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Home My WebLink AboutA011 - Receipt of Nomination Papers - Victoria Szopinski A �le y"�1 State of Iowa Receipt of Nomination Papers Receipt Number: / 1-0y Office Received In: C1 Received By: =C1 , Delivered By. Date and Time Delivered: a.m. Candidate's Name: �ZicC tr1ci, Office Sought: l� a nc1 Office District if an Election Type and Date: ❑ General on / / ❑ Primary on City on l / 0_bull ❑ School on / / ❑ Special on Documents Received: (check all that apply) [Affidavit of Candidacy Faxed? ❑ Yes ❑ No ❑ Nomination Petition Number of pages (approx): (21 5iq 1�ali�Ps) ❑ Certificate of Nomination by Convention for Non-Party Political Organization) ❑ Certificate of Nomination by Convention for Political Parties Person to contact if there are questions about this filing: Name: }D i aA(ie V b,�js Phone: a2q_ �5(05 Nomination papers are available for public inspection. Objections to the qualifications of candidates and the legal sufficiency of nomination papers may be filed until: 09 This receipt acknowledges the date and time the nomination papers were received. It does not necessarily mean the papers will be accepted for filing. Nomination papers will be carefully checked to be sure they meet basic requirements. The papers will be returned to the candidate if they are rejected. Give original to the candidate and keep a copy for the office. Prepared by the Iowa Secretary of State's Office Revised 7109 t L ' State of Iowa S E P 16 2011 Affidavit of Candidacy Candidate's Name(exactly as it should appear on the ballot—no titles,parentheses,or quotation marks CITY CLERK VICTORIA SZOPINSKI CITY OF AMES IOWA Candidate's Name Sounds Like(phonetic spelling): Show-pin-Ski Office Sought: Ames City Council District or Ward (if any): Ward 4 Vacancy—Is the candidate running to fill a vacancy due to the death, resignation, ❑ Yes W] No removal, or temporary appointment of an office holder? Type and Date of Election: ❑ Primary on ! / ✓❑ General on 11 / 08 /2011 ❑ City on ❑School on / / ❑ Special on Candidate's Affiliation(only complete for partisan offices or Ch.44 city nominations): ❑ Democratic ❑ Republican ❑ Not affiliated with any organization ("Nominated by Petition"will be listed with the candidate's name on the ballot.) ❑ Name of Non-Party Political Organization: No more than 5 words and exactly as it should appear on the ballot. Candidate's Home Address: 3710 ROSS ROAD AMES IA 50014 STORY Street(no P.O.boxes) City State Zip County Candidate's Mailing Address (if different than above): Street City State Zip County Candidate's Phone: 515-2924165 Email: victoria28(amchsi.com Candidate's Affirmation 1 swear(or affirm)that the information provided on this form is correct. I will be qualified to hold this office and if I am elected, I will qualify by taking the oath of office. I know that l cannot hold public office if I have been convicted of a felony or other infamous crime and my rights have not been restored by the governor or by the president of the United States. I know that I am required to organize a candidate's committee, which shall file an organization statement and disclosure reports if I(or my committee)receive contributions, make expenditures, or incur indebtedness in excess of$750 in a calendar year for the purpose of supporting my candidacy for public office. (This does not apply to candidates for federal office.) I know that I cannot be a candidate for more than one office to be fill d at this election(except in the case of county agricultural extension council or soil an wat r cc nservation district commissio Candidate's Signature: 4 Mu t be signed In the Irelence of a notary. State of:W y County of: • j�•*00 IS3I•,�,•.Zllp �7 �O•b (Sea •�� Signed and swom( affirmed)bef me on date of: (i 1� By: (D Q Print candidates Na 2'.� 043 �Q _ 02 ��NO� �O Notary Signatur : q,Q/ P�,- Prescribed by the Offioe of the Iowa Secretary of State evised 812011 Nov 101 5164JAWOv E:S 1 State of Iowa Nomination Petition for Non-Partisan Office Candidate Information Name of Candidate: VICTORIA SZOPINSKI Office Sought: AMES CITY COUNCIL-WARD 4 Candidate's County of Residence: STORY Candidate's City of Residence: AMES Type and Date of Election: [if General on 11 /08 / 2011 E]Special on_/ / School on I / E]City on Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? 0 No ® Yes FFor School Elections Only School District: School Director District(if any): FFor City Elections Only For Other Elections Only office Ward(if any): WARD 4 Office District(if any): We,the undersigned eligible electors of the appropriate county,city,school district,school or community college director district,or other district as established by law,and the state of Iowa hereby make the nomination outlined above. If the candidate named above accepts the nomination, we believe the candidate is or will be a resident of the appropriate county,city,school dishict school or community college director district,or other district established by law as required by law. Address where you live in Iowa Sign your name Today's House number and street City Date 3716 M f S of j X -T2rr 3. 4. 5. 8 3 � ae �- 9. - '� �0 4 4 J 12. 13. ,i �� S / 14. _ S Q 15. ZQ� Goss (�►7 /� t-5 cj to 11 0 L IE Prescribed by the Iowa Secretary of State SEP 16 2011 @ i 2_s Prq CITY CLERK CITY OF AMES,IOWA r e ' State of Iowa Nomination Petition for Non-Partisan Office Candidate Information Name of Candidate.- VICTORIA SZOPINSKI Office Sought: AMES CITY COUNCIL-WARD 4 Candidate's County of Residence: STORY Candidate's City of Residence: AMES Type and Date of Election: Ej7 General on 11 /08 / 2011 Special on`/ / School on / / ❑City on Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? &No Yes F For school Elections Onchool District: School Director District(if any): 1-offFor City Elections Only r For Other Elections Only ice Ward(if any): WARD 4 I Office District(if any): We, the undersigned eligible electors of the appropriate county,city,school district school or community college director district,or other district as established by law,and the state of Iowa hereby make the nomination outlined above. If the candidate named above accepts the nomination, we believe the candidate is or will be a resident of the appropriale county,city,school district,school or community college director district,or other district established by law as required by law. Address where you live in Iowa Sign your name TodaY's / House number and street City Date 2. 4.. 7 -/ - // l�Liu l/ s. - 3710 Ram � 1 7. 8. s. 10. 11. 12. 13. 14. 15. 0 L [E- S E P 16 2011 Prescribed by the Iowa Secretary of State r:a,SP/t4 CITY CLERK CITY OF AMES,10'NA