LEGISLATIVE LEADERSHIP COMMITTEE - FORM D-5NNOTICE OF MEMBERSHIPNEW JERSEY ELECTION LAW ENFORCEMENT COMMISSION P.O. Box 185, Trenton, NJ 08625-0185 (609) 292-8700 or Toll Free Within NJ 1-888-313-ELEC (3532) Website: www.elec.nj.govCommittee NameELEC Identification NumberChairperson NameMailing AddressCityStateZip Code*Day Telephone*Evening TelephoneVice-Chairperson NameMailing AddressCityStateZip Code*Day Telephone*Evening TelephoneLIST THE NAME(S), MAILING ADDRESS(ES) AND TELEPHONE NUMBER(S) OF ALL OTHER MEMBERS OF THE LEGISLATIVE LEADERSHIP COMMITTEENameMailing AddressCityState*Day Telephone*Evening TelephoneZip CodeNameMailing AddressCityStateZip Code*Day Telephone*Evening TelephoneNameMailing AddressCityStateZip Code*Day Telephone*Evening TelephoneTREASURER CERTIFICATION: I certify that the statements on this document are true and correct. I am aware that if any of the statements are willfully false, I am subject to punishment.Registration NumberPINTreasurerDateTreasurers for Legislative Leadership Committees are required to receive training with the NJ ELEC. If you have completed the training enter your Treasurer Training ID# *Leave this field blank if your telephone number is unlisted. Pursuant to N.J.S.A. 47:1A-1.1, an unlisted telephone number is not a public record and must not be provided on this form.New Jersey Election Law Enforcement CommissionPage 1 of 2sForm D-5N Revised Jun. 2021
LIST THE NAME(S), MAILING ADDRESS(ES) AND TELEPHONE NUMBER(S) OF ALL OTHER MEMBERS OF THE LEGISLATIVE LEADERSHIP COMMITTEE (continued)NameMailing AddressCityState*Day Telephone*Evening TelephoneZip CodeNameMailing AddressCityStateZip Code*Day Telephone*Evening TelephoneNameMailing AddressCityStateZip Code*Day Telephone*Evening TelephoneNameMailing AddressCityState*Day Telephone*Evening TelephoneZip CodeNameMailing AddressCityStateZip Code*Day Telephone*Evening TelephoneNameMailing AddressCityStateZip Code*Day Telephone*Evening TelephoneNameMailing AddressCityStateZip Code*Day Telephone*Evening TelephoneNameMailing AddressCityStateZip Code*Day Telephone*Evening TelephoneNew Jersey Election Law Enforcement CommissionPage 2 of 2sForm D-5N Revised Jun. 2021
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