RECALL OR RECALL DEFENSE COMMITTEE - CERTIFICATE OF
FORM RC-1
ORGANIZATION AND DESIGNATION OF CAMPAIGN
TREASURER AND DEPOSITORY
NEW JERSEY ELECTION LAW ENFORCEMENT COMMISSION
P.O. Box 185, Trenton, NJ 08625-0185
Phone: (609) 292-8700
Website: www.elec.nj.gov
Committee Name
Street Address
City
State
Zip Code
*Day Telephone
*Evening Telephone
Committee Email (Optional)
Committee Website (Optional)
Select Last Election and Year in which the Officeholder Participated
Year
Office Held
Recall Election Date
County
Legal Name of Election District or Municipality
Political Party of Officeholder
CHAIRPERSON
Name
Mailing Address
City
State
Zip Code
*Day Telephone
*Evening Telephone
TREASURER
Name
Mailing Address
City
State
Zip Code
*Day Telephone
*Evening Telephone
Resident Address
City
State
Zip Code
DEPOSITORY INFORMATION
Name of Bank or Depository
Mailing Address
City
State
Zip Code
Day Telephone
Account Name
Account Number
*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 Commission
Page 1 of 2
sForm RC-1 Revised Jan. 2023
Recall Committee
Recall Defense Committee
General
Municipal
School
Special
Other
Required;
Required;
Required;
Required;
Required; Format : Zipcode 12345 or 12345-1234
Format : Date
Required;
Required;
Required;
Format : Zipcode 12345 or 12345-1234
Format : Zipcode
Format : Zipcode
Format : Zipcode
Amendment
LIST THE NAME(S), MAILING ADDRESS(ES) AND TELEPHONE NUMBER(S) OF ANY PERSON(S) AUTHORIZED TO SIGN
CHECKS OR OTHERWISE MAKE TRANSACTIONS
Name
Mailing Address
City
State
Zip Code
*Day Telephone
*Evening Telephone
Name
Mailing Address
City
State
Zip Code
*Day Telephone
*Evening Telephone
Name
Mailing Address
City
State
Zip Code
*Day Telephone
*Evening Telephone
CHAIRPERSON/TREASURER CERTIFICATION: I certify that the statements on this document are true. I am aware that if any of the
statements are willfully false, I may be subject to punishment.
Registration Number
PIN
Chairperson
Date
Registration Number
PIN
Treasurer
Date
Treasurers for Gubernatorial and Legislative candidates 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 Commission
Page 2 of 2
sForm RC-1 Revised Jan. 2023
Format : Zipcode
Format : Zipcode
Format : Zipcode
Stamp Text
Required Field
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