Amended Statement of Organization

Download as pdf or txt
Download as pdf or txt
You are on page 1of 5

Virginia State Board of Elections Commonwealth of Virginia

Statement of Organization
CANDIDATE COMMITTEE
*Please read instructions before completing this form.
Type of Statement
 NEW 
X AMENDED

This committee is registering with the This committee is filing an amended Statement of Organization.
Virginia State Board of Elections for the first
time. Date Changes Took Effect SBE-issued Committee ID
03/29/2022 CC-22-00162

Committee Information

Friends of John McGuire SD10


Name of Candidate Campaign Committee
P.O. Box 168
Street Address/PO Box Suite #
Committee
Information Manakin- Sabot VA 23103
City State Zip Code

[email protected] (715) 338-8544


Email Address Daytime Phone #

Campaign Website
Candidate Information

Mr McGuire John Joseph III


Salutation Last Name First Name Middle Name Suffix
1077 Shallow Well Road
Residence Address Apt #

Candidate Manakin Sabot VA 23103


Information City State Zip Code
Goochland County 918345445
County or City of Residence Voter Identification #
[email protected] (715) 338-8544
Email Address Daytime Phone #


X By checking this box, I certify that I am currently registered to vote at the address above.
Election Information

Member Senate Of Virginia State Senate - 10th District


Election
Information Office Sought District (if one)

Republican 2023 
X November May Special
Political Party Year of Election Type of Election

Revised: January 1, 2012 SBE-947.1 Supersedes all previous versions


(Page 1 of 5)
Virginia State Board of Elections Commonwealth of Virginia

Statement of Organization
CANDIDATE COMMITTEE

Treasurer Information

McGuire Madelyn E.
Salutation Last Name First Name Middle Name Suffix
579 Reedy Creek Road
Residence Address Apt #

Treasurer Louisa VA 23093


Information
City State Zip Code
Louisa County 323633792
County or City of Residence Voter Identification #

[email protected] (715) 338-8544


Email Address Daytime Phone #


X By checking this box, I certify that I am currently registered to vote at the address above.
Campaign Depository

Chain Bridge Bank


Name of Primary Financial Institution Name of Other Financial Institution (if applicable)
McLean VA

City State City State


Committee Activity

Please provide the following dates. (If an action has not yet occurred for this committee, write “N/A”)
03/01/2022
Date first contribution accepted: ______________________
03/01/2022
Date first expenditure made: ______________________
Dates of Activity 03/01/2022
Date campaign depository designated: ______________________

Date filing fee paid for party nomination: ______________________

Date Statement of Qualification filed: ______________________

Date treasurer appointed: ______________________

(continued on next page)

Revised: January 1, 2012 SBE-947.1 Supersedes all previous versions


(Page 2 of 5)
Virginia State Board of Elections Commonwealth of Virginia

Statement of Organization
CANDIDATE COMMITTEE

Filing Method

Please indicate the method by which this committee will submit all required campaign finance reports:

 File electronically using SBE’s Electronic Filing Application.


X

 File electronically using an SBE Approved Vendor


Filing Method (Please indicate Name of Vendor:) _____________________________________________

 File paper reports.

________________________________ __________________________
Signature Date

Signatures
I affirm that, to the best of my knowledge, all of the information on this form is complete and truthful. I
understand that I am required to comply with the provisions of the Campaign Finance Disclosure Act (Title 24.2,
Chapter 9.3 of the Code of Virginia). I also understand that my Treasurer and I must truthfully report, in a timely
manner, all monies and things of value which this campaign committee receives or expends. Civil penalties shall
be assessed for late or un-filed reports in the manner required by the Code of Virginia. I further understand that if
Candidate’s I do not appoint a treasurer, or if at any time the treasurer’s position is vacant, that I, as the candidate, will assume
Signature and accept all of the Treasurer’s duties until the position is filled. I also understand that if I provide false
information on this or any document submitted to the State Board of Elections or local electoral boards that I may
be subject to the provisions of § 24.2-1016 which is punishable by a Class 5 felony.

____________________________________ ________________________
Candidate’s Signature Date

I accept the appointment of Treasurer of this campaign committee. I understand that I am required to comply
with the provisions of the Campaign Finance Disclosure Act (Title 24.2, Chapter 9.3 of the Code of Virginia). I
understand that I must truthfully report all monies and things of value which this campaign committee receives or
Treasurer’s expends in a timely manner. Civil penalties will be assessed in the manner required by the Code of Virginia for
Signature late or non-filed reports. I also understand that if I provide false information on this or any document submitted to
the State Board of Elections or local electoral boards that I may be subject to the provisions of § 24.2-1016 which
is punishable by a Class 5 felony.

____________________________________ ________________________
Treasurer’s Signature Date

Revised: January 1, 2012 SBE-947.1 Supersedes all previous versions


(Page 3 of 5)
Virginia State Board of Elections Commonwealth of Virginia

Instructions for Completing This Form


General Guidelines

 Candidates for local office who indicate that they will be submitting their reports on paper must submit the original copy
of this form to the General Registrar or local electoral board’s office.
 Candidates for local office who indicate that they will be submitting their reports electronically must submit the original
copy of this form to the General Registrar or local electoral board’s office and a copy to the State Board of Elections at
1100 Bank Street, Richmond, VA, 23219.
 For General Assembly Candidates, an original of this form must be submitted to the State Board of Elections at 1100
Bank Street, Richmond, VA 23219 and a copy must be submitted with the local electoral board of the county or city in
which the candidate is a resident.
 All requested information on the form is required unless otherwise noted below.
 An amended Statement is required to be filed within 10 days of the change if any of the information reported on this
form changes. Failure to amend this form in a timely fashion may result in civil penalties of up to $500 to be assessed
according to the procedure described in §24.2-929 of the Code of Virginia.

Type of Statement

 Check the box that best fits the type of Statement your committee is submitting.

Campaign Committee’s Mailing Address

 Enter the name of the Campaign Committee (e.g. Friends of Candidate Smith).
 Enter the home mailing address for the candidate (this should be the same as where you are registered to vote).
 Enter the Campaign Committee’s primary mailing address (PO Boxes are acceptable.)
 Enter the Campaign Committee’s email address
 Enter the campaign’s primary daytime phone number.
 Enter the Campaign Website (if none, enter N/A)

Candidate Information

 Enter the full name of the candidate.


 Enter the county or city of the candidate’s residence.
 Enter the candidate’s Voter Identification #.
o This can be found on the candidate’s voter card or by calling SBE.
 Enter the email address of the Candidate (if one).
 Enter the Candidate’s daytime phone number.

Election Information

 Enter the office sought by the candidate and the district (if one).
 Enter the political party of the candidate (for candidates for statewide or General Assembly office, in the absence of a
political party please enter “Independent”).
 Enter the year of the office’s General Election.
o If seeking election to a Special Election, check the next box. Please note that you should not check this box
prior to the official calling of the Special Election.

(continued on next page)

Revised: January 1, 2012 SBE-947.1 Supersedes all previous versions


(Page 4 of 5)
Virginia State Board of Elections Commonwealth of Virginia

Instructions for Completing This Form

Treasurer Information
*The Treasurer must be a registered voter in Virginia.

 Enter the name of the Treasurer for the campaign committee.


 Enter the residence address for the Treasurer.
 Enter the candidate’s Voter Identification #.
o This can be found on the treasurer’s voter card or by calling SBE.
 Enter the email address of the Treasurer.
 Enter the Treasurer’s daytime phone number.

Campaign Depository

 Enter the names and addresses of the committee’s financial institutions.


*The committee’s depository must be in a financial institution within the Commonwealth.

Filing Method

 Enter whether the candidate campaign committee intends to file all of their campaign finance disclosure reports
electronically.

o Electronic Filing Option


https://externalapplication
If you choose to file electronically, log into the following Web site address: ___________

o Approved Vendor Option


If you choose to contract with a private company, SBE recommends that you use an “Approved
Vendor.” These companies meet SBE’s standards for the transmission of electronic reports. Although
you are free to use any company you wish, we cannot guarantee that the company you choose will
comply completely with SBE’s standards. As a result, your committee may end up paying fines for
incomplete, late or un-filed reports. For a list of “Approved Vendors” please visit our website:
http://www.sbe.virginia.gov/

Signatures

 The candidate must read the agreement and sign the form accepting the conditions of the agreement.
 The treasurer must read the agreement and sign the form accepting the conditions of the agreement.

Revised: January 1, 2012 SBE-947.1 Supersedes all previous versions


(Page 5 of 5)

You might also like