HomeMy WebLinkAboutA002 - Affidavit of Candidacy - Judie Hoffman Form 2-M(Rev.95)[45.31
Prescribed by the
Iowa Secretary of State
STATE OF IOWA
AFFIDAVIT OF CANDIDACY
School and City Elections
For the office of
(Include district number,if any)
❑ Check here if election is to fill a vacancy.
Date of Election: -7
Name (exactly as you want it to appear on the ballot):
r
-.1 U rA I P,
Home Address: r� J
City and Zip Code:
County:
I 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
I 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.
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.]
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 �l �`�t ����T �1 (date) by
(print candidate's name).
Signature of Notary�ublic(or ther office authorized to witness oaths)
Official Title: � +
My commission expires:
Form 59 -T PARROTT 8 SONS CO.WATFRtOO ioW D35 0-559 (Revisod July 1990)
(Chapter 45,code of Iowa)
STATE OF IOWA
Nomination Petition
For Nonpartisan Nominations and Nonparty Political Organizations
For the office o 01 -Q
I, the undersigned eligible elector-of the State of Iowa, do hereb�
(If applicq�le, rict or other diviy f �r� ^ -� ,'t� _ J
nominate_ �1Lkti@ iQi "ia�Tl of 1/ �S `� J (i �y�QWI(o_wa
(Address)
as a can idate of for the
(Nay nonparry political organuonon,if any)
office of ti�t1 to be voted for
at an election to be held on 1 / ()�ZJ ! , 19 J.
N A M E RESIDENCE (Add School District, if needed) DATE SIGNED
(Signature) STREET AND NUMBER, IF ANY / CITY
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(OVER)
Form 59 AAAII PARR TT 6 SONS CO,WATMOO,IOWA D35 0-559 (Revised July 1990)
(Chapter 45,code of Iowa)
STATE OF IOWA
Nomination Petition
For Nonpartisan Nominations
nand Nonparty Political Organizations
For the office o at -�-
I, the undersigned eligible elector gf the State of Iowa, (If do hereby
opplicoble,distract or of cl, s�ON
nominate_ Judie Koffman of 3 ��C, � ,;,G J1 tli P_� Iowa,(Address)
as a canu.—,t ut for the
n ( me of no j t pokoc orgo--on d o y
office of �rYY�_Q � � \ �1J17/11 if t`�C• 1 �l^.4_9 to be voted for
at an election to be held on_� e� 19
N A M E RESIDENCE (Add School District, if needed)
DATE SIGNED
(Signature) STREET AND NUMBER, IF ANY CITY
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(OVER)
Form 59 11 s—OTi 6 S S CO,wwrEci00.iawe D35 0-559 (Revised July 1990)
(Chapter 45,code of Iowa)
STATE OF IOWA
Nomination Petition
For Nonpartisan Nominations and Nonparty Political Organizations
1�rl /,(-'V - A -kn 1) ri.-9
For the office of o
I, the undersigned eligible electo i of the State of Iowa, do hereby
(If applicable,distnu r ocher d� sion)
nominate_ Judie Hoffman of .� � � e O C1Y �� Yr2 Cam. Iowa,
(Address)
v as a candidate of for the
(Name p{ npo-ty I�t�<ol orgon�zoi�on, if any)
office of !� �� �,1� to be voted for
at an election to be held on n' 7
19
N A M E RESIDENCE (Add School District, if needed)
DATE SIGNED
(Signature) STREET AND NUMBER, IF ANY CITY
-/
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(OVER)
Form 59 —11 rncaor.It—co.wnrrcroo.sown D35 0.559 (Revised July 1590)
(Chapter 45,code of Iowa)
STATE OF IOWA
Nomination Petition
For Nonpartisan Nominations and Nonparty Political Organizations
For the office
I, the undersigned eligible elector of the State of Iowa,_ do hereby
Judie _loff nan (If applicable,district or other di islon)
nominate of a��CLJ( d. ir/iQ�_
Iowa,
(Address)
as a candidate of for the
/1 IN e of IIItt iygl orgoniz.t-on, if any)
office of i �� to be voted for
t�Jn
at an election to be held on �jl , 7 19
N A M E RESIDENCE (Add School District, if needed)
DATE SIGNED
(Signature) STREET AND NUMBER, IF ANY CITY
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(OVER)
Form 59 nAtt vnuuon A--s(a.WAIl41 X),I(nvn D35 0 559 (Rovised July 1990)
(Chapter 45,code of Iowa)
STATE OF IOWA
Nomination Petition
For Nonpartisan Nominations and Nonparty Political Organizations
For the office o
I, the undersigned eligible elector of the State of Iowa, do hereby
(If applicable,district other division)
nominate Judie -ioffrnm _of �`3'`�1 ���u_� " ^Ma t (d L r�-�.uJ Iowa,
J . - �n. •_..-'---, (Address)
as a candidate of 66
for the
ame of nonparty political orgonizatton, if any)
office of to be voted for
at an election to be held on 1 I CL 19 J.
N A M E RESIDENCE (Add School District, if needed)
(Signature) STREET AND NUMBER, IF ANY CITY DATE SIGNED
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(OVER)