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<br />Statement of Organization for Candidate Committee <br /> <br />SEL 220 <br /> <br />rev 12/07: 0 RS 260.037, <br />OAS 260,039, ORS 260,04' <br /> <br />Filing a New Committee:This form, along with the Campaign Account Information form (SEL 223), must be completed and <br />filed within 3 business days of first receiving a contribution or making an expenditure.The 1I0riginal" box should be marked on both <br />forms. A date stamped copy of this form, which includes the committee's identification number, will be returned to the candidate or <br />treasurer as an acknowledgment of the filing. <br /> <br />A candidate may have only one Candidate Committee. <br /> <br />1 <br /> <br />A Candidate Who Serves as theTreasurer: A candidate may either serve as the candidate's own treasurer or <br />may appoint a separate treasurer. A candidate who serves as their own treasurer, does not have an existing candidate's <br />committee and does not expect to receive or spend more than $300 for a calendar year is not required to establish <br />a campaign account, file a Statement of Organization or file transactions. However, if at any time the candidate exceeds <br />$300 in either contributions or expenditures in a calendar year, the candidate must then establish a campaign account file <br />a Statement of Organization and file contribution and expenditure transactions. <br /> <br />Amending Information on this Form: Any change in the information on this form must be filed within 10 days of <br />the change.To notify the Elections Division of a change in information, submit this form, completed in its entirety, and mark the <br />nAmendment" box. An amended SEL 223 should not be filed unless the information on that form also changes. <br /> <br />Discontinuing: A candidate may discontinue their committee by disclosing all transactions that achieve a zero balance <br />and filing a completed SEL 220 with the "Discontinuation" box marked. <br /> <br />please type or print legibly in black ink <br /> <br />This filing is an: <br /> <br />o Original <br /> <br />OAmendment <br /> <br />o Discontinuation <br /> <br />J, name of committee If changing committee name, please include former name. <br /> <br />committee address street/route, city, state, zip code; no post office box numbers <br /> <br />campaign phone <br /> <br />.J. name of treasurer <br /> <br />o Mr 0 Ms <br /> <br />maili n9 address for committee correspondence street/route, city, state, zip code <br /> <br />work phone <br /> <br />home phone <br /> <br />fax <br /> <br />email address <br /> <br />J.. name of alternate transaction filer <br /> <br />o Mr 0 Ms <br /> <br />maili ng address for altern ate transaction filer street/route, city, state, zip code <br /> <br />email address <br /> <br />J.. name of person designated to receive notices sent under ORS chapters 246-260 <br /> <br />o Mr 0 Ms <br /> <br />mailing address for person designated to receive notices street/route, city, state, zip code <br /> <br />emaH address <br /> <br />..{, name of candidate <br /> <br />o Mr 0 Ms <br /> <br />ca ndidate address street/route, city, state, zip code; no post office box numbers <br /> <br />mailing address for candidate correspondence <br /> <br />work phone <br /> <br />home phone <br /> <br />fax <br /> <br />email address <br /> <br />continued on the reverse side of this form <br /> <br />SEL 220 <br />