Statement of Organization

SDCL 12-27-6
TheTreasurerforapoliticalactioncommitteeshallfileastatementoforganizationnotlaterthan15daysafterthedateuponwhichthecommitteemade
contributions,receivedcontributions,orpaidexpensesinexcessof$500.00.However,ifsuchactivityfallswithin30daysofanystatewideelection,the
statementoforganizationshallbefiledwithin48hours.Acandidateshallfileastatementoforganizationforacandidatecampaigncommitteenotlater
than15daysafterbecomingacandidate(SDCL 12-27-3).
Ifyouareintendingtofilewithyourlocal jurisdiction(county,schoolormunicipality:candidate,ballotquestioncommitteesandPACs)contactyourlocal
electionofficialfortherequiredform.

IfyouaresubmittingthisStatementtotheSecretaryofState'sofficechooseaCommittee Typebelow.
Committee Type(youmustselectone):

Auxiliary Political Parties

Statewide Political Parties

County Political Parties

Statewide Ballot Question Committees

Statewide Political Action Committee (PAC)

Statewide Candidate Committees

Legislative Committees

Committee Information
(ALLfieldsrequiredunlessindicatedotherwise,pleaseprint):
onlyONE candidate campaign committeemaybeorganizedforeachcandidate(SDCL 12-27-1 (3))
Full Name of Committee MartyJackleyforGovernor
IfyouareaCandidate,listyournamebelowasitappearsonyournominatingpetitionandtheofficeyouareseeking.
CandidateName MartyJackley
OfficeSought

Governor

StreetAddress

2101LancasterLoop,Pierre,SD57501

PostalAddress

POBox86,Pierre,SD57501

Committeewebsiteaddress(optional)

www.martyjackley.com

Chair

(CandidatecanserveasChairoftheirCommittee)

Name

MartyJackley

DaytimeTelephoneNumber

(605)494-0186

StreetAddress

2101LancasterLoop,Pierre,SD57501

PostalAddress

SameasStreetAddress

EmailAddress

marty@martyjackley.com

EveningTelephoneNumber

(605)494-0186

CheckthisboxifChair is also serving as Treasurer.Ifthesame,youarenotrequiredtofilloutTreasurerfieldsbelow.

*theTreasurerisresponsibleforallcampaignfinancereportsandforms;lettersandnotices,sentbytheSecretaryofState'soffice,willgotothe
Treasureronly.
Treaurer*
Name

JasonGlodt

DaytimeTelephoneNumber

EveningTelephoneNumber

(605)280-7767

StreetAddress

109S.PierreSt.,Pierre,SD57501

PostalAddress

SameasStreetAddress

EmailAddress

jason@martyjackley.com

(605)280-7767

Political Action or Ballot Question Committees:youmustlistthefullname,streetaddressandpostaladdressoftheorganizationwithwhichthe

committeeisconnectedoraffiliated,ORifthecommitteeisnotconnectedoraffiliatedwithanyoneorganization,statethetrade,profession,orprimary
interestofthecommittee.
NameofAffiliatedOrganization N/A

StatementofPurposeorGoals N/A
StreetAddress

N/A

PostalAddress

N/A

Trade,Profession,orPrimaryInterestofCommittee

N/A

IfyouareaBallot Question Committee,indicatewhichmeasurethecommitteewasinvolvedwithduringthereportingperiodandwhetherthe

measurewassupportedoropposed.
BallotMeasureNumber: N/A

Support

Oppose

Verification below must be SIGNED BEFORE SUBMITTING this Statement

Thisstatementshallbesignedbythecandidateandtreasurerforacandidatecommitteeandbythechairandtreasurerforotherpoliticalcommittees.
Thetreasurerofapoliticalcommitteeshallfile and updated statement of organization not later than fifteen days after ANY changeintheinformation
containedonthisstatement.
I JasonGlodt

(Treasurer),

I MartyJackley
(Candidate),
certifythatIhaveexaminedthisreportandtothebestofmyknowledgeandbelieveitistrue,correctandcomplete.Ialsounderstandthatfailureto
timelyfileanystatement,amendment,orcorrectionrequiredsubjectstheTreasurerresponsibleforfilingtoanadministrativepenaltyoftendollars
(countypoliticalpartiesonly)orfiftydollarsperdayforeachdatthatthestatementreamainsdelinquent(SDCL 12-27-29.1).
Date:

Nov1520163:07PM

Documentsubmittedelectronicallyby JasonGlodt
SignatureofTreasurer

Date:

Nov1520163:07PM

Documentsubmittedelectronicallyby MartyJackley
SignatureofCandidate

Date/TimeReceived: Nov1520163:07PM
Date/TimeFiled:

Nov1520163:07PM