarged

Value Categories: (from AIRS § 38-542(B)) Category I -$1,000 to $25,000 Category 2� More than $25,000 to $100,000 Category 3 - More than $100,000

Secretary of State



111111 111 11111111111 11111 Ill ____ STATE OF ARIZONA SEREThRY OF STAT 0000069964 $500 THRESHOLD

EXEMPTION STATEMEj1 JUL 15 ii 3: 02



MATT FOR SENATE 07/13/2010

TYPE OF COMMITTEE



42543 WAVELLA DRIVE MARICOPA AZ 86138


42543 WAVELLA DR MARICOPA AZ 85138

COMMITTEE TELEPHONE # COMMITTEE FAX # COMMITTEE EMAIL ADDRESS

(620) 631-6764 MSHUSTAI I @YAHOO.COM







� The committee has heretofore neither accepted any contributions nor made any expenditures. � The committee intends to receive or expend less than $500. � The committee will file a Statement of Organization within five business days after expending or receiving


I, J , certify that this Exemption Statement is true and complete. (Printed Name of Candidate/Committe Oer)

7-/I- /o Signature

Date

4 - Office Revision 9/07


* m U


Maricopa County Elections Page 1 of 2 Case 2:10-cv-01902-DGC Document 1-2 Filed 09/06/10 Page 58 of 121


rrIoN NW-PRY,

wroua Pflmary 2004 N Previous Pilmavy 2006 N Current Primary: 2008 N

Next Previous General: 2004 N Previous General: 2006 N Current General: 2008 N

VOTER CHANGE HISTORY

A. *069 Date Type Reason Assoc ID

7/1012JM012.0000 AM-70326318 7/1312010 12 0000 AM M MOD PTY

7/8/20101200 GUAM 200957423 1/8/2010120000 AM U COR NON CRITICAL

"2f2010 12.0000 AM 200057423 712/2010 12.0000 AM U RESTORED TO ACTIVE

124/100S.,12;00;00 AM-902880629 11812008 112:00:00 AM R RESTORATION

AM 200967423 5/1912003 12:0000 AM M MOD RE8 PT?

i/oaitoo-oo AM-902880629 1/8/2008120000 AM 0 REGISTRATION VERIFICATIO

10/8P2008 120000 AM 200526267 101812006 12:00:00 AM U COR NON CRITICAL

10/7/2008120000 AM 200526257 10/6/2006 120000 AM N ORIG REG.


fliNfl1Tri


STATE OFARIZONA

.. OF STATE NOMINATION PAPER

AFFIDAVIT OF QUALIFICATION CAMPAIGN FINANCE LAWS STATEMENT 2010 JUL

4 ’(A.R.S. §§ 16-311,16-312,16-905(K)(5)] FOR OFFICE USE ONLY


S1-,k c’J- I for

the CQQj\ Party (if applicable) to be voted on at A -Oho the CI MARY GENERAL (circle one) election to be held on 2 ’1 ,4c.

WI have been a citizen of the United States for Q9 year(s) next preceding my election and will

have been a citizen of Arizona for ’9’ year(s) next preceding my election and that my age is 28’ and my date of birth is the / ( day of _ , 19 f , and have resided in

County for year(s) and in

precinct &./f /,y�r for year(s) before my election.




said office.

Rd cs £ 1 S’c//cJc /a 525’7 Actual residence address or description of place of residence (city or town) (zip)

’S

Post office address (city or town) (zip)



CL’EMfvy C-LrA!r LAST NAME FIRST NAME

�

CANDIDATE SIGNATURE

_ Subscribed AND SWORN to (or affirmed) before me this 20 (’ _______

ago

IOFFICIAL SEAL I Notary Public

TRAVIS L. JUNION NOTARY

Y PUBLIC State of Mizona I

MARIGOPA COUNTY My Commission Expires: @My Comm. Exp l(fSAM 16, 2.012

ave read all applicable laws relating to campaign financing and reporting.

(p&’ CANDIDATE SIGNATURE






tEtVED SECRETARY OF STATE

20JULI3 PM 2: 18

NAME OF CANDIDATE

Clement, Clint

ADDRESS

8155 East Roosevelt Street #217

Scottsdale 85257 Residence

City Zip

MAILING ADDRESS Same as Above City

(575) 650-0522 Phone Number

Fax Number

EMAIL ADDRESS: maiI.com

OFFICE SOUGHT

State Representative 17

District Number

FORMS TO BE FILED WITH PETITIONS: STATE CANDIDATE NOMINATION PAPER, AFFIDAVIT OF QUALIFICATION, CAMPAIGN FINANCE LAWS STATEMENT

Z FINANCIAL DISCLOSURE STATEMENT

FEDERAL CANDIDATE

D NOMINATION PAPER, AFFIDAVIT OF QUALIFICATION


.4JTE: Each candidate for a state office must file with the Secretary of State either a Statement of Organization of a political committee or a $500 Threshold Exemption Statement. Check one and include ID#:

201000671 ID# from J STATEMENT OF ORGANIZATION or 0 $500 THRESHOLD EXEMPTION STATEMENT (check one)

This is to acknowledge that all forms required by law to be submitted to the Secretary of State for nomination by Arizona Primary Election to be held on August 24, 2010 have been received in this office on the 13 th day of July, 2010.

Candidate or Representative C.ctv.uh &thym

KEN BENNETT Secretary of State by: ’7 (Office Revision 05/20/2010)


SE1 Li E

JUL 13 ..M 1: 8


Name of Public Officer or Candidate cL-i\rr L\q1

Address 9c~ F- tZoose-ve-1+

Public Office’ Held or Sought District # L7 Check one:

I am a public officer filing this statement covering the 12 months of calendar year 20

I am a candidate for a public office, and am filing this Financial Disclosure Statement covering the 1.2 months preceding the date of this statement, from the month of 20D, to the month of T.l. 20 0

0 I have been appointed to fill a vacancy in �a public office and am filing this Financial Disclosure Statement covering the 12 month period ending with the last full month prior to the date I took office.

VERIFICATION

I do solemnly swear that the Financial Disclosure Statement filed herewith is in all things true and correct, and fully shows all information I am required to report pursuant to A.R.S. § 38542.


State of /461a /-I )

County of /fl a, C-

Subscribed and sworn to (or affirmed) before me this ( 7 day of ç) 1 , 20

Not blic


OFFICIAL S TRAVIS L. JSYN

NOTARY PUBLIC State of Anzona MARICOPA COUNTY

My Comm. Expires April 16, 2012 Secretary of State




1. Names


YOUR NAME lIA _p 2æ1


CHILDREN’S NAMES

2 Sources of Personal Compensation

What to disclose: The name and address of each employer who paid you, your spouse, or any member of your household more than $1,000 in salary, wages, commissions, tips or other forms of compensation during the period covered by this report. Describe each employer’s business and the services for which you or a member of your household were compensated.







I i C &A ri I

















DATE INCURRED.AND/OR DISCHARGED

fAJo ,

D Incurred D Discharged


[Dlncurred DDischarged

Secretary of State



5. Personal Debtors

What to disclose: The name of each debtor who owed you or a member of your household a debt over $1 ,000 at any time during the period covered by this Statement, and the approximate value of the debt (See last page of value categories). If the debt was incurred or discharged during the period covered by this Statement, report the date and whether the debt was incurred or discharged.


NAME OF DEBTOR




DISCHARGED

D Incurred E Discharged

0 Incurred DDischarged

EjlncurredEiDischarged

6. Gifts



NAME OF DONOR OF GIFTS OVER $500 I PUBLIC OFFICER OR MEMBER OF HOUSEHOLD - RECIPIENT





What to disclose: The name and address of each business, organization, trust or nonprofit organization or association in which, you or any member of your household held any office OR had a fiduciary relationship during the period covered by this Statement. Describe the office or relationship.


AND ADDRESS

, NAME OF PUBLIC OFFICER


OFFICE OR


a. Ownership or Financial Interest in Trusts, or Investment Funds

What to disclose: The name and address of-each business, trust, investment or retirement fund in which you or any member of your household had an ownership or beneficial interest of over $1,000. This includes stocks, partnerships, joint ventures, sole proprietorships, annuities, mutual funds and retirement accounts. List the percentage of ownership or interest, and Categorize the value of the equity. (See last page for value categories.)

NAME AND ADDRESS OF BUSINESS OR

TRUST PUBLIC OFFICER OR MEMBER OF

HOUSEHOLD DESCRIPTION OF

INTEREST

EQUITY BY

VALUE CATEGORY

GvA C( �//

FI hLcJ\ /



9. Bonds

What to disclose: Bonds issued by a single agency worth more than $1 ,000 that you or a member of your household hold, or held during the period covered by this Statement. If the bonds were acquired or divested during the period, report the date that occurred.

PUBLIC OFFICER OR MEMBER OF VALUE DATE ACQUIRED AND/OR


DAcquired ODivested

EjAcquired DDivested

flAcquired LiDivested


What to disclose: Arizona real property and improvements to which you or a member of your household hold, or held title during the period covered by this Statement. Describe the property’s location and approximate size. Using the value categories (see last page) report the value of your equity. If that property was acquired or divested during the period Covered by this Statement, list the date and what occurred.






[]Acquired ODivested

acquired Ojivested

jAcquired OJivested




11. Business Names


OFFICER OR MEMBER CONTROLLED AND/OR

OF HOUSEHOLD I BUSINESS NAME

RCon

PUBLIC BUSINESS ADDRESS DEPENDENT BUSINESS

f / / .cj i1A

trolled

flDependent

UControlled ODependent

DControlled

ODependent

flControlled

Dependent





NAME OF YOUR

CONTROLLED BUSINESS


BUSINESS

WHAT YOUR BUSINESS

PROVIDES TO YOUR MAJOR CUSTOMER OR CLIENT


CLIENT








GOODS OR SERVICES

PROVIDED TO THE MAJOR CUSTOMER OR CLIENT

BUSINESS ACTIVITY OF THE

MAJOR CUSTOMER OR CLIENT, IF A BUSINESS


What to disclose: Arizona real property and improvements the titles to which were held by a controlled or dependent business listed above. If the business is one that deals in real property and improvements, list the aggregate value of all parcels held in the period covered by this Statement. Describe the property’s location and approximate size. Using the value categories (see last page) report the value of equity in your business. If the property was acquired or divested during the period covered by this Statement, list that and the date.

LOCATION AND APPROXIMATE SIZE

OF ARIZONA REALTY PUBLIC OFFICER OR MEMBER OF

HOUSEHOLD OR BUSINESS



Acquired []Divested

Acquired DDivested

acquired JJivested

Acquired []Divested










[-]Incurred Discharged

[-]Incurred FjDischarged

[-]Incurred RDischarged




NAME OF DEBTOR

�NAME OF CONTROLLED OR DEPENDENT BUSINESS TO WHOM

THE DEBT IS OWED

AMOUNT BY VALUE

CATEGORY


IncurredD Discharged

Dlncurred Discharged

Value Categories: (from ARS § 38-542(B)) Category I -$1,000 to $25,000 Category 2 - More than $25,000 to $100,000 Category 3.- More than $100,000



11N11111111111111111111 0000069901

STATE OF ARIZONA $500 THRESHOLD EXEMPTION STATEMENT

REi;i U SECERY OF TE

2010 JUL 13 ’M 1: 148



VOTE CJ - STATE HOUSE DISTRICT 17 07/12/2010

TYPE OF COMMITTEE



8155 E. ROOSEVELT STREET Z.l 7 SCOUSDALE AZ 85257


8155 E ROOSEVELT ST 40 2-1 -7 SCOTfSDALE AZ 85257

COMMITTEE TELEPHONE 9 COMMITTEE FAX # COMMITTEE EMAIL ADDRESS

(575) 650-0522 I [email protected]





STATE REPRESENTATIVE - DISTRICT 17 2010

The above named Committee hereby asserts the following:

� The committee has heretofore neither accepted any contributions nor made any expenditures. � The committee intends to receive or expend less than $500. � The committee will file a Statement of Organization within five business days after expending or receiving


I, C I/A C/Qf-/E , certify that this Exemption Statement is true and complete. (Printed Name of Candidate/Committee Officer)

Signature Date



EXHIBIT I I


.-Maric6pa County Elections Page 1 of Case 2:10-cv-01902-DGC Document 1-2 Filed 09/06/10 Page 74 of 121


EXHIBIT 12


TAB 8

SE\ T E STATE OF ARIZONA

E).flfl UL IS I0 Write-in Candidate U 27

NOMINATION PAPER AFFIDAVIT OF QUALIFICATION FOR OFFICE USE ONLY

CAMPAIGN FINANCE LAWS STATEMENT [A.R.S. §§ 16-311,16-312,16-905(K)(5)]


p t e p ki Q j V for the

C? r Party (if applicable) to be voted on at the

RfvtAY1 or GENERAL (circle one) election to be held on /? y M & g 1’ Z_1 t i-i

I will have been a citizen of the United States for 2...LI year(s) next preceding my election and will

have been a citizen of Arizona for year(s) next preceding my election and that my age is 24 and my date of birth is the ,t day of Dcernkr , 19 __ , and have resided in

0 r. ’ C. 0 County for LI year(s) and in precinct

L/ I I k-vt t 05 e for ?) year(s) before my election.




said office.

Q1 27 N. P IRA 4 71 6 ke. n A (Cc 5 22 Actual residence address or description of place of residence (city or town) (zip)

Post office address




~ak Dce LAj LAST NAME. - FIRST NAN

TE SIGNATURE

Subscribed AND SWORN to (or affirmed) before me this day of 20/ 0

STEPHEN PORPORA

MARICOPA COUNTY

MYmlon re. My Commission Expires: __ 3 /0’ March 10,

I have read all applicable laws relating to campaign financing and rep ing.

CANDIDATE SIGNATURE Office Revision 9/30/2002





NAME OF CANDIDATE Blischak, Drew

ADDRESS 2727 North Price Road #71

Chandler 85224 Residence City Zip

MAILING ADDRESS Same as Above Lip


EMAIL ADDRESS: bIischakqmaiI.com

OFFICE SOUGHT State Representative


; NOMINATION PAPER, AFFIDAVIT OF QUALIFICATION, CAMPAIGN FINANCE LAWS STATEMENT FINANCIAL DISCLOSURE STATEMENT

20 District Number

FEDERAL CANDIDATE

L] NOMINATION PAPER, AFFIDAVIT OF QUALIFICATION STATEMENT ON RECALL (OPTIONAL)

NOTE: Each candidate for a state office must file with the Secretary of State either a Statement of Organization of a political Jommittee or a $500 Threshold Exemption Statement. Check one and include ID#:

201000686 ID# from LIJ STATEMENT OF ORGANIZATION or N $500 THRESHOLD EXEMPTION STATEMENT (check one)

This is to acknowledge. that all forms required by law to be submitted to the Secretary of State for nomination by Arizona Primary Election to be held on August 24, 2010 have been received in this office on the I day of July , 2010.

Candidate or Representative 2OLVAU. £QJtJL

KEN BENNETT

4

Secretary of State by: Office Revision 05/20/2010)


’ - D

SETIRdFATE

2010 JUL 15 AM 10: 27

FINANCIAL. DISCLOSURE STATEMENT (For use by Public Officers and Candidates of the State of Arizona)

Name of Public Officer or Candidate -Pnew G h 5c,~6k Address 2727 N. Pcv R * 71

Pub lic Office Held or Sought District #_____

Check one:

El lam a public officer filing this statement covering the 12 months of calendar year 20

I am a candidate for a public office, and am filing this Financial Disclosure Statement covering the 12 months preceding the date of this statement from the month of 5u17 I 206I to the month of lot 9 tI-I 20 10

El I have been appointed to fill a vacancy in a public office and am filing this FinnclaI Disclosure Statement covering the 12 month period ending with the last full month prior to the date I took office.

VERIFICATION

I do solemnly swear that the Financial Disclosure Statement filed herewith is in all things true and correct, and fully shows all information I am required to report pursuant to A.R.S. § 38-542.

Signatre of Pub ic Officer or Candidate

State of _ r STEPHEN PORPORA ) I NOTARY PUBUC - ARIZONA

County of L My Commission Expirea March 10, 2014

Subscribed and sworn to (or affirmed) before me this I ay of 20 /0

3. ’ \ Notary Public


(Seal)

1 Secretary of State Office Revision September 2009



1. Names

What to disclose: Your and your spouse ’s names and the names of minor children of whom you have legal custody.

YOUR NAME Drew Bt-k

::M E


What to disclose The name and address of each employer who paid you your spouse or any member of your household more than $1,000 in salary, wages, commissions, tips Or other forms of compensation during the period covered by this report. Describe each employer’s. business and the services for which you or a member of your household were óompensated.


You need not disclose: Any money you or any member of your household received that ws gross income paid to a business you or your household member owned.




-


Sit itk Pc’e4e a1feA.. 1 lOG’ P U41 C6 ?

OR D vSirr)ec c’v-ce

f’ht’cn








HOLDING LCENSEI IF NOT ISSUED IF OWN NAME

JURISDICTION(S) OF LICENJE LOCATION OF BUSINESS

� _____ __









iv 0 Incurred 0 Discharged

.0 Incurred 0 Discharged

7 0 Incurred 0 Discharged

Secretary of State Office Revision September2009


5. Personal Debtors

What to disclose: The name of each. debtor who owed you or a member of your household a debt over $1,000 at any time during the period covered by this Statement, and the approximate value of the debt (See last page of value categories). If the debt was incurred or discharged during the period covered by this Statement, report the date and whether the debt was incurred or discharged. .


--

NAME OF DEBTOR



g.EGORY DATE INCURRED AND/OR

DISCHARGED

0 Incurred _0_Discharged _



6. Gifts

What to disclose: Thename of the’ donor who gave you or a member of your household a single gift or an accumulation of gifts with a value over $500, if that gift does NOT fit into a category below.


NAME OF DONOR OF GIFTS OVER $500 I ’ PUBLIC OFFICER OR MEMBER OF HOUSEHOLD - RECIPIENT










Pre51i

S. Ownership or Financial Interest in Trusts, or investment Funds

What to - disclose: The name and address of each .bªsiness, trust, investment or retirement fund in which you or any member of your household had an ownership or beneficial interest of over $1,000. This includes stocks, partnerships, joint ventures, sole proprietorships, annuities, mutual funds and retirement accounts. List the percentage of ownership or interest, and categorize the value of the equity. (See last page for value categories.)

NAME AND ADDRESS OF BUSINESS OR TRUST

PUBLIC OFFICER OR MEMBER OF

HOUSEHOLD’

DESCRIPTION OF

INTEREST

EQUITY BY VALUE -

CATEGORY

- Pc’et.1j

_____________________

0wrec -

____________ T133 .Li’Oo I f

�Ifc t.gq

IiiIEEELIIt_ Secretary of State




PUBLIC OFFICER OR

MEMBER OF VALUE DATE ACQUIRED AND/OR

BONDS OVER $1, 000 ISSUING AGENCY HOUSEHOLD CATEGORY DIVESTED


________ __________ � ____ 0 Acquired 0 Divested



What to disclose: Arizona real property and improvements to which you or a member of your household hold, or held title during the period covered by this Statement. Describe the property’s location and approximate size. Using the value categories (see last page) report the value of your equity. . If that property was acquired or divested during the period covered by this Statement, list the date and what occurred.


LOCATION AND APPROXIMATE SIZE PUBLIC OFFICER OR MEMBER OF EQUITY BY VALUE DATE ACQUIRED OR

OF ARIZONA REALTY � HOUSEHOLD OR BUSINESS CATEGORY DIVESTED

ia7NPc’kP1F71 . Pret-..i B14Ak d&cZ529. S

Acquired 0 Dieted

f\IA 0 Acquired El Divested

fV 5, 0 Acquired 0 Divested




It Business Names


CONTROLLED AND/OR PUBLIC OFFICER OR MEMBER

OF HOUSEHOLD BUSINESS NAME BUSINESS ADDRESS DEPENDENT BUSINESS

cm 1: WoE Wr ’6ontrolled zoo

0 Dependent

0 Controlled

0 Dependent

0 Controlled

0 Dependent

IMPORTANT: IF A BUSINESS LISTED ABOVE DID NOT GROSS MORE THAN $10,000 OR PROVIDE MORE THAN 10% OF YOUR PERSONAL COMPENSATION DURING THE PERIOD COVERED BY THIS STATEMENT,, YOU DO NOT NEED TO COMPLETE THE REST OF THIS STATEMENT.

12. .CntroHed Business Information

What to disclose: The name of each controlled business you listed above, and the goods or services provided by the business. If a single client or customer (person or business) accounts for more than $10,000 and 25% of the gross income, describe what it is ybur business provides to that customer or client. Then, in column 4, describe what the client/customer’s business does (if your major client is person, leave the last column blank). If you do not have a major client, leave the last two columns blank.


NAME OF YOUR

CONTROLLED BUSINESS

GOODS OR SERVICES

PROVIDED BY YOUR BUSINESS

WHAT YOUR BUSINESS

PROVIDES TO YOUR MAJOR CUSTOMER OR CLIENT

BUSINESS ACTIVITY OF

MAJOR CUSTOMER OR

CLIENT

Pe4e tr � Flo-or

Secretary of State





You need not disclose: The name or identity of the, customer or client, or the amount of income from the customer or client. If the customer or client is an individual (rather than a business), you are not required 10 disclose that person’s activities.


GOODS. OR.SERVICES PROVIDED BY THE BUSINESS

GooDs OR SERVICES PROVIDED TO THE MAJOR

CUSTOMER OR CLIENT

BUSINESS AcTlvrry’ OF THE MAJOR CUSTOMER OR CLIENT, IF A BUSINgSS


What to disclose: Arizona real property and improvements the titles to which were held by a cntrotled or dependent business listed above. If the business is one that deals in real property and improvements, list the aggregate value of all parcels held in the period covered by this Statement. Describe the property’s location and approximate size. Using the value categories (see last page) report the value of equity in your business. If the property was acquired or divested during the period covered by this Statement, list that and the date.

LOCATION AND APPROXIMATE SIZE OF ARIZONA RE ALTY


EQUITY BY VALUE

CATEGORY DATE ACQUIRED OR

DIVESTED


O Acquired 0 Divested I

0 Acquired D Divested

7

o Acquired 0 Divested





You need not disclose: Debts resulting from a business other than a controlled or dependent business





MCI ma 0 Incurred 0 Discharged

O Incurred 0 Discharged

O Incurred 0 Discharged






IV 0 Incurred 0 Discharged


Value Categories: (from AIRS § 38-542(B)) Category I - $1,000 to $25,000 Category 2� More than $25,000 to $100,000 Category 3 - More than $100,000



111N11111111111111111E 0000070197

STATE OF ARIZONA $500 THRESHOLD EXEMPTION STATEMENT

SECRE OF STME

ZOJULt5 M1O:Zl

Pursuant to A.R.S. 16-902.01 and 16-903(A) COMMITTEE ID NUMBER


ELECT DREW BLISCHAK 07/14/2010

TYPE OF COMMITTEE



2727 N. PRICE #71 CHANDLER AZ 85224


2727 N PRICE RD UNIT 71 CHANDLER AZ 85224


(480) 2693739 [email protected]


NA ADDRESS OF SPONSORING ORGANIZATION RELATONSHIP TO POLITICAL COMMITTEE

nA VA FOR A CANDIDATE’S $500 THRESHOLD COMMITTEE, PLEASE PROVIDE THE FOLLOWING INFORMATION:


STATE REPRESENTATIVE - DISTRICT 20 2010


� The committee has heretofore neither accepted any contributions nor made any expenditures. The committee intends to receive or expend less than $500. The committee will file a Statement of Organization within five business days after expending or receiving monies over the $500 limit pursuant to A.R.S. §§ 16-902.01 and 16-903(A).

Nev) B I 5c,ha, k , certify that this Exemption Statement is true and complete. (Printed Name of Candidate/Committee Officer)

0 Office Revision 9/07


EXHIBIT 13


Maricopa County Elections

Page 1 of 2

W’oRMAPzoN

Name: MICHELLE COLETTE LOCHMANN Voter ID 3239263

RetdllaI Address: 1650 E THUNDERBIRD RD 1076, PHOENIX, AZ 65022

MaUngAIdress.

BLrtI Ycar974

Birth COLORADO Registration Data: 9/28/2008

Blh ModifIcatIon M6: 7111=0110

O9thpAWPRQF:OTHER Polling Place Volunteer N

Pxnct 0246 EL CAMINO Party: GREEN

Permanent EV List Y



aoN BIs’roRy

: -

ke4jPsIs General: 2004

PravIou3 General: 2000 :

currentGeneral: 208 V

VGWEWBANGE HISTORY

Date Type Reason Assoc ID

7/19/2 20000 AM-70042839 7/1512010 12:00:00 AM M MOD PTY

7m/20iOi2O0:0O AM-202000363 716/2010 12:00:00 AM U COR NON CRITICAL

’7/201Q 12:0 0:00 AM-202090363 6/1412010 12:00:00 AM M MOD PTV MOD PTY

iWiI2000 12:00:00 AM U COR NON CRITICAL

11

S~o 0:00

AM-201116099 0/26/2008 12:00:00AM N ORIGREG

.,

https:// 156.42.40. 50/elcctionintb/VotcrI-Iistory.aspx?Voterld=3239263 8/6/2010


[" Mel 1 1-001jum EIA


STATE OF ARIZONA

Write-in Candidate SECRE IA OF S TT E NOMINATION PAPER

AFFIDAVIT OF QUALIFICATION g JUL 5 PM t: L3 CAMPAIGN FINANCE LAWS STATEMENT

[A.R.S. §§ 16-311,16-312,16-905(K)(5)] FOR OFFICE USE ONLY


for

the Party (if applicable) to be voted on at

theiR or GENERAL (circle one) election to be held on

I will have been a citizen of the United States for ’35 year(s) next preceding my election and will

have been a citizen of Arizona for a year(s) next preceding my election and that my age is 3 5 and my date of birth is the I day of , 19, and have resided in

�/ 14 vcçl_ o., County for 2 year(s) and in

precinct V( for . year(s) before my election.




said office.

74 4JZrJ TJ/’ 7&eiy Actual residence address or description of place of residence (city or town) (zip)

7 Post office address




CANDIDATE SIGNATURE

Subscribed AND SWORN to (or affirmed) before me this /) day of ’-’- _k 20

BRIAN McGRATH

I

f

NOTARTA Urizona Notary Public

Comm. Expires Nov. 21, 2010 My Commission Expires:

(Seal) I have read all applicable laws relating to campaign financing,.and reporting.

k CANDIDATE SIGNATURE



OFFICE OF THE SECRETARY OF STATE

STATE OF ARIZONA RECEVLD RECEIPT

SECREThRY OF STATE

WRITE-IN CANDIDATE FILING OF REQUIRED FORMS 2010 JUL 15 pj t: 43

(PRIMARY ELECTION)

NAME OF CANDIDATE

Lochmann, Michelle

ADDRESS

1550 East Thunderbird Road #1076 Phoenix 85022 Residence City Zip

MAILING ADDRESS 13236 North 7th Street Suite 4 #263 Phoenix

85022 City

Zip


Fax Number

EMAIL ADDRESS: micheIIeIochmannyahoo.com

OFFICE SOUGHT Secretary of State District Number

FORMS TO BE FILED WITH PETITIONS: STATE CANDIDATE FEDERAL CANDIDATE NOMINATION PAPER, AFFIDAVIT OF QUALIFICATION, NOMINATION PAPER, AFFIDAVIT OF CAMPAIGN FINANCE LAWS STATEMENT QUALIFICATION FINANCIAL DISCLOSURE STATEMENT El STATEMENT ON RECALL (OPTIONAL)

5TE: Each candidate for a state office must file with the Secretary of State either a Statement of Organization of a political committee or a $500 Threshold Exemption Statement. Check one and include I

201000697 ID# from 0 STATEMENT OF ORGANIZATION or 0 $500 THRESHOLD EXEMPTION STATEMENT (check one)

This is to acknowledge that all forms required by law to be submitted to the Secretary of State for nomination by Arizona Primary Election to be held on August 24, 2010 have been received in this office on the 15th day ofyIv, 2010.


KEN BEN N ETT Secretary of State by:

(Office Revisbn 05/20/2010)


R P :ci

FINANCIAL DISCLOSUREDISCLOSURE STATEMENT (For use by Public Officers and Candidates of the State of Arizona)

Name of Public Officer or Candidate /1/1 (r’ h’ // ko c X wi itna

Address� /o7i oeiY

ublic Office Held or Sought c v’ e -h7 ’ S6 ./--- District #

Check one:

El I am a public officer filing this statement covering the 12 months of calendar year 20

I am a candidate for a public office, and am filing this Financial Disclosure Statement covering the 12 months preceding the date of this statement, from the month of i j 200 g , to the month of _.20 0

El 1 have been appointed to fill a vacancy in a public office and am filing this Financial Disclosure Statement covering the 12 month period ending with the last full month prior to the date I took office.

VERIFICATION

I do solemnly swear that the Financial Disclosure Statement filed herewith is in all things true and correct, and fully shows all information I am required to report pursuantto A. .S. § 38-542.

Ail, Signature of Public Officer Candidate

State ofJ’i , itc ) )

County of

Subscribed and sworn to (or affirmed) before me this / day of ,20 /7

0 OFFICIAL SEAL

BRIAN .MGGRATFJ NOTARY PUBUC Slate ojzona

, MAR166PA COUNTY

Myomm.ExpirosNov.21,2o1 j jNotary Public

/( /7_i I ( C�t_7 My Commission expires

(Seal)




1. Names


YOUR NAME

YOUR SPOUSE ’S NAME

CHILDREN ’S NAMES OL

1OS Xô\


What to disclose: The name and address of each employer who paid you, your spouse, or any member of your household more than $1 ,000 in salary, wages, commissions, tips or other forms of compensation during the period covered by this report. Describe each employer ’s business and the services for which you or a member of your household were compensated.







b) ro Lq Qc(rjYce cLE$L3fl kO



I Professional, Occupational and Business Licenses



NAME IN WHICH

LICENSE IS ISSUED

PUBLIC OFFICER OR

HOUSEHOLD MEMBER HOLDING LICENSE, IF NOT

ISSUED IF OWN NAME


_____




secured by cash values on. life insurance, or debts you owe to relatives, personal credit card transactions or installment contracts.


NAME AND ADDRESS OF CREDITOR (OR PERSON TOW HOM PAYMENTS ARE MADE)



C-ftUQO J\QYUWQ Incurred El Discharged

4Qth1\0O 4à i9 ??\ (DCi’-\ J’ fl Incurred 0 Discharged RT) X.S t3K’�D)\V( 1�1 f5i)Q

fl(2 L(

- C) 4cdIM 1 gfncurredE]Disch arged ho eny LL9 4 >

Secretary of State



5. Personal Debtors



NAME OF DEBTOR


THE DEBT IS OWED �

AMOUNT BY VALUE CATEGORY


El Incurred El Discharged

J incurred JDischarged

fl IncurredDischarged

6. Gifts



NAME OF DONOR OF GIFTS OVER $500 I PUBLIC OFFICER OR MEMBER OF HOUSEHOLD - RECIPIENT







NAME OF PUBLIC OFFICER OR MEMBER OF HOUSEHOLD



What to disclose: The name and address of each business, trust, investment or retirement fund in which you or any member of your household had an ownership or beneficial interest of over $1,000. This includes stocks, partnerships, joint ventures, sole proprietorships, annuities, mutual funds and retirement accounts. List the percentage of ownership or interest, and categorize the value of the equity. (See last page for value categories.)


PUBLIC OFFICER OR MEMBER OF . HOUSEHOLD


EQUITY BY VALUE

CATEGORY



9. Bonds NA What to disclose: Bonds issued by a single agency worth more than $1,000 that you or a member of your household hold, or held during the period covered by this Statement. If the bonds were acquired or divested during the period, report the date that occurred.

BONDS OVER $1,000 ISSUING AGENCY


VALUE CATEGORY

DATE ACQUIRED AND/OR DIVESTED

DAcquired DDivested

[]Acquired ElDivested

DAcquired fDivested

10.. Real Property Ownership







DAcquired DDivested

]Acquired JDivested

Acquired DDivested




II. Business Names

What to disclose: The name of any business under which you or any member of your household did business during the period covered by this Statement. Include corporations, limited liability companies, partnerships and trade names. Using the definitiOns provided in statute, disclose if the business named is controlled or dependent. If the business is both controlled and dependent, mark both boxes.

PUBLIC OFFICER OR MEMBER CONTROLLED AND/OR OF HOUSEHOLD BUSINESS NAME BUSINESS ADDRESS DEPENDENT BUSINESS

Qorp -ç4Q 1323 )7SkY?+ ’ControlIed

jcorz ’ A - -

CAA Lkox h LJ- &� L9N-0 6V Dependent

[]Controlled

DDependent

DControlled

Dependent

flControlled

Dependent





NAME OF YOUR CONTROLLED BUSINESS


BUSINESS


CUSTOMER OR CLIENT

BUSINESS. ACTIVITY OF MAJOR CUSTOMER OR

CLIENT







GOODS OR SERVICES PROVIDED BY THE BusiNEss


CUSTOMER OR CLIENT

BusiNEss AcTivrrr’ OF THE MAJOR CUSTOMER OR CLIENT, IF A BUSINESS


What to disclose: Arizona real property and improvements the titles to which were held by a controlled or dependent business listed above. If the business is one that deals in real property and improvements, list the aggregate value of all parcels held in the period covered by this Statement. Describe the property’s location and approximate size. Using the value categories (see last page) report the value of equity in your business. If the property was acquired or divested during the period covered by this Statement, list that and the date.





LjAcquired IliDivested

Acquired ODivested

jocquired ODivested

Acquired IJDivested



15. Business’ Creditors \ \ ç. What to disclose: The name and address of each creditor to which your business owed more than $10,000, if that amount was also more than 30% of your total business indebtedness at any time during the period covered by this Statement. If the debt was incurred or discharged during the period covered by this Statement, report that and the date.






Dlncurred Discharged

Dlncurred MDischarged

DlncurredDischarged


What to disclose: The name of the debtor for each debt exceeding $10,000 owed to a controlled or dependent business which was also more than 30% of the total indebtedness to the business which was owed at any time during the preceding calendar year. lithe debt-was incurred or discharged during the year, list that and the date. List value category.


�NAME OF DEBTOR

NAME OF CONTROLLED OR DEPENDENT BUSINESS TO WHOM

THE DEBT IS OWED

AMOUNT BY VALUE

CATEGORY


0 Incurred D.Dlscharged

� 0 Incurred RDischarged

Value Categories: (from AIRS § 38-542(B)) Category I - $1,000 to $25,000 Category 2� More than $25,000 to $100,000 Category 3 - More than $100,000

Secretary of State



III11i11IJli1 Ull Ill! 0000070338

Initial Registration 0 Amended Statement r1 Out M State Committee

STATE OF ARIZONA SECRET?RY Ip - S1iTE

POLITICAL COMMITTEE STATEMENT OF ORGANJ93 15 4:38

o Standing Political Committee COMMITTEE ID NUMBER Titles 16 & 19, Arizona Revised Statutes

Definitions, statutory references and important information on page 2. 201000697 NAME OF POLITICAL COMMITTEE (For ballot measure committee, name shall include official petition serial number) DATE

LOCHMANN FOR SECRETARY OF STATE 07/16/2010

TYPE OF COMMITTEE BALLOT MEASURE 0 SUPPORT 0 OPPOSE

CANDIDATE (NON-PARTICIPATING)


1550 E THUNDERBIRD RD APT 1076 PHOENIX AZ 85022


13236 N 7TH ST SUITE 4 #263 PHOENIX AZ 85022


(602) 441-4063 . [email protected]

� NAME OF SPONSORING ORGANIZATION (if applicable) TYPE OF ORGANIZATION


EACH POUTICAL COMMITTEE SHALL HAVE A CHAIRMAN AND TREASURER. THE POSITION OF CHAIRMAN AND TREASURER OF A SINGLE POLITICAL COMMITTEE MAY NOT BE HELD BY THE SAME INDIVIDUAL, EXCEPT THAT A CANDIDATE MAY BE CHAIRMAN AND TREASURER OF HIS OR HER OWN CAMPAIGN COMMITTEE. A.R.S. § 16-902(A).

NAME OF COMMITTEE CHAIRMAN CHAIRMAN’S TELEPHONE # CHAIRMAN’S FAX #

MICHELLE LOCI-IMANN (602)441-4063

CHAIRMAN’S ADDRESS CITY STATE ZIP

13236 N 7TH ST SUITE 4#263 PHOENIX I AZ 85022

CHAIRMAN’S OCCUPATION CHAIRMAN’S EMPLOYER CHAIRMAN’S EMAIL ADDRESS

INSURANCE BROKER CORPORATE BENEFIT CONSULTING �� MICHELLELOCHMANNcYAHOO.COM

NAME OF COMMITTEE TREASURER TREASURER’S TELEPHONE It TREASURER’S FAX It

MIKE GARLIKOV . (602) 441-4063 __________________

TREASURER’S ADDRESS CITY STATE ZIP

17606 N 17TH PL PHOENIX AZ 85022

TREASURER’S OCCUPATION TREASURER’S EMPLOYER TREASURER’S EMAIL ADDRESS

MARKETING SELF . [email protected]

BEFORE A COMMITTEE ACCEPTS A CONTRIBUTION OR MAKES AN EXPENDITURE IT SHALL DESIGNATE AT LEAST ONE ACCOUNT AT A QUALIFIED FINANCIAL INSTITUTION. A.R.S. § 16-902(C). LIST THE NAMES OF ALL FINANCIAL INSTITUTIONS WITH WHICH THE COMMITTEE MAINTAINS ACCOUNTS OR SAFETY DEPOSIT BOXES. (Do not list account numbers.)

1. 2. 3.

BANK OF AMERICA

FOR A CANDIDATE’S CAMPAIGN COMMITTEE OR AN EXPLORATORY COMMITTEE, PROVIDE THE FOLLOWING INFORMATION:

(For Exploratory Committees party affiliation and office sought are optional.)

NAME OF CANDIDATE OR DESIGNATING INDIVIDUAL ("DI") ELECTION CYCLE

MICHELLE LOCHMANN 2010

CANDIDATE OR D/I’S TELEPHONE # CANDIDATE OR DII’S FAX it COUNTY OF RESIDENCE

(602)441-4063 MARICOPA

CANDIDATE OR 0/I’S ADDRESS CITY STATE ZIP

13236 N 7TH ST SUITE 4 #263 PHOENIX AZ 85022

CANDIDATE OR D/I’S EMAIL ADDRESS PARTY AFFILIATION OFFICE SOUGHT

PJHCHELLELOCHMANNYAHOO.COM GREEN SECRETARY OF STATE

PAGE 1 of 2 Office Revision 9/07


[Committee ID: 201000697

Date: 0711512010

POLITICAL COMMITTEE S STATE OF ARIZONA

Form ID: 0000070338 STATEMENT OF ORGANIZATION

YOUR APPLICATION IS NOT COMPLETE WITHOUT THE REQUIRED SIGNATURES BELOW:

BOX I All committees require the signature of both the chairman and treasurer. Standing Committees, see BOX 3 below.

CHAIRMAN’S AND TREASURER’S STATEMENT: We, the undersigned, have examined the information contained in this statement of organization and, to the best of our knowledge and belief, it is true, correct and complete

Date: 7-1 $"--/ c9 Chairman’s

Date: 7 -1 9 -1 Treasurer’s signature:

BOX 2 Complete and sign this additional box only if the committee is candidate’s campaign committee or exploratory committee.

DESIGNATING INDIVIDUAL OR CANDIDATE’S STATEMENT: I authorize the above-named political committee as my political committee to receive contributions and make exoenditures on my behalf.

Date: 7 15/ 0 D/I’s or Candidate’s

BOX 3 Complete and notarize this box only if the committee has been in existence for more than one year and is filing for Standing Committee status.

STANDING POLITICAL COMMITTEE’S STATEMENT (if applicable) (A.R.S. §16-902.1): I/we hereby declare the status of this political committee as a standinq oolltical committee.

Date: Chairman’s

Date: 7 /$ 7’V Treasurer’s

State of Arizona )

’

. NOTAjy PUBLIC

Conty of )L M,IP.MOPA

SU$CRIBED AND rORN.XQ before me this

My Commission Expi otalY Public

BRIAN . Mc 33RA

MARICOPACO NTY

q1@4f Arizona ’I

0fAri7Qn ii )ss.

flycbUfly of It< p_) /

Lll&JRIBED AND SWORN TO before me this j Ji _;c7 ,

Commission Expires/i_/ ’1l6tary Public

DEFINITION OF POLITICAL COMMIUEE: A.R.S. § 16-901(19) "Political committee" means a candidate or any association or combination of persons that is organized, conducted or combine d for the purpose of influencing the result of any election or to determine whether an individual will become a candidate for election in this state or in any county, city, town, district or precinct in this state, that engages in political activity in beh aif of or against a candidate for election or retention or in support of or opposition to an initiative, referendum or recall or any other measure or proposition and that applies for a serial number and circulates petitions and, in the case of a candidate for public office except those exempt pursuant to section 16-903, that receives contributions or makes expenditures in connection therewith, notwithstanding that the association or combination of persons may be a part of a larger association, combination of persons or sponsoring organization not primarily organized, conducted or combined for the purpose of influencing the result of any election in this state or in any county, city, t own or precinct in this state.

NOTE FOR INDIVIDUALS INVOLVED IN POLITICAL ACTIVITIES: An individual, acting alone, is not a political committee under Arizona law and need not file a statement of organization. If any additional person or persons join the effort (as defined above in A.R.S. § 16-901(19)) begun by an individual, the association of persons has become a "political committee’ under Arizona law, and must file a statement of organization before accepting contributions, making expenditures, distributing literature or circulating petitions. A.R.S. § 16-902.01(A).

NOTE FOR THOSE INVOLVED IN INITIATIVE, REFERENDUM AND RECALL EFFORTS: Before circulating initiative, referendum or recall petitions, a political committee must file its statement of organization with the appropriate filing office. Signatures obtained on petitions prior to the filing of the statement of organization are void and shall not be counted in determining the legal sufficiency of the petition. A.R.S. §§ 19-114(3) and I 9-21)2(C). Even though an individual, acting alone, may begin the initiative, referendum or recall effort, as soon as other persons join the effort, the association of persons must register a a political committee. The statement of organization must be filed regardless of whether the committee intends to accept contributions or make expenditures.

PAGE 2 of 2 Office Revision 9/07


EXHIBIT 15




VOTER ELECrION HISTORY

Next Pevtbus Primary: 2004 Preous Pdma,y 2008 Current Prtmary 2008

Next Pj’evfr,tue General 2004 PrevIous General 2008 Current General 2008

VCANGE.HISTORY S

At’#’SSE Data Type Reason Assoc ID

712W2010 12:00:00 AM-202112975 712812010 12:00:00 AM U COR NON CRITICAL

7/201201012:00:00AM-202112975 7/16/201012:00:00AM N ORIGREG

https:// 156.42.40. 50/electioninfo/VoterHistory.aspx? VoterId3 536046 8/6/2010


EXHIBIT 16


STATE OF ARIZONA

Write-in Candidate CIO

-. r c’TA" NOMINATION PAPER L

TA p’I L r/ U

AFFIDAVIT OF QUALIFICATION CAMPAIGN FINANCE LAWS STATEMENT zan JUL 15 PH (t 5J

16-311,16 -312,16 -905(K)(5)]

FOROFFICEUSEONLY


f’_ for

the

Party (if applicable) to be voted on at

PRIMARY5? GENERAL (circle one) election to be held

----+wHJ-Iave been a citizen of the United States for -/1!6 , year(s) next preceding my election and will

have been a citizen of Arizona for year(s) next preceding my election and that my age is

and my date of birth is .the _ day of 1k O*’J’1’VflcL , I 9PZ-1’ and have resided in

’A/\ 01-1 C-O 24 County for year(s) and in

precinct

for _3 year(s) before my election.

I do solemnly swear (or affirm) that at the time of filing, 1 am a resident of the county, district or



said office.

lo~L Y-O/9 Actual residence address or description of place of residence


iP office





CANDIDATE SIGNATURE

Subscribed AND SWO ed) JONATHAN RAML

My Commission Expires

Notary Public - Arizona

February 28, 2014

Maricopa County

(Seal) My Commission Expires: e \ H

Notary Public

I have read all applicable laws relating to campaign financing and reporting.

CANDIDATE SIGNATURE Office Revision 9/30/2002


OFFICE OF THE SECRETARY OF STATE STATE OF ARIZONA \ / n



SECRE1AR’( OF STME

2019 JUL 15 FM b: 5

NAME OF CANDIDATE Meadows. Thomas

ADDRESS 3200 East Hazelwood

Phoenix 85018 Residence

City Zip

MAILING ADDRESS

EMAIL ADDRESS:

OFFICE SOUGHT

P. 0. Box 186


[email protected]

State Treasurer

Tempe 85280 City Zip

Fax Number

District Number

FORMS TO BE FILED WITH PETITIONS: STATE CANDIDATE NOMINATION PAPER, AFFIDAVIT OF QUALIFICATION,

VN CAMPAIGN FINANCE LAWS STATEMENT FINANCIAL DISCLOSURE STATEMENT

FEDERAL CANDIDATE

L] NOMINATION PAPER, AFFIDAVIT OF QUALIFICATION


� OTE: Each candidate for a state office must file with the Secretary of State either a Statement of Organization of a political committee or a $500 Threshold Exemption Statement Check one and include ID#:

201000694 ID# from 0 STATEMENT OF ORGANIZATION or fl $500 THRESHOLD EXEMPTION STATEMENT (check one)

This is to acknowledge that all forms required by law to be submitted to the Secretary of State for nomination by Arizona Primary Election to be held on August 24, 2010 have been received in this office on the 15th day ofjj, 2010.


KEN BENNETT Af ~% Secretary of State by: Ak&

(

- -

(Office Revision 05/2012010)


¶ 4 RECEVNJ SECRE1Ry OF STATE

� 20 JUL 15 PM : 5


Name of Public Officer or Candidate/ / Lpv1 p- (7?i t_J

Address

ublic Office Held or Sought -’-Sau District #______

Check one:

F-I 1 am a public officer filing this statement covering the 12 months of calendar year 20

I am a candidate for a public office, and am filing this Financial Discqre Statement covejqg the 12 months precciing the date of this statement, from the month of 4 1 )Q Q 2%Q7 L_ , to the month of �t. 20)(’l_. (J

F-1 I have been appointed to fill a vacancy in a public office and am filing this Financial Disclosure Statement covering the 12 month period ending with the last full month prior to the date I took office.

VERIFICATION

I do solemnly swear that the Financial Disclosure Statement filed herewith is in all things true and correct, nd fully shows all information I am required to report pursuant to A.R.S. § 38-542.


State of

County of M k CU N

Subscribed and sworn to (or affirmed) before me this 0\day of � , 20 tC

t.�

jł 1 4 JONATHAN RAML ____ � Notary Public . Art zOna

�A�Q Maricopa County My Commission Expires W-4 21014rc February 26, 2014 Notary Public


(Seal)

Secretary of State




1. Names

What to disclose: Your and your spouse’s names and the names of minor children of whom you have legal

custody.

YOUR NAME /1L/Zffl yY? ei1 i YOUR SPOUSE’S NAME

CHILDREN’S NAMES


What to disclose: The name and address of each employer who paid you, your spouse, or any member of

your household more than $1 ,000 in salary, wages, commissions, tips or other forms of compensation during the period covered by this report. Describe each employer’s business and the services for which you or a member of your household were compensated.


u need not disclose: Any money you or any member of your household received that was gross income paid to a business you or your household member owned.



OF COMPENSATION OVER

$1,000

DESCRIPTION OF EMPLOYER’S BUSINESS AND SERVICES PROVIDED BY PUBLIC OFFICER-OR MEMBER OF HOUSEHOLD











What to disclose: The name and address of each creditor to whom you, or a member of your household owed a personal debt over $1 ,000 during the period covered by this Statement. If the debt was incurred or discharged during this period, list the date and whether it was incurred or discharged.



PERSONAL DEBTS OVER $1000




ç -

gi- f’( J Incurred D Discharged

D Incurred D Discharged

lncurred Discharged



5. Personal Debtors



NAME OF DEBTOR




DISCHARGED


0 Incurred [jjDischarged

IncurredDischarged

6. Gifts


YOu need not disclose: Gifts you or a household member received by will, intestate succession, inter vivos (living) trusts, or testamentary trusts established by a spouse or ancestor. tGifts received from any other

mber of the household or relatives to the second degree of consanguinity (parents, grandparents, siblings, children and grandchildren) or political contributions reported on campaign finance reports.

NAME OF DONOR OF GIFTS OVER $500 - - _I PUBLIC OFFICER OR MEMBER OF HOUSEHOLD - RECIPIENT







What to disclose: The name and address of each business, trust, investment or retirement fund in which you or any member of your household had an ownership or beneficial interest of over $1,000. This includes stocks, partnerships, joint ventures, sole proprietorships, annuities, mutual funds and retirement accounts. List the percentage of ownership or interest, and categorize the value of the equity. (See last page for value categories.)




EQUITY BY VALUE ATEGORY

Secretary of State




BONDS OVER $1 ,000 ISSUING AGENCY


VAI! TEGORY

DATE ACQUIRED AND/OR DIVESTED

DAcquired 0 Divested

AcquiredDDivested

DAcquired ODivested







DATE ACQUIRED OR D43eETE

DAcquired Divested

DAcquired DDivested

flAcquired DDivested




11. Business Names


PUBLIC OFFICER OR MEMBER CONTROLLED

OF HOUSEHOLD BUSINESS NAME BUSINESS ADDRESS DEPENT’INESS

olIed

Dependent

Controlled

Dependent

Controlled

Dependent

UControlled Dependent



What to disclose: The name of each controlled business you listed above, and the goods or services provided by the business. If a single client or customer (person or business) accounts for more than $10,000 and 25%

the gross income, describe what it is your business provides to that customer or client. Then, in column 4, uescribe what the client/customer’s business does (if your major client is a person, leave the last column blank). If you do not have a major client, leave the last two columns blank.


NAME OF YOUR CONTROLLED BUSINESS


BUSINESS


CUSTOMER OR CLIENT


CLIENT

Secretary of State





You .need not disclose: The name or identity of the customer or client, or the amount of Inco from the customer or client. If the customer or client is an individual (rather than a business), yo not required to disclose that person’s activities.


GOODS OR SERVICES PROVIDED BY THE BUSINESS.

GOOD SERVICES 8’TbED TO THE MAJOR

CUSTOMER OR CLIENT

BUSINESS ACTIVITY OF THE MAJOR CUSTOMER OR CLIENT, IF A BUSINESS


What to disclose: Arizona real property and improvements the titles to which were held by a controlled or dependent business listed above. If the business is one that deals in real property and improvements, list the aggregate value of all parcels held in the period covered by this Statement. Describe the property’s location and approximate size. Using the value categories (see last page) report the value of equity in your business,_-lf the property was acquired or divested during the period covered by this Statement, list that and the dat

LOCATION AND APPROXIMATE SE OF ARIZONA REALTY


EQUITY BY VALUE CATEGORY .-

ATE ACQUIRED OR DIVESTED

AcquiredDDivested

Acquired UDivested

_____________ cquired flDivested

AcquiredDivested






BUSINESS DEBTS OVER $10,000 AND 3


NAME OF CONTROLLED OR DEPENDENT ESS (FROM lTEM3OR ’ AE

ATE INCURRED AND/OR

[-]Incurred D Discharged

fllncurredDischarged

fllncurredDischarged

6. 4Business’ Debtors


DEBTS OVER $10,000 AND 30% OWED TO YOUR BUSI

NAME OF CONTROLLED OR

MOUNT BY DATE INCURRED AND/OR

DEPENDENT BUSINESS TO WI-

VALUE DISCHARGED NAME OF DEBTOR THE DEBT IS OWe’

CATEGORY

J Incurred Discharged

Dtncurred MDischarged

Category I - $1,000 to $25,000 Category 2� More than $25,000 to $100,000 Category 3 - More than $100,000



11111111111 I I I 11111 III III 0000070301

O191

STATE OF ARIZONA. $500 THRESHOLD EXEMPTION STATEMENT

SECRETARY OF STATE

2010 JUL 15 PIM 14 32

Pursuant to A.R:S. § 16-902.01 and 16-903(A) COMMITTEE ID NUMBER


VOTE THOMAS MEADOWS 2010 07115/2010

TYPE OF COMMITTEE



420 S MILL AVE TEMPE AZ 85281


P0 BOX 186 TEMPE AZ 85280


80) 529-2041 RYOGA_IMLOSTcYAHOO.COM





STATE TREASURER 2010


The-committee has heretofore neither accepted any contributions nor made any expenditures. � The committee intends to receive or expend less than $500.

The committee will file a Statement of Organization within five business days after expending or receiving monies over the $500 limit pursuant to A.R.S. §§ 16-902.01 and 16-903(A).

I, 44 . 7W’ ’ OW certify that this Exemption Statement is true and complete. (Printed Name of Gandidate7Committee Officer) /

VV Office Revision 9/07


Documents

Fake Green Party Arizona