Wayne County Campaign Finance System
WCFIS
Menu Home
Contact Us
collapse
Collapse
Register an Independent and Political Committee (PAC)
step1 step2 step3
Help
Committee Type
Independent: We acknowledge that we must meet certain requirements before we are legally qualified to make contribution at a limit that is 10 times greater than the applicable contribution limit for an individual.
Political: We acknowledge that we can never be legally qualified to make contribution at a limit that is greater than the applicable contribution limit for an individual.
Committee Information
Committee Name*
(Must include affiliate or sponsor)
Acronym (if any)
E-mail* Phone* Fax
Date Committee was Formed* Committee Website    
Mailing Address (May be PO Box): (Campaign finance correspondence will be mailed to this address)
Address Line 1* Address Line 2    
City* State* Zip* -
Street Address (May not be PO Box): Same as Mailing Address
Address Line 1* Address Line 2    
City* State* Zip* -
Sponsoring Organization
Are you a separate segregated fund (SSF)? Yes No
If YES, the sponsor is a
Sponsor Name
Status 
Reporting Waiver Request *
YES, I / WE WANT TO APPLY FOR THE REPORTING WAIVER: The committee does not expect to receive or expend in excess of $1,000 in an election. I/We understand that if the committee does not spend or received in excess $1000 in an election,the committee does not owe Pre, Post, Quarterly and Annual Campaign Statements. I / We further understand that the Reporting Waiver will be automatically lost if the committee exceeds the $1000 threshold and all required campaign statements must be filed. A Reporting Waiver does not exempt a committee from filing Late contribution Reports.
NO, I / WE DO NOT WANT TO APPLY FOR THE REPORTING WAIVER: The committee expects to receive or expend in excess of $1,000 in an election. I/We understand that the committee owes Pre, Post, Quarterly and Annual Campaign Statements even if the committee does not spend or receive in excess of $1000 in an election. I further understand that the Reporting Waiver can not be requested retroactively to avoid filing requirements and to avoid paying late filing fees. Further information regarding Reporting waivers can be found in Appendix C of the Committee Manual.
Treasurer Information  
Last Name* First Name*
Middle Name
Email* Phone* Fax
Address: (Campaign finance correspondence will be mailed to this address) Same as Committee Mailing Address
Address Line 1* Address Line 2    
City* State* Zip* -
Out of State Committee Treasurer Irrevocable written stipulation:
I stipulate and agree that any legal process affecting this committee served on the Secretary of State or an agent designated by the Secretary of State shall have the same effect as if personally served on me and all other principals of this committee. I further agree that this appointment shall remain in force as long as any liability of this committee remains outstanding within the State of Michigan.
Designated Record Keeper (Optional)
Last Name First Name
Middle Name
Email Phone Fax
Address Line 1 Address Line 2    
City State Zip -
Official Depository
Name of Financial Institution*    
Address Line 1* Address Line 2    
City* State* Zip* -
Secondary Depository (Optional)
Name of Financial Institution    
Address Line 1 Address Line 2    
City State Zip -
 
 
2 Woodward Avenue,  Suite 502, Coleman A. Young Municipal Center, Detroit, MI 48226      Phone: 313-224-2380      Fax: 313-224-6424