The URL can be used to link to this page

Home My WebLink AboutA015 - Receipt of Nomination Papers - Matthew Goodman r State of Iowa Receipt of Nomination Papers Receipt Number: 0 0, Office Received In: Received By: I Voss sS Delivered By: c7 U )ona—v-1 Date and Time Delivered: -/- I C a :Oa a.m. p.m. Candidate's Name: Office Sought: ,I`YL CL�_ 'a Office District (if any): Election Type and Date: ❑ General on / I El Primary on City on / � 1 l Zk ❑ School on / / ❑ Special on / I Documents Received: (check all that apply) M Affidavit of Candidacy Faxed? ❑ Yes Rf No r r Nomination Petition Number of pages (approx): 0 � ❑ 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: I V� V�� (7❑ Phone: �3q Nomination papers are available for public inspection. Objections to the qualifications of candidates and the legal sufficiency of nomination papers may be filed until: Oq G'� / QO 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 FFSEP State of Iowa Affidavit of Candidacy �� e w 2S1';Candidate's Name(exactly as it should appear on the ballot): CITY CLERK Candidate's Name Sounds Like (phonetic spelling): n rFINAIp Type and Date of Election: ❑ Primary on / / ❑ General on / / City on u / ) ❑ School on / / ❑ Special on Office Sought: C i�, C,", I A� L 4,_�A—, District or Ward (if any): Vacancy- Is the candidate running to fill a vacancy due to the death, resignation, ❑ Yes No removal, or temporary appointment of an office holder? 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: 2_0)M �V-Arn PA . JaNe-S 00 Street(no P.O.boxes) City State Zip County Candidate's Mailing Address (if different than above): Street City State Zip I County Candidate's Phone: S/S- `14�. O 4 Q 0 Email: Maoµ ,U�CE��*IS�� v�J �aovU'ta. c Ov� Candidate's Affirmation I 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 I 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 l 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 tha ne office to be filled at this election(except in the case of county agricultural extension council or soil and water se ati district commission). Candidate's Signature: /Must a signed in the presence of a notary. State of: County of: Signed and sworn(or affirmed)before me on date of: Q'Z)" ��` `•a MIL A.BURTON + MaM T-Coummir�n Number 742780 y: �I✓ ow M Conmiselon Tres B Print Candid e s me V f ' -- -/3-201 Notary Signature: Pr scribed by the Office of the Iowa Secretary of State Revised 412011 0 L IE State of Iowa Nomination Petition for Non-Partisan C I C S E P 2 1 2011 Candidate Information Name of Candidate: Matthew Goodman Office Sought: At L ge Ame—Scci K Candidate's County of Residence: Story Candidate's City of Residence: AmeS Type and Date of Election: General on /�/ Special on—I / School on _l / [ City on 11 /08 /2011 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 Only school District: School Director District(if any): F For City ElectionsOnly For Other Elections Only ffice Ward(if any): At Large 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 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 House number and street CityT Date Date 5lton��z�� _P,n1 21, / t l If lqclr 7. 8. 9. 21 S - IL 10. I _ �� 12. r all-r Ott <�_ .ate jt= zcz 3. s �*,Orc- 14. Prescribed by the Iowa Secretary of State 'J State of Iowa L Nomination Petition for Non-Partisan Offic SEP 2 1 2011 Candidate Information ( �a OM Name of Candidate: Matthew Goodman Office Sought: CITY OF ANTES,10WA Candidate's County of Residence: ,Story Candidate's City of Residence: Type and Date of Election: M General on / I Special on I I School on / / C3'City on 11 1 8 1 11 Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? JZ No Yes FFor School Elections orgy school District: School Director District(f any): F For City Elections Only For other Elections Only ffice Ward(if any): T FOffice 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 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 o House number and street city Date 1. - 162b I� � b iE �5 1 11 3. 5. z l- s. S, r �(- 7. s. 2 s. vA �Z ll 10. t y7 33 4 -� �r IM �s q /Z-I/l c,�o�� o b 14. 15. ! 3 0), /4t�i�N1 3•Zs �Y��2 prescribed by the Iowa Secretary of State State of Iowa 0 L E Nomination Petition for Non-Partisan Office Candidate Information { Name of Candidate: Matthew Goodman Office Sought: At Lar a mes i uncil ��1 Candidate's County of Residence: Story Candidate's City of Reside CITY CLERK AmesrlTy gF gun Fc�Inwe Type and Date of Election: General on_/_/ []Special on /_/ School on _/`/ [j'City on 11 /08 /2011 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 Only school District: School Director District(if any): [ For City Elections Only r For Other Elections Only Office Ward(if any): At Large L 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. /f the candidate named above accepts the nomination, we believe the candidate is or will be a resident of the appropriate 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 t, Ames 3 Zia (C1k1C.K W l 5. s. ` 31 7h / ap 8. 9. 10. 11. 12. 13. 14. 15. Prescribed by the Iowa Secretary of State F�] � L n State of Iowa Nomination Petition for Non-Partisan 01 e SEP 2 1 2011 Candidate Information J Lie, "o a Om CITY CLERK Name of Candidate: Matthew Goodman Office Sought: Al LaMES 10'NA Candidate's County of Residence: Story Candidate's City of Residence:. Ames Type and Date of Election: General on ! / Special on / / School on / / []'City on 11 Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? 0 No Yes F For School Elections Only school District: School Director District(if any): F For City Elections Only �For Odd Elections Only office Ward(if any): I C t L� �� 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 appropriate 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. 3. _C. -t 15- l 4. 70 Do Is es -S/I 5. Ll�j, LL4Re- - 6. L—qz: zz/, s. 10. �Z / I I � 03 r � U P 14 14. 1 t��l del 01 > / Prescribed by the Iowa Secretary of State Li State of Iowa Nomination Petition for Non-Partisan Offic E SEP 2 1 2011 Candidate Information Name of Candidate: Matthew Goodman Office Sought: Candidate's County of Residence:_ Story Candidate's City of Residence: Ames Type and Date of Election: M General on / / M Special on / / School on / / C1'City on 11 11 Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? ja No Yes For School Elections Only F hool District: School Director District(if any): For City Elections Only1 l/ � For Other Elections Only Office Ward(if any): >If Ed Office District(if any): I 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 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 1' f Cla,� ve me - S 2. qOjagK AVCeS 3. Z-1 4. 5. A 4 e, /'�1wGcS 6. vs d uep J 1 . 8 CLARY8. 9. 10 11. 12. v 13. 14. Prescribed by the Iowa Secretary of State l� State of Iowa Nomination Petition for Non-Partisa i ice Candidate Information (x c) Name of Candidate: Matthew Goodman Office Sought: Lr Candidate's County of Residence:_Story Candidate's City o Reslc s'.- 1oVih Type and Date of Election: General on / 0 Special on / / 0 School on / / [HCity on 11 / 8 / 11 Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? ja No [] Yes F For School Elections Only hool District: School Director District(if any): F For City Elections Only �'For OtherElections Onlyffice Ward(if any): &- -6 I Office District(if any): I 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 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 1. - �I 2. 3. a0s has Ames C1 5.4. fi 9 6. 7. t//a xl✓t A A✓i&I s. I o3 L1,110" Ab. 0 -05--f( 1 , V VA ffv>,Q -S - 11. ,, tar e-ItI.. 13. 14. 15. Prescribed by the Iowa Secretary of State State of Iowa Nomination Petition for Non-Partisan O . e - n I' Candidate Information f.o(� ', Name of Candidate: �"\-; k e_ �j �o c�t�4i., Office Sought Candidate's County of Residence: `7illm Candidate's City of Residence: Type and Date of Election: n General on_/ / Special on_/_/ School on _/i/ 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 Ochool District: School Director District(if any): FFor City Elections Only For Other Elections Only Office Ward(if any): At F 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 district,school or community college director district,or other district established by law as required by law. Address where you live in Iowa Sign o name Today's House number and street City Date 2. evN`i�er G� Na'�,w,�.� � 5. `l 6 �� 0 /1 y _ ff 7." CrA �, ti CC, 2s_3 car �e_s 78. � 4 "- 1 z s s d,� HUH, 9. D,40 r011� 12.7 v15. J Prescribed by the Iowa secretary of State i State of Iowa Nomination Petition for Non-Partisan 01f e Q`P 11 U? Candidate Information Name of Candidate: 1 `,A,w y o 41 -n Office Sought: Candidate's County of Residence: ��,� Candidate's City of Residence: M vy �4 Yiw Type and Date of Election: [1 General on_/_1 Special on T/_/ School on _/ / []`City on 097 l/ Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? No Yes For School Elections Only School District: School Director District(if any): For City Elections only Eoffi For Other Elections Only Office Ward(if any): L<<, e ce 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 bylaw,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 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 1. q-l(, _I l Ctw-&� lit 7. 9. �. 10. � � 170 12. t �'�'1 lIc �F'lr�l S�i•� 13 _S j 474A GM f t 14 Prescribed by the Iowa Secretary of State J State of Iowa Nomination Petition for Non Partisan �170 Candidate Information Name of Candidate: Matthew Goodman Office Sought:+AarefA Qjt Lounci!_m�..Candidate's County of Residence: Story Candidate's Cityence: WmeS „ Type and Date of Election: General on_/_/ Special on_/_/ School on /_/ (City on 11 /08 /2011 Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? No Yes For School Elections Only F chool District: School Director District(if any): FFor City Elections Only For Other Elections Only offi ce Ward(if any): At Large E 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 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 1. 91 / 2. 3. - i 4. 5. 6. ` 9. 3/a / 11. ct� 13. 1�- 0 -4 D14. !� b 15 Prescribed by the Iowa Secretary of State State of Iowa Nomination Petition for Non-Partisan44 IS FE 2011 Candidate Information G FIVI Name of Candidate: Matthew Goodman Office Sought: At La e Ame I U&LfridiVF Candidate's County of Residence: Story Candidate's City of Residence: Ries _ Type and Date of Election: General on_/ / Special on_/_/ School on /_/ [City on 11 /08 /2011 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 Only chool District: School Director District(if any): FFor City Elections Only (�For Other Elections Only office Ward(if any): At Large L 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 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. �f -5 3. u III Lion4. o y r � t 6. (� ref 8. 9. _ -0tu 11. PS 12.15. - de o P. Prescribed by the Iowa Secretary of State