MONAE L. JOHNSON


Welcome, Guest!

The Treasurer for a political committee shall file a statement of organization not later than 15 days after the date upon which the committee made contributions, received contributions, or paid expenses in excess of $500.00. However, if such activity falls within 30 days of any statewide election, the statement of organization shall be filed within 48 hours. A candidate shall file a statement of organization for a candidate campaign not later than 15 days after becoming a candidate (SDCL 12-27-3; SDCL 12-27-23). The treasurer of a political committee shall file an updated statement of organization not later than fifteen days after ANY change in the information on this statement.

 

If you are required to file with your local jurisdiction (county, school or municipality: candidate, ballot question committees and PACs) contact your local election official for the necessary form(s).



If you are submitting this Statement to the Secretary of State's office choose a Committee Type below.

Committee Type (you must select one):

Auxiliary Political Party

County Political Party

Statewide Political Party
Statewide Ballot Question Committee

Statewide Political Action Committee (PAC)
Statewide Candidate Committee

Legislative Candidate Committee
 
Committee Information
(ALL fields required unless indicated otherwise):

only ONE candidate campaign committee may be organized for each candidate (SDCL 12-27-1 (3))
Exception: a candidate can have both a statewide and legislative committee.


Full Name of Committee

 

Telephone Number

 

Committee Mailing Address

 

City

 

State

State
 

Zip

   

Check here if the Committee Mailing and Street Addresses are the same

Committee Street Address

 

City

 

State

State
 

Zip

   

Committee website address (optional)

 

Chair (Candidate can serve as Chair of their Committee)

First Name

 

Last Name

 

Telephone Number

 

Mailing Address

 

City

 

State

State
 

Zip

   

Check here if the Chairperson Mailing and Street Addresses are the same

Street Address

 

City

 

State

State
 

Zip

   

Email Address

   

Email Address (again to confirm)

 

Check here if this committee will have a co-chair

 

Check this box if Chair is also serving as Treasurer. If the same, you will not fill out the Treasurer fields.

*The Treasurer is responsible for filing all campaign finance reports and forms. Letters and notices, sent by the Secretary of State’s office, will go to the Treasurer only.

Treasurer*

First Name

 

Last Name

 

Telephone Number

 

Mailing Address

 

City

 

State

State
 

Zip

   

Check here if the Treasurer Mailing and Street Addresses are the same

Street Address

 

City

 

State

State
 

Zip

   

Email Address

   

Email Address (again to confirm)

 
 

Verification below must be ACKNOWLEDGED BEFORE SUBMITTING this Statement

No person may execute this report knowing it is false in any material respect. Any violation may be subject to a civil and/or criminal penalty. Any person who, with intent to defraud, falsely makes, completes, or alters a written instrument of any kind, or passes any forged instrument of any kind is guilty of forgery. Forgery is a Class 5 felony (SDCL 22-39-36). I also understand that failure to timely file any statement, amendment, or correction required subjects the Treasurer, who is responsible for filings under SDCL 12-27, to a civil penalty of $200.00 (county political parties and auxiliary organizations, $50.00) for each violation (SDCL 12-27-29.1). Additional penalties not to exceed $250.00 could be assessed per SDCL 12-27-29.4. I also understand that failure to timely file reports or pay penalties could result in the candidate not being certified for office (SDCL 12-27-29.3).



Please check this box to acknowledge that you have read the above statement, which, for purposes of online filing,
will count as a signature.

(Treasurer),

(Chair or Candidate),

certify that I have examined this report and to the best of my knowledge and belief it is true, correct and complete. I also understand that failure to timely file any statement, amendment, or correction required subjects the Treasurer responsible for filing to an administrative penalty of ten dollars (county political parties only) or fifty dollars per day for each day that the statement remains delinquent (SDCL 12-27-29.1).



Date:

 
     

Signature of Treasurer

Date:

 
     

Signature of Chair or Candidate


12-27-49. Effect of secretary of state's filing or refusing to file document. The Office of the Secretary of State's duty to file a document under this chapter is ministerial. If the Office of the Secretary of State files or refuses to file a document, it does not:
    (1) Affect the validity or invalidity of the document in whole or part;
    (2) Relate to the correctness or incorrectness of information contained in the document; or
    (3) Create a presumption that the document is valid or invalid or that information contained in the document is correct or incorrect.
 

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