FORM RC-2RECALL COMMITTEE - REGISTRATION STATEMENTNEW 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.govRecall Committee NameStreet AddressCityStateZip Code*Day Telephone*Evening Telephone(Optional)Committee Email(Optional)Committee WebsiteElection Type:MunicipalityCountyRecall Election DateGENERAL ORGANIZATIONAL CATEGORY OR AFFILIATION: (SELECT ONE)List the name and resident address of a New Jersey resident who has been designated by the recallcommittee as the agent of the recall committee to accept service of legal process. Note: If treasureris a New Jersey resident, he/she may be designated to accept service of legal process.NameResident AddressCityStateZip Code1. State below any information material to the economic, political, and other particular interests and objectives whichthe recall committee has been organized to, or does, advance.*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 4sForm RC-2 Revised Nov. 2021
2. List the names/mailing addresses of the persons (other than chairperson) or entities having direct or indirect controlover the affairs of the recall committee. (This section includes, but is not limited to, persons in whose name or atwhose direction or suggestion the committee solicits funds.)Name of Person or EntityOccupationMailing AddressEmployer NameCityEmployer Mailing AddressState, Zip CodeCity, State, Zip CodeName of Person or EntityOccupationMailing AddressEmployer NameCityEmployer Mailing AddressState, Zip CodeCity, State, Zip CodeName of Person or EntityOccupationMailing AddressEmployer NameCityEmployer Mailing AddressState, Zip CodeCity, State, Zip CodeName of Person or EntityOccupationMailing AddressEmployer NameCityEmployer Mailing AddressState, Zip CodeCity, State, Zip CodeName of Person or EntityOccupationMailing AddressEmployer NameCityEmployer Mailing AddressState, Zip CodeCity, State, Zip CodeNew Jersey Election Law Enforcement CommissionPage 2 of 4sForm RC-2 Revised Nov. 2021
3. List the names/mailing addresses of the persons or entities not already listed in question #2 who, directly or through an agent, participated in the initial organization of the recall committee.Name of Person or EntityOccupationMailing AddressEmployer NameCityEmployer Mailing AddressState, Zip CodeCity, State, Zip CodeName of Person or EntityOccupationMailing AddressEmployer NameCityEmployer Mailing AddressState, Zip CodeCity, State, Zip CodeName of Person or EntityOccupationMailing AddressEmployer NameCityEmployer Mailing AddressState, Zip CodeCity, State, Zip CodeName of Person or EntityOccupationMailing AddressEmployer NameCityEmployer Mailing AddressState, Zip CodeCity, State, Zip CodeName of Person or EntityOccupationMailing AddressEmployer NameCityEmployer Mailing AddressState, Zip CodeCity, State, Zip CodeNew Jersey Election Law Enforcement CommissionPage 3 of 4sForm RC-2 Revised Nov. 2021
TREASURER/CHAIRPERSON CERTIFICATIONI 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 NumberPINTreasurerDateRegistration NumberPINChairpersonDateNew Jersey Election Law Enforcement CommissionPage 4 of 4sForm RC-2 Revised Nov. 2021
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