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Home My WebLink AboutA010 - Receipt of Nomination papers - Peter Orazem State of Iowa Receipt of Nomination Papers Receipt Number: Office Received In: C/�Tk Received By: Ici- i f, i Delivered By: J"-tom` L t d z'f❑ Date and Time Delivered: 9 / /U / 1'� Candidate's Name: I Ear Office Sought: A�OO 2bYT1 Cl IV, ct�u lic/1 I Office District (if any): 1/1,'3,11-al 3 Election Type and Date: ❑ General on / ! ❑ Primary on / ! ® City on ❑ School on / / ❑ Special on Documents Received: (check all that apply) Affidavit of Candidacy Faxed? ❑ Yes ® No Nomination Petition Number of pages (approx): "7 q Ll ❑ 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: (It 3 2=_Clr Phone: Nomination papers are available for public inspection. Objections to the qualifications of candidates and the legal sufficiency of nomination papers may be filed until: `7 / 14 / 2c�0 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 State of Iowa Affidavit of Candidacy SEP 1 0 2013 q, 3 Candidate's Name (exactly as it should appear on the ballot—no titles,parentheses,or quotation marks c _,MY CUH,'K _� Peter Or z m Candidate's Name Sounds Like (phonetic spelling): Pee-ter Oh-rahz-um Office Sought: City Council District or Ward (if any): 3rd Ward Vacancy—Is the candidate running to fill a vacancy due to the death, resignation, ❑ Yes Z No removal, or temporary appointment of an office holder? Type and Date of Election: ❑ Primary on / / ❑ General on / / ❑✓ City on 11 /05 /13 ❑ 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: 4941 Utah Drive 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) 292-5204 Email:pforazem(5-)g mail.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. 1 know that 1 cannot hold public office if 1 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. 1 know that 1 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.) 1 know that 1 cannot be a candidate for more than one office to be filled at this election(except in the case of county agricultural extension council or soil and water on di2,ct". mmission). Candidate's Signature: -� l ♦ Must be signed in the presence of a ary. State of: to County of: Signed and sworn(or affirmed)before me on date of: -%efomtoer/L', A,o Emily A. Burton Canmission Number 742M By: �efell— t Mr Commiaioa Ert Print Ca idate' rre Notary Signa re: Prescribed by the Office of the Iowa Secretary of State Revised 112013 ':j L f� It { • ; ��, , � �,,,, U L r i i,J State of Iowa 35 M Nomination Petition for Non-Partisan Office G Candidate Information Name of Candidate: Peter Orazem Office Sought: City Council Candidate's County of Residence: Story Candidate's City of Residence: Ames Type and Date of Election: O General on_/_/ ❑Special on_/_/ School on _/_/ [City on 11 /05 /2013 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 FSchool District: School Director District(if any): Foffice For City Elections Only For Other Elections Only Ward(if any): 3rd Ward 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 t��, w-,eS 3. O l s 7�a fs-1 4. a I 5. 7. 8. ' E. - i2 q 9 A4 et 10. r f-( &\nnno D1 11 ryLo C. 7 . 11. 00 12. 4±3 Vl-e 7/Z 13.o 1 n 1/2/ 64,d /.?8 /3 15. A, K Prescribed by the Iowa Secretary of State State of Iowa .rP Nomination Petition for Non-Partisan Off ic CCG '_��`r___ Candidate Information Name of Candidate: Peter Orazem Office Sought: City Council 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 /05 /2013 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 For Other Elections Only office Ward(if any): 3rd Ward 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 City T 's Date `\ •-i\ G 4L/Ij l_ ��//,jJ��2. ih.7rc�FIC1 sr.`1 �)t�l��l ru�M ti / f"es 7_Zq—/3 3. 4.5. l I 6. , 7. 0 8 c +�w• -7—z`f-13 $- 0►�v� s -7 9. :jAq k o o O o it �s47 481 -� 10. r C-4 /v 3 m eS 7 h'-13 11 c41 k I L4 t b e I G.InO✓tiA 1 ,140D t 12. � \� MaAvO I% t Ar"Lag `Z 4� c�. 3 13`73 L o 1005 AIDa AVL AM Ia S 15. 'g(d I Prescribed by the Iowa Secretary of State State of Iowa Nomination Petition for Non-Partisan Office Candidate Information Name of Candidate: Peter Orazem Office Sought: City Council Candidate's County of Residence: Story Candidate's City of Residence: Ames Type and Date of Election: ❑General on_/ / Special on /_/ School on / / [Jf City on 11 /05 /2013 Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an officeholder? ® No [] Yes FFor School Elections Only chool District: School Director District(if any): F For City Elections Only For Other Elections Only office Ward(if any): 3rd Ward 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 your name Today's House number and street City Date y 0 L, o rrCLf 7 �!3 2. � c� e-) �G0 A s Jo/3 3. � �t 4. 5. r1 r� S 7� l(�s Sri Gt 7Jr�`!� *" 2.81 3 6. C rv� c 7. 4-00/ s 11. . 44P/ i T 3 12. 13. �3 r -M 6 >3 14. yrj= P , k7✓ 1 17, 3 15. 2 ,l� V 1. Prescribed by the Iowa Secretary of State State of Iowa Q 7,7 Nomination Petition for Non-Partisan Offidej Candidate Information— Name of Candidate: Peter Orazem Office Sou ght: City COULr--,- Candidate's County of Residence: Story Candidate's City of Residence: Ames Type and Date of Election: I [City on 11 /05 /2013 F-1 General on—/ F-�Special on School on — / Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? V No [] Yes For School Elections Only - School District: School Director District(if any): FFor City Elections Only For Other Elections Only Office Ward(if any): Ward 3 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 Today's Sign your name House number and street city Date -7 IZ6 1-3 2. DOI Le A 7 4. y� ICJ ;L i 3 _7 6. . 2y) f 7. 13 2- 8. iq f-Di Lo A'I ?J 1) 9. F F)& 71 )8,(r;5 10. _71;Z < r 11. 14. 0:7 AV(- A PLI 15. 12 /_1 r IA A, KA Prescribed by the Iowa Secretary of State I I aLl I i State of Iowa �g Z . X Nomination Petition for Non-Partisan Office . - 1 �a_n I � 1 I , Candidate Information Name of Candidate: Peter Orazem Office Sought: City Council Candidate's County of Residence: Story Candidate's City of Residence: Ames Type and Date of Election: General on / / Special on_/_/ School on / / [R'City on 11 /05 /2013 Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an officeholder? ® No Yes FS For School Elections Only chool District: School Director District(if any): F For City Elections Only For Other Elections Onlyffice Ward(if any): 3rd Ward 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 Address House number and street City Date /Z1 J 2. � 7 '.. s. � 7-- -13. 5, t 1S�j oK/a�i o ., +-►ems 7/th// 6. /�; 1 Vl--\ y f G-Gv I l s y o ar/ 12, `-Y i `� 14. 15. 1�- Prescribed by the Iowa Secretary of State State of Iowa Nomination Petition for Non-Partisan Office c ;3 Candidate Information Name of Candidate: Peter Orazem t--- - Office Sought: City Council Candidate's County of Residence: Story Candidate's City of Residence: Ames Type and Date of Election: F�General on / / ❑Special on / / ❑School on / / [ City on 11 /05 /2013 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): For City Elections Only For Other Elections Only Office Ward(if any): Ward 3 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. Sign your name Address where you live in Iowa House number and street Today's 1 C City Date 2. r+ 4. G�- V 5. 6. -71 8. 9. ej 1 10. 11. - 'vim 12. S Z 13. 14. 15. Prescribed by the Iowa Secretary of State ru State of Iowa r C, � �i ? IQ 2013 Nomination Petition for Non-Partisan Offic c ,4 ih 14M Candidate Information Name of Candidate: Peter Orazem - - - Office Sought:_City Council 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 /05 /2013 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 For Other Elections Only Office Ward(if any): 3rd Ward 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. Sign your name Address where you live in Iowa House number and street Today's 1. City Date 3. u '8>^ 5. D� Z 6. 7. s 8. Lt� 9. I 10. Ie s IV 12. 13. 14. 15. (L Prescribed by the Iowa Secretary of State