HomeMy WebLinkAboutA007 - Affidavit of Candidacy - Bonnie Homstad 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)
FlCheck here if election is to fill a vacancy.
Date of Election: ?-'
Name (exactly as you want it to appear on the ballot):
Horne Andress: ? Z/ <10j,GEV
City and Zip Code: GL/�/�✓, � JD/f<
County: aP%c�'
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 1 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.]
/know that I cannot be a candidate for more than one office to be filled at this election. If 1 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
/choose to be a candidate. /understand that if the affidavit is not filed by the last day candidates can file nomination papers,
l 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: 6`I��L�'�' d/7I1!/Gr.�'
Signed and sworn to (or affirmed) before me on �h� Flo /997 (date)
by 041)/C- //O yyJ 5hefd (print candidate's name). _
--cam "Z
Signature of Notary
//Public(or other officer'�a �horized to witness oaths)
Official Titie:N u C /I/ �
My commission expires: A4&k 17, -2D00
Form 59 1-011 6 sarr.CO wA,ruroo, O.A D35 0.559 (Revised July 1990)
(Chnptcr 45, code of town)
STATE OF IOWA
Nomination Petition
For Nonpartisan Nominations and Nonparty Political Organizations
For the office of y ^'
I, the undersigned eligible elector of the State of Iowa, %�yf✓a„ / do hereby
�PI uppLcablo, ,stria or oihor d .von)
nominate d�Ly2 11� cGl� of ZyVl Zaw Pgk 21 lF. �9; Iowa,
(Name of condidole) (Address)
as a candidate of for the
(Nome of nonporry pohiicol orgonlzonon, if any)
office of --�.3 to be voted for
at an election to be held on 19—y-Y
N A M E RESIDENCE (Add School District, if needed) DATE SIGNED
(Signature) STREET AND NUMBER, IF ANY CITY
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