Form 30-D - Designation Of Treasurer
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1
2Designation of Treasurer
Form 30-D
ORC 3517.10
TYPE OF FILING:
NEW
UPDATE
COMMITTEE TYPE:
Candidate
PAC
PCE
Political Party
Legislative Campaign Fund
If update, please check the appropriate reason(s):
Prior Name was:
Change of Committee Name.
Prior Location was:
New Location is:
Change of Filing Location.
Change of Office Sought.
Previous Office Sought:
New Office Sought:
Change of Treasurer Info
Designation or Change of Deputy Treasurer Info
Change of address/phone/email for:
Committee
Treasurer
Deputy Treasurer
Candidate
Other
Please Explain:
All Committees
PAC # (if Updated)
Full Name of Committee
Street Address
City
State Zip
Telephone
Email
Treasurer
Telephone
Email
Street Address
City
State
Zip
Deputy Treasurer (if any)
Telephone
Email
Street Address
City
State
Zip
Candidate Committees Only
Full Name of Candidate
Email
Street Address
City
State Zip
Office Sought & Subdivision/District
Party Affiliation/Independent/Non-Partisan
Election Year
Political Action Committees Only
PAC is sponsored by:
If Sponsored, Name the Sponsor
Acronym Used (if any)
Labor Organization
Corporation
If Ballot Issue PAC, list issue
Not Sponsored
List any Affiliated PACs/PCEs
Is this a Ballot Issue PAC
PACs and PCEs Only
Yes
No
Date (MM/DD/YYYY)
Signature of Treasurer or Deputy Treasurer
Signature of Candidate if Candidate Committee
Date (MM/DD/YYYY)
Last Updated 09/2017
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