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1
Running for President in Arizona – A Candidate Guide
Arizona Secretary of State’s Office
Election Services Division
1700 W. Washington St., 7th Floor
Phoenix, Arizona 85007
Financial Disclosure
Statements
January 2018
2
Department of State, Office of the Secretary of State
Election Services Division
About this publication >>
“Financial Disclosure
Statements” is a publication of
the Department of State,
Office of the Secretary of
State, Election Services
Division.
© 2018 by the Election
Services Division. All rights
reserved. No part of this book
may be reproduced or
transmitted in any form or by
any means for a commercial
purpose.
The office strives for accuracy
in our publications. If you find
an error, please contact us at
(602) 542-8683.
Disclaimer >>
The Office cannot offer legal
advice or otherwise offer
recommendations on
document preparation. The
Office advises consultation
with an attorney in such cases.
Contact us >>
Mailing address for all
correspondence or filings:
The Honorable Michele Reagan
Secretary of State
1700 W. Washington Street, Fl. 7
Phoenix, AZ 85007-2808
Attention: Election Services
Telephone: (602) 542-8683
Toll Free: (in Arizona)
1 (877) 843-8683
Fax: (602) 542-6172
TDD: (602) 255-8683
Web site: www.azsos.gov
e-mail: elections@azsos.gov
The office of the Secretary of
State is an equal opportunity
employer. Requests for
reasonable alternate formats
and/or accommodations can
be made five days in advance
by contacting the Secretary of
State coordinator at (602) 542-
8683.
An Introduction from Secretary of State Michele Reagan
This Guide answers the most common questions about Financial Disclosure
Statements in Arizona. Who is required to file a Financial Disclosure
Statement? What if a lawmaker was recently elected and didn’t serve in office
during the previous year? What types of judges are required to file a Financial
Disclosure Statement with the Secretary of State’s office? These answers and
more are found in the pages that follow.
Please note, for 2018 the Secretary of State’s office has published a revised
Financial Disclosure Statement to include a “Travel-Related Expenses” category,
which was added by Laws 2016, Ch. 196, § 2. The 2018 Financial Disclosure
Statement is a fillable PDF form, and must be returned to the Secretary of
State’s Office via email to financialdisclosure@azsos.gov.
If you have any questions after reading this Guide, please contact the Secretary
of State’s office.
Sincerely,
MICHELE REAGAN
Arizona Secretary of State
3
Department of State, Office of the Secretary of State
Election Services Division
Table of Contents
Common Questions and Answers ............................................................................................................................ 4
1. Who must file a Financial Disclosure Statement? ................................................................................................................................ 4
2. Do local public officers and candidates have to file Financial Disclosure Statements? ..................................................... 4
3. When do I have to file my Annual Financial Disclosure Statement? ......................................................................................... 5
4. Do lobbyist gifts have to be reported? ....................................................................................................................................................... 5
5. Where do I get a Financial Disclosure Statement? ............................................................................................................................... 5
6. What laws govern Financial Disclosure Statements? .......................................................................................................................... 6
7. What is the penalty for failing to file a Financial Disclosure Statement? ................................................................................ 6
8. Where do I file my Financial Disclosure Statement? .......................................................................................................................... 6
Arizona Revised Statutes ................................................................................................................................................ 7
Arizona Supreme Court Administrative Orders ............................................................................................ 11
Arizona Code of Judicial Administration .......................................................................................................... 12
Arizona Code of Judicial Conduct ........................................................................................................................ 13
Sample Financial Disclosure Statement ............................................................................................................... 14
4
Department of State, Office of the Secretary of State
Election Services Division
Common Questions and Answers
1. Who must file a Financial Disclosure Statement?
If at any time during the past calendar year you held one of the positions listed below (even for a day),
you must file a Financial Disclosure Statement with the Secretary of State:
a statewide officer, whether elected or appointed
1
a member of the Arizona legislature, whether elected or appointed
2
a justice or judge of the Arizona Supreme Court, Arizona Court of Appeals or superior court,
whether elected or appointed
3
a full-time judge pro tempore, commissioner, or juvenile hearing officer serving the appellate
courts or the superior court
4
The filing requirement applies even if you resigned, retired, or left office for any reason during the
previous year. You are still obligated to file a Financial Disclosure Statement that covers the entire calendar
year.
The filing requirement equally applies to those who “qualified” as a public officer during the past
calendar year as well, which encompasses newly-elected and newly-appointed officials.
5
In other words, public
officers who were elected or appointed in the previous calendar year, but have not yet taken office in the
current year, are still obligated to file a Financial Disclosure Statement.
Finally, if you are a candidate for a statewide or legislative office, you must also file a Financial
Disclosure Statement with the Secretary of State at the same time your nomination paper is filed in late May or
early June of your election year.
6
Filing a candidate-related Financial Disclosure Statement does not obviate the
need to also file an annual Financial Disclosure Statement in accordance with the deadlines outlined below.
2. Do local public officers and candidates have to file Financial Disclosure
Statements?
Yes, but local Financial Disclosure Statement forms are tailored to local needs. State law requires
counties and incorporated cities and towns to adopt their own standards for Financial Disclosure Statements.
7
Check with the clerk or the filing office where candidates file nomination papers in your jurisdiction for more
information.
1
A.R.S. § 38-541(8).
2
A.R.S. § 38-541(8).
3
A.R.S. § 38-541(8). Supreme Court justices are not expressly mentioned in statute, but are required to file Financial Disclosure Statements
by virtue of Ariz. Code of Jud. Conduct, Rule 3.15.
4
Ariz. Supr. Ct. Admin Order 2012-93; Ariz. Code Jud. Admin. § 1-307.
5
A.R.S. § 18-444(D).
6
A.R.S. § 38-543.
7
A.R.S. § 38-545.
5
Department of State, Office of the Secretary of State
Election Services Division
3. When do I have to file my Annual Financial Disclosure Statement?
Public Officers. If you were a public officer at any time during a calendar year, you must file an
annual Financial Disclosure Statement between January 1st and January 31st of the following calendar year.
A public officer whose final term expires less than 31 days into the immediately following calendar
year may file their final Financial Disclosure Statement between January 1st and January 31st of the year in
which they leave office.
8
In other words, for those public officers whose final term will end in January, your
annual Financial Disclosure Statement should cover the entire previous calendar year and include any financial
activity from January 1st of the current year through the date you officially leave office. This allows departing
public officers to take care of all remaining reporting obligations at once.
Newly-Appointed Public Officers. If you are newly appointed (whether as a judicial official or to fill a
vacancy in a statewide or a legislative office), you must file a Financial Disclosure Statement within 60 days of
the date you take office.
9
That Financial Disclosure Statement should cover the previous consecutive 12-month
period, ending with the last full month prior to the date of taking office.
Annual Financial Disclosure Statements still must be filed as well. If a public officer was appointed in
January, he or she need only file one Financial Disclosure Statement because both the previous 12-month and
annual reporting obligations will be satisfied. Otherwise, a public officer must file an annual Financial
Disclosure Statement in January even if he or she recently filed a Financial Disclosure Statement upon
appointment late in the previous calendar year.
Candidates for Public Office and Superior Court. If you are a candidate for a statewide or legislative
office, or for a judgeship on the Superior Court in a county where judges are elected, you must file a Financial
Disclosure Statement at the same time you file your nomination paper.
10
This candidate-related Financial
Disclosure Statement covers the 12 months prior to the date that a candidate files a nomination paper.
11
If you are applying for merit selection to the Superior Court, you do not need to file a Financial
Disclosure Statement.
4. Do lobbyist gifts have to be reported?
Gifts (as defined in A.R.S. § 38-541(5)) must be reported in a Financial Disclosure Statement even if they
were provided by a lobbyist who properly reported those gifts in lobbyist reports.
5. Where do I get a Financial Disclosure Statement?
State Public Officers. State public officers may request a Financial Disclosure Statement from the
Secretary of State’s office or download the form at http://go.azsos.gov/financialdisclosure.
Statewide and Legislative Candidates for Public Office. Statewide and legislative candidates for
8
A.R.S. § 18-444(D).
9
A.R.S. § 18-444(D).
10
A.R.S. § 38-543.
11
A.R.S. § 38-543.
6
Department of State, Office of the Secretary of State
Election Services Division
public office are required to submit their Financial Disclosure Statement via the Secretary of State’s Candidate
Portal, available at: http://go.azsos.gov/candidateportal.
Local Public Officers and Candidates. Local public officers and candidates should contact the
appropriate clerk or election filing office for information on obtaining a local Financial Disclosure Statement.
The forms provided by the Secretary of State may not necessarily be acceptable to those filing offices.
6. What laws govern Financial Disclosure Statements?
Arizona Revised Statutes § 18-444, § 38-541, and §§ 38-543 to 38-545 govern Financial Disclosure
Statements for public officers.
The Arizona Code of Judicial Conduct, Rule 3.15, Arizona Code of Judicial Administration, § 1-307, and
Arizona Supreme Court Administrative Order 2012-93 further govern Financial Disclosure Statements by
Arizona justices, judges and full-time judge pro tems, commissioners, and juvenile hearing officers.
Counties, cities and towns may have additional ordinances, rules, resolutions or regulations that govern
the filing of Financial Disclosure Statements by their public officers and candidates.
7. What is the penalty for failing to file a Financial Disclosure Statement?
Upon referral by the Secretary of State, the Attorney General enforces the filing requirement against
public officers who fail to file by the deadline.
12
Enforcement may include a civil penalty of $50 for each day
the Statement is late (up to $500) until it is filed.
13
In addition, any public officer or candidate found to have
knowingly filed an incomplete or a false Financial Disclosure Statement may be found guilty of a class 1
misdemeanor.
14
Please note, the Secretary of State’s office may refuse to accept a nomination paper from a candidate
who fails to file a candidate-related Financial Disclosure Statement.
15
If you are a candidate in a county, city or
town that requires Financial Disclosure Statements, your filing officer may likewise refuse to accept your
nomination packet.
8. Where do I file my Financial Disclosure Statement?
If you are a state public officer discussed in Question 1 above, you must electronically file your annual
Financial Disclosure Statement by emailing it to financial.disclosure@azsos.gov. The form must be submitted in
PDF format. If you require more space for any particular disclosure item, please attach the information as an
appendix to the document you submit. Wet or notarized signatures are no longer necessary, and either a
typewritten or electronically-generated signature will be accepted.
16
Since recent statutory changes may have
affected the content of the form, please ensure you file the most current form in existence.
If you are a local public officer, please contact your clerk or election office for information on where to
file.
12
A.R.S. § 38-544(B) (indicating the violations will be enforced according to the same standards as campaign finance complaints); see also
A.R.S. §§ 16-937 to 16-938 (campaign finance enforcement provisions).
13
A.R.S. § 38-544(B).
14
A.R.S. § 38-544(A).
15
A.R.S. § 16-311(H)(1).
16
A.R.S. § 18-444(E)-(F).
7
Department of State, Office of the Secretary of State
Election Services Division
Arizona Revised Statutes
§ 18-444. Duty to file financial
disclosure statement; contents;
exceptions
A. In addition to other statements and reports
required by law, every public officer, as a matter of
public record, shall file with the secretary of state
on a form prescribed by the secretary of state a
verified financial disclosure statement covering the
preceding calendar year. The statement shall
disclose:
1. The name and home or work address of the
public officer, whether the public officer's spouse is
a member of the public officer's household, the
number of minor children who are members of the
public officer's household and all names and
addresses under which each does business. If
disclosure of the identity of the public officer's
spouse or minor child would otherwise be required,
a public officer may comply with the identification
requirement by using the term “spouse” or “minor
child”, as applicable.
2. The name and address of each employer and of
each other source of compensation other than gifts
amounting to more than one thousand dollars
received during the preceding calendar year by the
public officer and members of his household in
their own names, or by any other person for the
use or benefit of the public officer or members of
his household, a description of the services for
which the compensation was received and the
nature of the employer's business. This paragraph
shall not be construed to require the disclosure of
individual items of compensation that constituted a
portion of the gross income of the business from
which the public officer or members of his
household derived compensation.
3. For a controlled business, a description of the
goods or services provided by the business, and if
any single source of compensation to the business
during the preceding calendar year amounts to
more than ten thousand dollars and is more than
twenty-five percent of the gross income of the
business, the disclosure shall also include a
description of the goods or services provided to the
source of compensation. For a dependent business
the statement shall disclose a description of the
goods or services provided by the business and a
description of the goods or services provided to the
source of compensation from which the dependent
business derived the amount of gross income
described in § 38-541, paragraph 4. If the source of
compensation for a controlled or dependent
business is a business, the statement shall disclose a
description of the business activities engaged in by
the source of compensation.
4. The names and addresses of all businesses and
trusts in which the public officer or members of his
household, or any other person for the use or
benefit of the public officer or members of his
household, had an ownership or beneficial interest
of over one thousand dollars at any time during the
preceding calendar year, and the names and
addresses of all businesses and trusts in which the
public officer or any member of his household held
any office or had a fiduciary relationship at any
time during the preceding calendar year, together
with the amount or value of the interest and a
description of the interest, office or relationship.
5. All Arizona real property interests and real
property improvements, including specific location
and approximate size, in which the public officer,
any member of his household or a controlled or
dependent business held legal title or a beneficial
interest at any time during the preceding calendar
year, and the value of any such interest, except that
this paragraph does not apply to a real property
interest and improvements thereon used as the
primary personal residence or for the personal
recreational use of the public officer. If a public
officer, any member of his household or a
controlled or dependent business acquired or
divested any such interest during the preceding
calendar year, he shall also disclose that the
transaction was made and the date it occurred. If
the controlled or dependent business is in the
business of dealing in real property interests or
improvements, disclosure need not include
individual parcels or transactions as long as the
8
Department of State, Office of the Secretary of State
Election Services Division
aggregate value of all parcels of such property is
reported.
6. The names and addresses of all creditors to
whom the public officer or members of his
household, in their own names or in the name of
any other person, owed a debt of more than one
thousand dollars or to whom a controlled business
or a dependent business owed a debt of more than
ten thousand dollars which was also more than
thirty percent of the total business indebtedness at
any time during the preceding calendar year, listing
each such creditor. This paragraph shall not be
construed to require the disclosure of debts owed
by the public officer or any member of his
household resulting from the ordinary conduct of a
business other than a controlled or dependent
business nor shall disclosure be required of credit
card transactions, retail installment contracts, debts
on residences or recreational property exempt from
disclosure under paragraph 5 of this subsection,
debts on motor vehicles not used for commercial
purposes, debts secured by cash values on life
insurance or debts owed to relatives. It is sufficient
disclosure of a creditor if the name and address of a
person to whom payments are made is disclosed. If
the public officer, any member of his household or
a controlled or dependent business incurred or
discharged a debt which is reportable under this
subsection during the preceding calendar year, the
report shall disclose that the transaction was made
and the date it occurred.
7. The identification and amount of each debt
exceeding one thousand dollars owed at any time
during the preceding calendar year to the public
officer and members of his household in their own
names, or to any other person for the use or benefit
of the public officer or any member of his
household. The disclosure shall include the
identification and amount of each debt exceeding
ten thousand dollars to a controlled business or
dependent business which was also more than
thirty percent of the total indebtedness to the
business at any time during the preceding calendar
year. This paragraph shall not be construed to
require the disclosure of debts from the ordinary
conduct of a business other than a controlled or
dependent business. If the public officer, any
member of his household or a controlled or
dependent business incurred or discharged a debt
which is reportable under this subsection during
the preceding year, the report shall disclose that the
transaction was made and the date it occurred.
8. The name of each source of any gift, or
accumulated gifts from a single source, of more
than five hundred dollars received by the public
officer and members of his household in their own
names during the preceding calendar year, or by
any other person for the use or benefit of the
public officer or any member of his household
except gifts received by will or by virtue of intestate
succession, or received by way of distribution from
any inter vivos or testamentary trust established by
a spouse or by an ancestor, or gifts received from
any other member of the household or relatives to
the second degree of consanguinity.
9. A list of all business licenses issued to, held by or
in which the public officer or any member of his
household had an interest at any time during the
preceding calendar year, including the name in
which the license was issued, the type of business
and its location.
10. A list of all bonds, together with their value,
issued by this state or any political subdivision of
this state and held at any time during the preceding
calendar year by the public officer or any member
of his household, which bonds issued by a single
entity had a value in excess of one thousand
dollars. If the public officer or any member of his
household acquired or divested any bonds during
the preceding calendar year which are reportable
under this paragraph, the fact that the transaction
occurred and the date shall also be shown.
11. The name of each meeting, conference or other
event where the public officer is participating in the
public officer's official capacity if travel-related
expenses of one thousand dollars or more were
incurred on behalf of the public officer and the
travel-related expenses are not paid by the public
officer.
B. If an amount or value is required to be reported
pursuant to this section, it is sufficient to report
whether the amount or value of the equity interest
falls within:
1. Category 1, one thousand dollars to twenty-five
thousand dollars.
2. Category 2, more than twenty-five thousand
dollars to one hundred thousand dollars.
3. Category 3, more than one hundred thousand
dollars.
9
Department of State, Office of the Secretary of State
Election Services Division
C. This section does not require the disclosure of
any information that is privileged by law.
D. The statement required to be filed pursuant to
subsection A shall be filed by all persons who
qualified as public officers at any time during the
preceding calendar year on or before January 31 of
each year with the exceptions that a public officer
appointed to fill a vacancy shall, within sixty days
following his taking of such office, file a financial
disclosure statement covering as his annual period
the twelve month period ending with the last full
month prior to the date of his taking office, and a
public officer whose final term expires less than
thirty-one days into the immediately following
calendar year may file the public officer's final
financial disclosure at the same time as the
disclosure for the last immediately preceding year.
E. The secretary of state shall prepare written
guidelines, forms and samples for completing the
financial disclosure statement required by this
section. A copy of the guidelines, forms and
samples shall be distributed to each public officer
and shall be made available to each candidate
required to file a financial disclosure statement
pursuant to § 38-543.
F. Beginning January 1, 2017, the statement required
to be filed in subsection D of this section may be
filed by the public officer in a form prescribed by
the secretary of state that includes authorization for
future filings to be submitted in an electronic
format. Any subsequent filings required to be filed
in subsection D of this section may be filed in an
electronic format as prescribed by the secretary of
state. Beginning January 1, 2017, any statements that
are required to be filed by a local public officer
pursuant to an ordinance, rule, resolution or
regulation adopted pursuant to § 38-545 may be
filed in an electronic format as prescribed by the
secretary of state.
§ 38-541. Definitions
In this chapter, unless the context otherwise
requires:
1. “Business” includes any enterprise, organization,
trade, occupation or profession, whether or not
operated as a legal entity or for profit, including
any business trust, corporation, partnership, joint
venture or sole proprietorship.
2. “Compensation” means anything of value or
advantage, present or prospective, including the
forgiveness of debt.
3. “Controlled business” means any business in
which the public officer or any member of his
household has an ownership or beneficial interest,
individually or combined, amounting to more than
a fifty percent interest.
4. “Dependent business” means any business in
which the public officer or any member of his
household has an ownership or beneficial interest,
individually or combined, amounting to more than
a ten percent interest, and during the preceding
calendar year the business received from a single
source more than ten thousand dollars and more
than fifty percent of its gross income.
5. “Gift” includes any gratuity, special discount,
favor, hospitality, service, economic opportunity,
loan or other benefit received without equivalent
consideration and not provided to members of the
public at large. Gift does not include:
(a) Travel-related expenses that are publicly
reported pursuant to this article.
(b) Political campaign contributions that are
publicly reported pursuant to title 16, chapter 6.
6. “Local public officer” means a person holding an
elective office of an incorporated city or town, a
county or a groundwater replenishment district
established under title 48, chapter 27.
1
7. “Member of household” means a public officer's
spouse and any minor child of whom the public
officer has legal custody.
8. “Public officer” means a member of the legislature
and any judge of the court of appeals or the
superior court, or a person holding an elective
office the constituency of which embraces the
entire geographical limits of this state. Members of
Congress are not public officers as defined in this
paragraph.
9. “Travel-related expenses” means any costs
associated with transportation, food, lodging and
registration fees and other expenses directly related
to travel to or from a meeting, conference or other
event where the public officer is participating in the
public officer's official capacity.
10
Department of State, Office of the Secretary of State
Election Services Division
§ 38-543. Duty to file financial
disclosure statement by candidate for
public office
A candidate for public office as specified in § 38-
541, paragraph 8 shall file a financial disclosure
statement covering the preceding twelve month
period and containing the information described in
§ 18-444 on a form prescribed by the secretary of
state at the time of filing of nomination papers.
§ 38-544. Violation; classification
A. Any public officer, local public officer or
candidate who knowingly fails to file a financial
disclosure statement required pursuant to § 18-444,
38-543 or 38-545, who knowingly files an
incomplete financial disclosure statement or who
knowingly files a false financial disclosure
statement is guilty of a class 1 misdemeanor.
B. Any public officer, local public officer or
candidate who violates this chapter is subject to a
civil penalty of fifty dollars for each day of
noncompliance but not more than five hundred
dollars that may be imposed as prescribed in §§ 16-
937 and 16-938.
§ 38-545. Local public officers financial
disclosure
Notwithstanding the provisions of any law, charter
or ordinance to the contrary, every incorporated
city or town or county shall by ordinance, rule,
resolution or regulation adopt standards of financial
disclosure consistent with the provisions of this
chapter applicable to local public officers.
11
Department of State, Office of the Secretary of State
Election Services Division
Arizona Supreme Court Administrative Orders
12
Department of State, Office of the Secretary of State
Election Services Division
Arizona Code of Judicial Administration
13
Department of State, Office of the Secretary of State
Election Services Division
Arizona Code of Judicial Conduct
Rule 3.15. Financial Reporting Requirements
(A) A judge shall file annually the financial disclosure statement required by A.R.S. § 38-542 or other applicable
law. The completion and filing of the annual financial disclosure statement fulfills the reporting requirements
set forth in this code.
(B) Reports made in compliance with this rule shall be filed as public documents in the office designated by
law.
COMMENT
1. The information required to be reported by Rules 3.12, 3.13, and 3.14 is a portion of the information that
must be included on the annual financial disclosure statement mandated by A.R.S. § 38-542 or other applicable
law. A judge is obligated to disclose fully and accurately all information requested on the annual disclosure
statement and does not fulfill the statutory obligation by reporting only the information required by Rules
3.12, 3.13, and 3.14. Applicable law requires sufficient disclosure of the financial interests of and gifts to a judge
and members of his or her household to promote judicial accountability and integrity.
2. To avoid needless repetition of disclosure requirements, the Arizona judiciary deems compliance with the
substantive legal requirement as sufficient to meet the ethical obligations of a judge and thus incorporates them
in this code.
3. Reimbursement of expenses from a judge's employer need not be reported under Rule 3.14(C) or Rule 3.15.
14
Department of State, Office of the Secretary of State
Election Services Division
Sample Financial Disclosure Statement
1
STATE FINANCIAL DISCLOSURE STATEMENT
(For use by all Public Officers and Candidates in the State of Arizona)
Name of Public Officer or Candidate:
I am a public officer filing this Financial Disclosure Statement covering the 12 months of calendar year 2017.
I have been appointed to fill a vacancy in a public office within the last 60 days and am filing this Financial Disclosure Statement covering the
12 month period ending with the last full month prior to the date I took office.
I am a public officer who has served in the last full year of my final term, which expires less than thirty-one days into calendar year 2018.
This is my final Financial Disclosure Statement covering the last 12 months plus the final days of my term for the current year.
I am a candidate for a public office, and am filing this Financial Disclosure Statement covering the 12 months preceding the date of
this statement, from the month of , to the month of .
VERIFICATION
I verify under penalty of perjury that the information provided in this Financial Disclosure Statement is true and correct.
Secretary of State Revision November 29, 2017
Signature of Public Officer or Candidate
Address: (Please note: this address is public information and not subject to redaction)
Public Office Held or Sought:
District / Division Number (if applicable):
Please check the appropriate box that reflects your service for this filing year:
(Digital and Typewritten signatures accepted)
Secretary of State Revision November 29, 2017 2
A. PERSONAL FINANCIAL INTERESTS
This section requires disclosure of your financial interests and/or the financial interests of the member(s) of your household.
1
1. Identification of Household Members and Business Interests
What to disclose: If you are married, is your spouse a member of your household? Yes No N/A (If not married/widowed, select N/A)
Are any minor children
2
members of your household? Yes (if yes, disclose how many ) No N/A (If no children, select N/A)
For the remaining questions in this Financial Disclosure Statement, the term “member of your household” or “household member” will be defined as
the person(s) who correspond to your “yes” answers above.
You are not required to disclose the names of your spouse or minor children when answering the questions below. Thus, you may identify your
household members as “spouse,” “minor child 1”, “minor child 2,” etc. Please note that if you choose to identify your spouse or minor children
by name, the Secretary of State’s Office or other local filing officer are not expected to redact that information when posting this Financial
Disclosure Statement on the internet or providing it in response to a public records request.
2. Sources of Personal Compensation
What to disclose: In subsection (2)(a), provide the name and address of each employer who paid you or any member of your household more than
$1,000 in salary, wages, commissions, tips or other forms of compensation (other than “gifts”) during the period covered by this report. Describe the
nature of each employer’s business and the type of services for which you or a member of your household were compensated.
In subsection (2)(b), if applicable, list anything of value that any other person (outside your household) received for your or a member of your
household’s use or benefit. For example, if a person was paid by a third-party to be your personal housekeeper, identify that person, describe the
nature of that person’s services that benefited you, and provide information about the third-party who paid for the services on your behalf.
You need not disclose income of a business, including money you or any member of your household received that constitutes income paid to
a business that you or your household member owns or does business as. This type of business income will be disclosed in Question 12 below.
1
If additional space is needed to report information on this Financial Disclosure Statement, please attach additional information as numbered exhibits.
2
Minor children include children 18 years old and younger over whom you have joint or sole legal custody.
2. (cont.)
Subsection (2)(a):
PUBLIC OFFICER OR HOUSEHOLD
MEMBER
3
BENEFITTED
N
AME AND ADDRESS OF EMPLOYER WHO
PROVIDED COMPENSATION > $1,000
N
ATURE OF EMPLOYER’S
BUSINESS
N
ATURE OF SERVICES PROVIDED BY PUBLIC OFFICER
OR
HOUSEHOLD MEMBER FOR EMPLOYER
Subsection (2)(b) (if applicable):
PUBLIC OFFICER OR HOUSEHOLD
MEMBER
3
BENEFITTED
N
AME AND
A
DDRESS OF
P
ERSON
W
HO
PROVIDED SERVICES VALUED OVER $1,000
FOR YOUR OR YOUR HOUSEHOLD MEMBER’S
USE OR BENEFIT
N
ATURE OF
S
ERVICES
PROVIDED BY PERSON FOR
YOUR OR YOUR HOUSEHOLD
MEMBER’S USE OR BENEFIT
NAME AND ADDRESS OF THIRD PARTY WHO PAID FOR
PERSON’S SERVICES ON YOUR OR YOUR H
OUSEHOLD
MEMBER’S BEHALF
3. Professional, Occupational and Business Licenses
What to disclose: List all professional, occupational or business licenses held by you or any member of your household at any time during
the period covered by this Financial Disclosure Statement.
This includes licenses in which you or a member of your household had an “interest,” which includes (but is not limited to) any business license held
by a “controlled” or “dependent” business as defined in Question 12 below.
3
You are not required to disclose the names of your spouse or minor children. Thus, you may identify your household members as “spouse,” “minor child 1”, “minor child 2,” etc.
Secretary of State Revision November 29, 2017 3
Secretary of State Revision November 29, 2017 4
3. (cont.)
PUBLIC OFFICER OR
HOUSEHOLD MEMBER
4
AFFECTED
T
YPE OF LICENSE PERSON OR ENTITY HOLDING THE LICENSE JURISDICTION OR ENTITY THAT ISSUED LICENSE
4. Personal Creditors
What to disclose: The name and address of each creditor to whom you or a member of your household owed a qualifying personal debt
5
over
$1,000 during any point during the period covered by this Financial Disclosure Statement.
Additionally, if the qualifying personal debt was either incurred for the first time or completely discharged (paid in full) during this period, list the date
and check the applicable box to indicate whether it was incurred or discharged. Otherwise, check the box for "N/A" if the debt was not first
incurred or fully discharged during the period covered by this Financial Disclosure Statement.
You need not disclose the following, which do not qualify as “personal debt”:
• Debts resulting from the ordinary conduct of a business (these will be disclosed in Section B below);
• Debts on any personal residence or recreational property;
• Debts on motor vehicles used primarily for personal purposes (not commercial purposes);
• Debts secured by cash values on life insurance;
• Debts owed to relatives;
• Personal credit card transactions or the value of any retail installment contracts you or your household member entered into.
4
You are not required to disclose the names of your spouse or minor children. Thus, you may identify your household members as “spouse,” “minor child 1”, “minor child 2,” etc.
5
A “qualifying” debt is a personal debt other than the types of debts in the bullet point list above.
4. (cont.)
PUBLIC OFFICER OR HOUSEHOLD MEMBER
4
OWING THE DEBT
N
AME AND ADDRESS OF CREDITOR (OR PERSON TO
WHOM PAYMENTS ARE MADE)
IF THE DEBT WAS FIRST INCURRED OR COMPLETELY
DISCHARGED DURING THIS REPORTING PERIOD, PROVIDE THE
DATE (MM/DD/YYYY) AND CHECK THE APPROPRIATE BOX
Date:
Incurred Discharged
Date:
Incurred Discharged
Date:
Incurred Discharged
5. Personal Debtors
What to disclose: The name of each debtor who owed you or a member of your household a debt over $1,000 at any time during the period
covered by this Financial Disclosure Statement, along with the approximate value of the debt by financial category.
Additionally, if the debt was either incurred for the first time or completely discharged (paid in full) during this period, list the date and check the box to
indicate whether it was incurred or discharged. Otherwise, check “N/A” (for “not applicable”) after the word “Date” if the debt was not first incurred or
fully discharged during the period covered by this Financial Disclosure Statement.
PUBLIC OFFICER OR
HOUSEHOLD MEMBER
6
OWED
THE
DEBT
N
AME OF DEBTOR
A
PPROXIMATE VALUE OF
DEBT
I
F THE DEBT WAS FIRST INCURRED OR COMPLETELY DISCHARGED
DURING THIS REPORTING PERIOD, PROVIDE THE DATE
(MM/DD/YYYY) AND CHECK THE APPROPRIATE BOX
$1,000 - $25,000
$25,001 - $100,000
$100,001 +
Date:
Incurred Discharged
$1,000 - $25,000
$25,001 - $100,000
$100,001 +
Date:
Incurred Discharged
$1,000 - $25,000
$25,001 - $100,000
$100,001 +
Date:
Incurred Discharged
6
You are not required to disclose the names of your spouse or minor children. Thus, you may identify your household members as “spouse,” “minor child 1”, “minor child 2,” etc.
Secretary of State Revision November 29, 2017 5
N/A
N/A
N/A
N/A
N/A
N/A
6. Gifts
What to disclose: The name of the donor who gave you or a member of your household a single gift or an accumulation of gifts during the preceding
calendar year with a cumulative value over $500, subject to the exceptions listed in the below “You need not
disclose” paragraph. A “gift” means a
gratuity (tip), special discount, favor, hospitality, service, economic opportunity, loan or other benefit received without adequate consideration
(reciprocal value) and not provided to members of the public at large (in other words, a personal benefit you or your household member received
without providing an equivalent benefit in return).
Please note: the concept of a “gift” for purposes of this Financial Disclosure Statement is separate and distinct from the gift restrictions outlined in
Arizona’s lobbying statutes. Thus, disclosure in a lobbying report does not relieve you or a member of your household’s duty to disclose gifts in this
Financial Disclosure Statement.
You need not disclose the following, which do not qualify as “gifts”:
• Gifts received by will;
• Gift received by intestate succession (in other words, gifts distributed to you or a household member according to Arizona’s intestate succession
laws, not by will);
• Gift distributed from an inter vivos (living) or testamentary (by will) trust established by a spouse or family member;
• Gifts received from any other member of the household;
• Gifts received by parents, grandparents, siblings, children and grandchildren; or
• Political campaign contributions reported on campaign finance reports.
PUBLIC OFFICER OR HOUSEHOLD MEMBER
7
WHO
RECEIVED GIFT(S) OVER $500
NAME OF GIFT DONOR
7
Y
ou are not required to disclose the names of your spouse or minor children. Thus, you may identify your household members as “spouse,” “minor child 1”, “minor child 2,” etc.
Secretary of State Revision November 29, 2017 6
7. Office, Position or Fiduciary Relationship in Businesses, Nonprofit Organizations or Trusts
What to disclose: The name and address of each business, organization, trust or nonprofit organization or association in which you or any member
of your household held any office, position, or fiduciary relationship during the period covered by this Financial Disclosure Statement, including a
description of the office, position or relationship.
PUBLIC OFFICER OR HOUSEHOLD MEMBER
7
HAVING THE REPORTABLE RELATIONSHIP
N
AME AND
A
DDRESS OF
B
USINESS
,
O
RGANIZATION
,
TRUST, OR NONPROFIT ORGANIZATION OR
ASSOCIATION
D
ESCRIPTION OF
O
FFICE
,
P
OSITION OR
F
IDUCIARY
RELATIONSHIP HELD BY THE PUBLIC OFFICER OR HOUSEHOLD
MEMBER
8. Ownership or Financial Interests in Businesses, Trusts or Investment Funds
What to disclose: The name and address of each business, trust, or investment fund in which you or any member of your household had an
ownership or beneficial interest of over $1,000 during the period covered by this Financial Disclosure Statement. This includes stocks, annuities,
mutual funds, or retirement funds. It also includes any financial interest in a limited liability company, partnership, joint venture, or sole proprietorship.
Also, check the box to indicate the value of the interest.
P
UBLIC
O
FFICER OR
H
OUSEHOLD
M
EMBER
8
HAVING THE INTEREST
N
AME AND
A
DDRESS OF
B
USINESS
,
T
RUST OR
INVESTMENT FUND
D
ESCRIPTION OF THE
B
USINESS
,
T
RUST OR
INVESTMENT FUND
A
PPROXIMATE
E
QUITY
VALUE OF THE INTEREST
$1,000 - $25,000
$25,001 - $100,000
$100,001 +
$1,000 - $25,000
$25,001 - $100,000
$100,001 +
$1,000 - $25,000
$25,001 - $100,000
$100,001 +
8
You are not required to disclose the names of your spouse or minor children. Thus, you may identify your household members as “spouse,” “minor child 1”, “minor child 2,” etc.
Secretary of State Revision November 29, 2017 7
Secretary of State Revision November 29, 2017
8
9. Ownership of Bonds
What to disclose: Bonds issued by a state or local government agency worth more than $1,000 that you or a member of your household held
during the period covered by this Financial Disclosure Statement. Also, check the box to indicate the approximate value of the bonds.
Additionally, if the bonds were either acquired for the first time or completely divested (sold in full) during this period, list the date and check the box
whether the bonds were acquired or divested. Otherwise, check “N/A” (for “not applicable”) after the word “Date” if the bonds were not first acquired
or fully divested during the period covered by this Financial Disclosure Statement.
P
UBLIC
O
FFICER OR
HOUSEHOLD MEMBER
8
ISSUED
BONDS
I
SSUING STATE OR LOCAL
GOVERNMENT AGENCY
A
PPROXIMATE VALUE OF
BONDS
I
F THE
B
ONDS
W
ERE
F
IRST
A
CQUIRED OR
C
OMPLETELY
DISCHARGED DURING THIS REPORTING PERIOD, PROVIDE THE
DATE (MM/DD/YYYY) AND CHECK THE APPROPRIATE BOX
$1,000 - $25,000
$25,001 - $100,000
$100,001 +
Date:
Acquired Divested
$1,000 - $25,000
$25,001 - $100,000
$100,001 +
Date:
Acquired Divested
$1,000 - $25,000
$25,001 - $100,000
$100,001 +
Date:
Acquired Divested
10. Real Property Ownership
What to disclose: Arizona real property (land) and improvements which was owned by you or a member of your household during the period
covered by this Financial Disclosure Statement, other than your primary residence or property you use for personal recreation. Also describe the
property’s location (city and state) and approximate size (acreage or square footage), and check the box to indicate the approximate value of the
land.
Additionally, if the land was either acquired for the first time or completely divested (sold in full) during this period, list the date and check the box to
indicate whether the land was acquired or divested. Otherwise, check “N/A” (for “not applicable”) if the land was not first acquired or fully divested
during the period covered by this Financial Disclosure Statement.
You need not disclose: Your primary residence or property you use for personal recreation.
N/A
N/A
N/A
10. (cont.)
P
UBLIC
O
FFICER OR
HOUSEHOLD MEMBER
9
THAT
OWNS LAND
L
OCATION AND APPROXIMATE SIZE
A
PPROXIMATE VALUE OF
LAND
I
F THE
L
AND
W
AS
F
IRST
A
CQUIRED OR
C
OMPLETELY
D
ISCHARGED
DURING THIS REPORTING PERIOD, PROVIDE THE DATE
(MM/DD/YYYY) AND CHECK THE APPROPRIATE BOX
$1,000 - $25,000
$25,001 - $100,000
$100,001 +
Date:
Acquired Divested
$1,000 - $25,000
$25,001 - $100,000
$100,001 +
Date:
Acquired Divested
$1,000 - $25,000
$25,001 - $100,000
$100,001 +
Date:
Acquired Divested
11. Travel Expenses
What to disclose: Each meeting, conference or other event during the period covered in this Financial Disclosure Statement where you
participated in your official capacity and travel-related expenses of $1,000 or more were paid on your behalf (or which you were reimbursed) for that
meeting, conference, or other event. “Travel-related expenses” include, but are not limited to, the value of transportation, meals, and lodging to
attend the meeting, conference, or other event.
You need not disclose: Any meeting, conference, or other event where paid or reimbursed travel-related expenses were less than $1,000 or your
personal monies were expended related to the travel.
NAME OF MEETING, CONFERENCE, OR EVENT ATTENDED IN
OFFICIAL CAPACITY AS PUBLIC OFFICER
L
OCATION AMOUNT OR VALUE OF TRAVEL COSTS
$1,000 - $25,000
$25,001 - $100,000
$100,001 +
$1,000 - $25,000
$25,001 - $100,000
$100,001 +
$1,000 - $25,000
$25,001 - $100,000
$100,001 +
9
Y
ou are not required to disclose the names of your spouse or minor children. Thus, you may identify your household members as “spouse,” “minor child 1”, “minor child 2,” etc.
Secretary of State Revision November 29, 2017 9
N/A
N/A
N/A
B. BUSINESS FINANCIAL INTERESTS
This section requires disclosure of any financial interests of a business owned by you or a member of your household.
12. Business Names
What to disclose: The name of any business under which you or any member of your household owns or did business under (in other words, if you
or your household member were self-employed) during the period covered by this Financial Disclosure Statement, which include any corporations,
limited liability companies, partnerships, sole proprietorships or any other type of business conducted under a trade name.
Also disclose if the named business is controlled or dependent. A business is “controlled” if you or any member of your household (individually or
combined) had an ownership interest that amounts to more than 50%. A business is classified as “dependent,” on the other hand, if: (1) you or any
household member (individually or combined) had an ownership interest that amounts more than 10%; and (2) the business received more than
$10,000 from a single source during the period covered by this Financial Disclosure Statement, which amounted to more than 50% of the business’
gross income for the period.
Please note: If the business was either controlled or dependent, check the box to indicate whether it was controlled or dependent in the last column
below. If the business was both controlled and dependent during the period covered by this Financial Disclosure Statement, check both boxes.
Otherwise, leave the boxes in the last column below blank.
P
UBLIC
O
FFICER OR
H
OUSEHOLD
M
EMBER
10
O
WNING THE
B
USINESS
NAME AND ADDRESS OF BUSINESS
C
HECK THE
A
PPROPRIATE
B
OX IF THE
B
USINESS IS
“C
ONTROLLED
”
BY OR
“D
EPENDENT
”
ON
Y
OU OR A
H
OUSEHOLD
M
EMBER
Controlled Dependent
Controlled Dependent
Controlled Dependent
Please note: If a business listed in the foregoing Question 12 was neither “controlled” nor “dependent” during the period covered by this
Financial Disclosure Statement, you need not complete the remainder of this Financial Disclosure Statement with respect to that business. If
none of the businesses listed in Question 12 were “controlled” or “dependent,” you need not complete the remainder of this Financial Disclosure
Statement.
10
You are not required to disclose the names of your spouse or minor children. Thus, you may identify your household members as “spouse,” “minor child 1”, “minor child 2,” etc.
Secretary of State Revision November 29, 2017 10
Secretary of State Revision November 29, 2017 11
13. Controlled Business Information
What to disclose: The name of each controlled business listed in Question 12 above, and the goods or services provided by the business.
If a single client or customer (whether a person or business) accounts for more than $10,000 and 25% of the business’ gross income during the
period covered by this Financial Disclosure Statement, the client or customer is deemed a “major client” and therefore you must describe what your
business provided to this major client in the third column below. Also, if the major client is a business, please describe the client’s type of business
activities in the final column below (but if the major client is an individual, write “N/A” for “not applicable” in the final column below).
If the business does not have a major client, write “N/A” for “not applicable” in the last two columns below.
You need not disclose: The name of any major client, or the activities of any major client that is an individual.
If you or your household member does not own a business, or if your or your household member’s business is not a controlled business, you may
leave this question blank.
NAME OF YOUR OR YOUR HOUSEHOLD
MEMBER’S CONTROLLED BUSINESS
G
OODS OR SERVICES PROVIDED BY THE
CONTROLLED BUSINESS
D
ESCRIBE WHAT YOUR BUSINESS
PROVIDES TO ITS MAJOR CLIENT
T
YPE OF BUSINESS ACTIVITIES OF THE
MAJOR CLIENT (IF A BUSINESS)
Secretary of State Revision November 29, 2017
12
14. Dependent Business Information
What to disclose: The name of each dependent business listed in Question 12 above, and the goods or services provided by the business.
If a single client or customer (whether a person or business) accounts for more than $10,000 and 25% of the business’ gross income during the
period covered by this Financial Disclosure Statement, the client or customer is deemed a “major client” and therefore you must describe what your
business provided to this major client in the third column below. Also, if the major client is a business, please describe the client’s type of business
activities in the final column below (but if the major client is an individual, write “N/A” for “not applicable” in the final column below).
If the business does not have a major client, write “N/A” for “not applicable” in the last two columns below. Likewise, if the dependent business is also
a controlled business, disclose the business only in Question 13 above and leave this question blank.
You need not disclose: The name of any major client, or the activities of any major client that is an individual.
If you or your household member does not own a business, or if your or your household member’s business is not a dependent business, you may
leave this question blank.
NAME OF YOUR OR YOUR HOUSEHOLD
MEMBER’S DEPENDENT BUSINESS
G
OODS OR SERVICES PROVIDED BY THE
DEPENDENT BUSINESS
D
ESCRIBE WHAT YOUR BUSINESS
PROVIDES TO ITS MAJOR CUSTOMER
T
YPE OF BUSINESS ACTIVITIES OF THE
MAJOR CUSTOMER (IF A BUSINESS)
Secretary of State Revision November 29, 2017
13
15. Real Property Owned by a Controlled or Dependent Business
What to disclose: Arizona real property (land) and improvements which was owned by a controlled or dependent business during the period
covered by this Financial Disclosure Statement. Also describe the property’s location (city and state) and approximate size (acreage or square
footage), and check the box to indicate the approximate value of the land. If the business is one that deals in real property and improvements,
check the box that corresponds to the aggregate value of all parcels held by the business during the period covered by this Financial Disclosure
Statement.
Additionally, if the land was either acquired for the first time or completely divested (sold in full) during this period, list the date and check whether the
land was acquired or divested. Otherwise, check “N/A” (for “not applicable”) if the land was not first acquired or fully divested during the period
covered by this Financial Disclosure Statement.
You need not disclose: If you or your household member does not own a business, or if your or your household member’s business is not a
dependent business, you may leave this question blank.
N
AME OF
C
ONTROLLED OR
DEPENDENT BUSINESS THAT
OWNS LAND
LOCATION AND APPROXIMATE SIZE
A
PPROXIMATE VALUE OF
LAND
I
F THE
L
AND
W
AS
F
IRST
A
CQUIRED OR
C
OMPLETELY
D
ISCHARGED
DURING THIS REPORTING PERIOD, PROVIDE THE DATE
(MM/DD/YYYY) AND CHECK THE APPROPRIATE BOX
$1,000 - $25,000
$25,001 - $100,000
$100,001 +
Date:
Acquired Divested
$1,000 - $25,000
$25,001 - $100,000
$100,001 +
Date:
Acquired Divested
$1,000 - $25,000
$25,001 - $100,000
$100,001 +
Date:
Acquired Divested
N/A
N/A
N/A
Secretary of State Revision November 29, 2017 14
16. Controlled or Dependent Business’ Creditors
What to disclose: The name and address of each creditor to which a controlled or dependent business owed more than $10,000, if that amount was
also more than 30% of the business’ total indebtedness at any time during the period covered by this Financial Disclosure Statement (“qualifying
business debt”).
Additionally, if the qualifying business debt was either incurred for the first time or completely discharged (paid in full) during this period, list the date
and check the box to indicate whether it was incurred or discharged. Otherwise, check “N/A” (for “not applicable”) after the word “Date” if the
business debt was not first incurred or fully discharged during the period covered by this Financial Disclosure Statement.
You need not disclose: If you or your household member does not own a business, or if your or your household member’s business is not a
controlled or dependent business, you may leave this question blank.
NAME OF CONTROLLED OR DEPENDENT BUSINESS
OWING THE QUALIFYING DEBT
N
AME AND ADDRESS OF CREDITOR (OR PERSON TO
WHOM PAYMENTS ARE MADE)
I
F THE
D
EBT
W
AS
F
IRST
I
NCURRED OR
C
OMPLETELY
DISCHARGED DURING THIS REPORTING PERIOD, PROVIDE THE
D
ATE
(MM/DD/YYYY)
AND
C
HECK THE
A
PPROPRIATE
B
OX
Date:
Incurred Discharged
Date:
Incurred Discharged
Date:
Incurred Discharged
N/A
N/A
N/A
11
You are not required to disclose the names of your spouse or minor children. Thus, you may identify your household members as “spouse,” “minor child 1”, “minor child 2,” etc.
Secretary of State Revision November 29, 2017 15
17. Controlled or Dependent Business’ Debtors
What to disclose: The name of each debtor who owed more than $10,000 to a controlled or dependent business, if that amount was also more than
30% of the total indebtedness owed to the controlled or dependent business at any time during the period covered by this Financial Disclosure
Statement (“qualifying business debt”). Also check the box to indicate the approximate value of the debt by financial category.
Additionally, if the qualifying business debt was either incurred for the first time or completely discharged (paid in full) during this period, list the date
and check the box to indicatewhether it was incurred or discharged. Otherwise, check “N/A” (for “not applicable”) if the business debt was not first
incurred or fully discharged during the period covered by this Financial Disclosure Statement.
You need not disclose: If you or your household member does not own a business, or if your or your household member’s business is not
a controlled or dependent business, you may leave this question blank.
PUBLIC OFFICER OR
HOUSEHOLD MEMBER
11
OWED
THE
DEBT
N
AME OF DEBTOR
A
PPROXIMATE VALUE OF
DEBT
IF THE DEBT WAS FIRST INCURRED OR COMPLETELY DISCHARGED
DURING THIS REPORTING PERIOD, PROVIDE THE DATE
(MM/DD/YYYY) AND CHECK THE APPROPRIATE BOX
$1,000 - $25,000
$25,001 - $100,000
$100,001 +
Date:
Incurred Discharged
$1,000 - $25,000
$25,001 - $100,000
$100,001 +
Date:
Incurred Discharged
$1,000 - $25,000
$25,001 - $100,000
$100,001 +
Date:
Incurred Discharged
N/A
N/A
N/A
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2018 Financial Disclosure Statement Guide (Navajo County)

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Completed 9 August 2020

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