Disclosure System

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REVIEW

Political Action Committee Registration

Principal Officer *

An individual who with the treasurer is primarily responsible for making decision for the committee, and ensuring its compliance with applicable law.

First Name *

Last Name *

Mailing Address

Address *

City *

State *

ZIP *

Phone Number *

Email Address *

Is the Principal Officer a legislator or candidate? *

Yes

No

Treasurer *

First Name *

Last Name *

Mailing Address

Address *

City *

State *

ZIP *

Phone Number *

Email Address *

Is the Treasurer a legislator or candidate? *

Yes

No

Authorized Agent (Optional)

An individual in addition to the treasurer and principal officer authorized to file reports for the committee.

First Name *

Last Name *

Phone Number *

Email Address *