County and Metro Township Candidates & Office Holders Statement of Organization

Candidate Information

First Jenny

Middle

Last Wilson

Suffix

Work Phone (xxx) xxx-xxxx

Cell Phone (xxx) xxx-xxxx

Home Phone (xxx) xxx-xxxx

Office Council

District #/County At Large A

Party Democratic

Street Address XXXXXXXXXX

Suite/PO Box XXXXXXXXXX

City XXXXXXXXXX

State XX

Zip 000000

Date Created 1/23/2017

Personal Campaign Committee Secretary

Name of Secretary

First Weston

Middle

Last Clark

Suffix

Work Phone (xxx) xxx-xxxx

Work Phone (xxx) xxx-xxxx

Work Phone (xxx) xxx-xxxx

Street Address XXXXXXXXXX

Suite/PO Box XXXXXXXXXX

City XXXXXXXXXX

State XX

Zip 000000

Personal Campaign Committee Members

Name of Committee Member

First Maryann

Middle

Last Martindale

Suffix

Work Phone (xxx) xxx-xxxx

Cell Phone (801) 557-1532

Home Phone

Street Address XXXXXXXXXX

Suite/PO Box XXXXXXXXXX

City XXXXXXXXXX

State XX

Zip 000000