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HomeMy WebLinkAboutA010 - Affidavit of Candidacy - Robert Shaffer Form 2-M (Rev. 95)[45.3] 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: Name (exactly as you want it to appear on the ballot): /� x2-1, Ila Home Address: I � I 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 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 commission regional library trustees.] Signe�/ �� z I L � 1 -�7�Signed and 5vyorn to (or affirmed) before me on -�'� �� v l r r /� (date) by O r 1 . Nh rr' (print candidate's name). C-/ Signature of Notary Public(nr other officer autfiosized to witness oaths) Official Title: , My commission expires: _�� L /7/ - 00 ' i Form 59 Dis 0.559 (Revised July 1990) ,r,, STATE OF IOWA Nomination Petition For Nonpartisan Nominations and Nonparty Political Organizations / For the office of 6 5/ I, the undersigned eligible elector of the State of lovvo, do hereby (If applicable,district or other division) ' nominate— of Z©'!?2 �� Iowa, (Name of candidate) (Address) as a candidate of for the (Name of nonparty political organization. if any) office of � /7/Cf�l� �'i�iCi/�C-�� to be voted for at an election to be held on 19 % N A M E RESIDENCE (Add School District, if needed) DATE SIGNED (Signature) STREET AND NUMBER, IF ANY CITY 1 C'k -/ 7- 3 6tt, 'Ut— .0 / // 4 �� 5W An,.Pj9� I 5 8 /74T 10 P� c r T 36 11 �3 °t -- es l7 17-7 12 13 14 1 U 3 16 117 1s 0C S -/ 7-97 1 } 3M "1 ( 20 33 l7 1J "f,,?J' 21 , t_ / C — -97 22 Awc r 24 64 14641 1A ! 25 11�c 1� l t� l-Ain _ m 1ua 41 -- j) (OVER) 0 ( 0 \ o Z U- 0 s m CD CL o, .\ -� » 3 N a p CAD \ Q CL O O (R _N S (D Q CDO' `3 Z O CD N i ID C Jill Nk , ' Form 59 035 0.559 (Rovisod July 1990) (Chapter 45,code of Iowa) STATE OF IOWA Nomination Petition For Nonpartisan Nominations and Nonparty Political Organizations 5� /3 For the office of Wdgl L/ C,:nr-/0'!e-/Z I, the undersigned eligible elector of the State of Iowa, do hereby "� ` (If applicable,district or other division) nominate � r t :-4 7'yy of ' �J07 Z /��" � Iowa, I (Na a of candidote) (Address)�� '� as a candidate of for the (Name of nonparty political organization, if any) office of / I/U/.Zz /�, / to be voted for at an election to be held on �Z N A M E RESIDENCE (Add School District, if need id) Si n lure DATE SIGNED ( ) STREET AND NUMBER, IF ANY CITY 2 -Y'0.j� Q s, v1t52 3 V -�bG 4 5 6 � I 7 8 I 9 _ 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 (OVER) (D p o n y , n — o .� �D ��� n �D Q `V 3 0 m m _ A Z o o Form 59 Day 0.559 (Rovisod July 1990) (Chapter 45.code of lows) STATE OF IOWA Nomination Petition For Nonpartisan Nominations and Nonparty Political Organizations For the office of Z c�k(,l �� C dc�f9C.,,1 I, the undersigned eligible elector of the State of Iowa, do hereby / (If applicable,district or other division) nominate f �z�r�, ,f� �L��p �jli� of /UOZ r� ,�i Iowa, (Nidate) (Address) as a candidate of for the ` (Name of nonparty political organization, if any) office of l J 1/I�CI�'c� �`i C���i•'�c,� to be voted for r at an election to be held on �� _, 19 N A M E RESIDENCE (Add School District, if needed) DATE SIGNED (Signature) STREET AsND NUMBER, IF ANY CITY 5a 1 2 "Ea lw/ '7 f/Zo-,,Z-4 2 5 6 � I 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 (OVER) O T > J O O � 1 r m O m °- �` s a ti a 3 m CD Q- CL n m CD r m G 'G Form 59 A n A'AN'.(11,WA1141nn.M1lwn 035 0.559 (Rovisod July 1990) (Chapter 45,code of Icwo) STATE OF IOWA Nomination petition For Nonpartisan Nominations and Nonparty Political Organizations For the office of / IL114e4"1L-i/ I, the undersigned eligible elector of the State of Iowa, do hereby (If opplicoble,districi or other division) nominate of �P 0L %�,l ��, Iowa, (Nome of candidate) (Address) as a candidate of - for the (Nome of nonporty political organization, if any) office of j� yY/G7✓��� �61tr to be voted for i at an election to be held on , 19 N A M E RESIDENCE (Add School District, if needed) Si nature ( 9 ) STREET AND NUMBER, IF ANY CITY DATE SIGNED 3 I 4 AZ 51 30M Vic,,,, 6 1 qbs J iLA 9tam 10 11 - 12 12-5 13 -0C, _ c 16 17 (f 8 j Av�' _<:7 19 21 23 24 ` /� P 2 IL ox 71 ( - CD n ) — 3 m iD Q n CD 3 ( cJ Q � 3 i�l o m cma o y d -� X. o fD L O o I. 70 Form�59 nu r.uvnn.•v•.m ..,wino,iow. D35 0559 (Rev(sod July 1990) (Chapter 45,code of Iowa) STATE OF IOWA Nomination Petition For Nonpartisan Nominations and Nonparty Political Organizations 7 For the office of I, the undersigned eligible elector of the State of Iowa, do hereby '% (If applicable,district or other division) nominate r-As" 1Z ��7�/ •.✓ of � 1� /9."� , Iowa, (-Nome 8f candidme) (Address) as a candidate of for the (Name of nonparty politi.al orgonization, if ony) office of 5T.14 I,"_ ' 62;/ Cd Ccx-V c, to be voted for at an election to be held on /`►mil✓ `'Z 19227 N A M E RESIDENCE (Add School District, if needed) DATE SIGNED (Signature) STREET AND NUMBER, IF ANY CITY 4 9-17-� 7 �'• r\ _T CT CJ� UAL �21�1.� �1�111^!l 6 In e- "71lezI07 8 1(72, 10 _ 11 12 13 14 _ 15 16 17 18 19 20 21 22 23 24 25 (OVER) o -a CD \ (D 3 J (D O Q Z 0 CD 0 J • � 3 `D � (1� a s oCD o N CD Cl CD ,o \ 'v I