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Home My WebLink AboutA012 - Affidavit of Candidacy - John Parks r Form 2-M(Rev. 95)[45.3] Prescribed by the Iowa Secretary of State STATE OF IOWA AFFIDAVIT OF CANDIDACY School and City Elections Forthe office of Ames City Council Member, 2nd Ward (Include district number, if anyj ❑ Check here if election is to fill a vacancy. Date of Election:Nov_ 7 , 19 9 5 Name (exactly as you want it to appear on the ballot): .Tc)hn B_ Parks Home Address: 11 1 2 Maplewood Road _ City and Zip Code: AmP.-;., TA 50014 County: Story 1 swear or affirm that the information I have provided above is correct. I am a candidate for the office indicated above and request that my name be printed on the official ballot for this election. I am eligible to hold the office for which am a candidate; if I am elected I will qualify by taking the oath of office. I know that I cannot hold a public office if I have been convicted (and never pardoned) of a felony or other infamous crime. I know that I am required to organize a candidate's committee which shall file an organization statement and disclosure reports if my committee or I receive contributions, make expenditures, or incur indebtedness in excess of five hundred dollars ($500) in a calendar year for the purpose of supporting my candidacy for public office. [This paragraph does not apply to candidates for federal offices.] I know that I cannot be a candidate for more than one office to be filled at this election. If I have filed nomination papers for more than one office I must file with the officer who accepted my nomination papers an affidavit indicating for which office I choose to be a candidate. I understand that if the affidavit is not filed by the last day candidates can file nomination papers, I cannot be a candidate for any office on the ballot at this election. [This does not apply to county agricultural extension council, soil and water conservation district commissioner, or regional library trustees.] Signed: Signed and sworn to (or affirmed) before me on G "ro'�:, (date) by (print candidate's name). Signature of Notary P c(or oth officer authorized to witness oaths) Official Title: My commission expires: ',F9rm 59 ann r.ocon s s s co...,moo.row D35 0.559 (Revised July 1990) (Chopior 45,code of Iowa) STATE OF 1OVVA For Nonpartisan Nominations and Nonparty Political Organizations I For the office of Ames Clty Council Member, 211d Ward I, the undersigned eligible elector of the State of Iowa, City of Ames . Ward 2 do hereby (If applicable,district or other division) nominate John B. Parks of 3112 Maplewood, Ames Iowa, (Name of candidole) (Address) as a candidate of for the (Name of nonparty political organization,it any) office of Ames City Council Member_ 2nd Ward to be voted for at an election to be held on November 7 , , 199-5L. N A M E RESIDENCE (Add School District, if needed) DATE SIGNED (Signature) STREET ANY NUMBER, IF ANY CITY 71-1 rd' \ 5 �(jCe�GW� 8 r �S 9 10 112 14 15 Y/(� C 19 20 21 22 23 24 25 (OVER) r � ( �4 J y P,,prm 59 ,.coa.vws ca.w,hvhon,p . D35 0.559 (Revised July 1990) (chapter 45.code of Iowa) ° STATE ATE OF lOaNA For Nonpartisan Nominations and Nonparty Poii3icai Organizations For the office of Ames C.Lty—00unc1�1. -(11ker, 2nd ward I, the undersigned eligible elector of the State of Iowa, City Of Ames • Ward 2 do hereby (If applicable,district or other division) nominate John B. Parks of 3112 Maplewood, Ames Iowa, (Nome of candidate) (Address) as a candidate of for the (Nome of nonparty political organization,if any) office of AlAes l'lY' l.:JiaiCli ,ieuh.,e. cxi ICJ be voied for at an election to be held on Noye_Mber 7, , 199_5_. V N A M E RESIDENCE (Add School District, if needed) Si nature ( 9 ) STREET AND NUMBER, IF ANY CITYDATE SIGNED Is 1/74 2 E�nl/� 8•L/• gS 3 anu,4z'-- ?/.�/qs- -Srnozowr-1 - 3�" "ale, Zb 9 10 r/yv 11 LZIK 12 13 14 16 �a�S �w,�rss ALPC! Cyr-,�z , �'-Z-� �/`• 17 18 G b, r'• 19 219 22 2 24 25 (OVER) II r Form 59 e35 o-559 (Revised July 1990) (Chopter 45,coda of Iowa) STATE OF 10%VA For Nonpartisan Nominations and Honparty Political Orgunizations For the office of AmesG1� _�Q1ll1�iL1Ilber Czt o�Aims Ward 2 do hereby I, the undersigned eligible elector of the State of lowa,_.�—Y_--Itapplecahla, fis ki ors Jl��lan) y nominate John B. Parks _ of 31 1 2 mom. pi��n u> s Iowa, (Nome of condldale) (Address) as a candidate of _ -for the i (Name of nonparty p.hh—1 organixaG on, If o_y) office of—_ Ames city Council Membc--r-, G1-it be voted for 1 I at an election to be held on___ND LIII er 7 . 199�. r'I A M E RESIDENCE (Add School District, if needed) — DAIE SIGr:FD (Signature) STREEr AND NUMBER, IF ANY CITY 2 5 G - ," U 1S •-7 q �6� 9 — 10 12 _ 13 14 15 16 17 is -- — I 19 — I 20 21 22 23 24 •25 (OVER)