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HomeMy WebLinkAboutA011 - Receipt of Nomination Papers - Ann Campbell State of Iowa Receipt of Nomination Papers Receipt Number: _C1,0 Office Received In: rk Received By: Delivered By: � Date and Time Delivered: a. /p.m. Candidate's Name: N \V1 Office Sought: �� �� Office District (it any): Election Type and Date: ❑ General on / / ❑ Primary on City on ( / 05/ W 1 J ❑ School on / / ❑ Special on / / Documents Received: (check all that apply) Affidavit of Candidacy Faxed? ❑ Yes No / Nomination Petition Number of pages (approx): ( � �P V1 ❑ Certificate of Nomination by Convention for Non-Party Political Organization ❑ Certificate of Nomination by Convention for Political Parties Person to contact if there are/quuestions about this filing: Name: N VI) In l_ �V�l�lU� I Phone: ❑ Nomination papers are available for public inspection. Objec ions to he qualifications of candidates and the legal sufficiency of nomination papers may be filed until: / /<3TI 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 rState of Iowa Affidavit of Candidacy _j i ! C'C J Can dates Name (exactly as it should appear on the ballot—no titles,parentheses,or quotation marks): J nn wm I I Ca, %30 P.VA. Candidate's Name Sounds Like (phonetic spelling): (IT!r3F F;,;; 4 Office Sought: '7n A- for 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? Type and Date of Election: ❑ Primary on / ❑ General on 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. Candidat 's Home Address: Axcl_ Re.0-✓'60 4 kye - Am e s T/4� Sods y 5to Street(no P.O.boxes) City State Zio County Candidate's Mailing Address (if different than above): Street City State Zip County Candidate's Phone: Email:s�p��yiri �¢,7n ,� Q �4Ac,Oti Candidate's Affirmation 1 swear(or affirm) that the information provided on this form is correct. l will be qualified to hold this office and if l am elected, 1 will qualify by taking the oath of office. /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. 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.) I know that I 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 wat conservation ' rict commission). Candidate's Signature: mil/ Must be signed in the preselike of a notary. State of:-7A- County of: (Stamp) Signed and sworn (or affirmed)before me on date of: �,�613 Jill L Ripperpr By: _AWN MP6f. L. *�* Commission Number 14650 Print Candidate's Name My Commission E*m Notary Signature: Prescribed by the Office of the Iowa Secretary of State Revised 112013 State of Iowa Nomination Petition for Non-Partisan Off SEP �10 2013 j Candidate Information Name of Candidate: h n ,G��,lS be l� Office Sought: CITY CLERK C I A, JUVVA Candidate's Count of Residence: S Candidate's City of Residence: Y fd r_ Y 0 Type and Date of Election: General on 7 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 FFor School Elections Only School District: School Director District(if any): FFor City Elections Only For Other Elections Only office Ward(if any): 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 13 2. 4202 Ayz'Ica cc�� /i wr e S 3. :?uv �,s 14vt Amc-, Zi�Ij 5 nv,01 FCoe'f k. f 7 a 13 7. �( 3a,� 2 i 9. !` 1 02, 10. ;,0 n 1 11 If r cYr rg- k c-( Lf-Za Ay4 G-5 2V 12. t� �l itsas 13. ' Af ff _ 14. 15. r2907 �oX�ov� ,-, l�-n�t�S 8 z� t3 l Prescribed by the Iowa Secretary of State II [J L State of Iowa Nomination Petition for Non-Partisan Offi SEP -l 0 2013 //�� Candidate Information m Name of Candidate: 11. 2.4-1 Office Sought: CI?Y 11.LI F'K �A!, r. Candidate's County of Residence: Lvi Candidate's City of Residence: Type and Date of Election: General on / / Special on / / School on /_/ ,®City on /_,C_a 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 For Other Elections Only Office Ward(if any): 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 five in Iowa Sign your name Today's House number and street City Date 3. p a Vi,EL L 6. 7' 14 Z /4-v< 14 m e D 8. i ICeifr� r�'�cook . �5�7 d� rnorS T 3 11.f41,C rn_ Jd nL 5 f��'l 5 t qrn�� � s� J 13. CO S i Vy-\--f- 7 14 W e it�DG— 0`2-f o Z ) 15. tea- 28 10 Prescribed by the Iowa Secretary of State 0 L LE State of Iowa Nomination Petition for Non-Partisan Off e S E P 10 2013 Candidate Information '1 J Office Sought: / CIT( ✓�rfilC Name of Candidate: % i / g ' Ars• 19 , Candidate's County of Residence: 1 U 1^ r/ Candidate's City of Residence: Type and Date of Election: 7 General on /_/ Special on / / ❑School on / / (City on 1[/ Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? ❑ 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): 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 3. ->) 4. 5. t 20 1 6. 1 to - ao l 3r is 7. Lysvi l4-+r x_ q 1 8. tit s. t r i 1 t 14. ^ 15. i 1� II Td —0— ( fl ` t `' L '3r 13 15 Prescribed by the Iowa Secretary of State Q L State of Iowa Nomination Petition for Non-Partisan Offi SE° 1 0 2013 Candidate Information Name of Candidate: � Office Sought: ,,y C_PK Candidate's County of Residence: K X"Z Candidate's City of Residence: Type and Date of Election: r ❑General on_/_/ Special on_/_/ School on !_/ [ City on / ,I_Z Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? No Yes FFor School Elections Only School District: School Director District(if any): For City Elections Only For Other Elections Only Office Ward(if any): 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. 2. t �� v lJ �l 5 (� „► -r—l� 3. 5. P 2 �ootc-_ � 6. 7. QLc� F-)- 1 e 3 8. 9. 3z4 S+- 4+ 2 10. p 7 fll3 12. to / sen Pr Ames 13. tJ�f'Y6 � Z g �3 Prescribed by the Iowa Secretary of State 6 State of Iowa Nomination Petition for Non-Partisan Offs e _ q n„ if ( � L� j Candidate Information Name of Candidate: ,r /�-7W ` ` Office Sought: � L lr i Candidate's County of Residence: V, Candidate's City of Residence: Type and Date of Election: General on ! / Special on 0 School on /_/ 'City on_,0 Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? No Yes FFor School Elections Only School District: School Director District(if any): FFor City Elections Only For Uther Elections Onlyoffice Ward(if any): 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 outfined 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 3(0 09 YO s Q 411 3. 4. ! 5. ze4 t 7;. '7 '/_� 4�. 2F�� eA I< r'k•�C4�.c� 13, 14. 15. �I Prescribed by the Iowa Secretary of State State of Iowa C Nomination Petition for Non-Partisan 1111 i1 S cP 1 C 2013 Candidate Information �� Name of Candidate: '� Pt� �.� �,h yy�, rya, �( Office Sought: 7 iaTy C;Y c i�i —� OF ld0:t?,1 Candidate's County of Residence: 5?<d v t Candidate's City of Residence: Type and Date of Election: i General on / / Special on / I School on /_/ [ City on / / j Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? ❑ No Yes FFor School Elections Only School District: School Director District(if any): F For City Elections Only For Other Elections Only office Ward(if any): 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 2 112 3. -b 5. / G 6. . �3 7. 8. 9. 10. 11. 12. 13. 14. 15. Prescribed by the Iowa Secretary of State State of Iowa Nomination Petition for Non Partisan Of SAP 10 2013 Candidate Information Name of Candidate: y J Office Sought I TIq�'`" 18 ALd Candidates City ' of Residence: �1'! Candidate's County of Residence: t� Y � Type and Date of Election: _ General on I_/ Special on I / School on / I ®City on /// c5 1 Z Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? ,®-No Yes FS For School Elections Only chool District: School Director District(if any): Foffice For City Elections Only For Other Elections Only Ward(if any): 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 five in Iowa Sign your name Today's House number and street City Date 1 3 )- S- 8� _) Flom �G /z Z_-)f 3 X0,90 t22 LE-6 �S 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 3 Prescribed by the Iowa Secretary of State 0 L E7 State of Iowa Nomination Petition for Non-Partisan Offi SEP 1 0 2013 Candidate Information f Name of Candidate: �7 t-0- L / Office Sought: '��l Q CITY CLERK r ? Candidate's County of Residence: U/ Candidate's City of Residence: Type and Date of Election: General on /_/ Special on_/_/ School on /_/ [ ity on / L5 / Is the candidate running to fill a vacancy due to the death,resignation,removal, or temporary appointment of an office holder?'& No Yes FC For School Elections Only hool District: School Director District(if any): Foffice For City Elections Only FFor Other Elections Only Ward(if any): 1 Office District(if any): We, the undersigned eligible electors of the appropria;e 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. 0 ,B�oo,�rim e Q /� 2. 3. 4241NAA1� 4. cos q Am 6. �� l 2 ►o o �s k n�,av D rZlr� �, 7. 3 a R41�;, 8. 9. 1-1 T19 12. rrl kc SHy�ih�� 1 7v Y et 4 G-�`� p /ri✓u `z 1 �m Cou.YnrtT 2 402( - fcr/� 47— 15. rrl✓ls� Prescribed by the Iowa Secretary of State Q L 1E State of Iowa Nomination Petition for Non-Partisan Offic SEP 10 2013 Candidate Information V Name of Candidate: Office Sought: CITY Ct.=fiK 7 FVF Candidate's County of Residence: Candidate's City of Residence: Type and Date of Election: General on_/ / Special on_/_I ❑School on _/ / [City on J/ 16_1Z— Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? "C No Yes For School Elections Only School District: School Director District(if any): For City Elections Only For Other Elections Only office Ward(if any): 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 Atyl §2I'I3 2. �ARp� 3 :3. Ell"i A1[A Sl{ 5• ui�s7 1106 Gl Ave 6. v, NZAA tZ 1� 7. (3At(mggPTTur�F �(7rp $. ►21Z_ S�AFF'o�D �/� AK�s 9. �rr� vim,_ ZOt1 V-01,o Au— 7] e5 8•Z3,13 10. 12. a `,4c�.�f�l i 1 S� 13, /0 wri J_A f')f 7 A MP ri 5. 4zi S YYIiLSON A%rE F5 Prescribed by the Iowa Secretary of State FtSEP L�State of Iowa Nomination Petition for Non-Partisan Off 1 0 2013 Candidate Information Name of Candidate: 3 ` Office Sought: CiiY f! Candidate's County of Residence: tJ ` ✓` Candidate's City of Residence: ZVL l Type and Date of Election: General on D Special on / / School on E&City on Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an officeholder? El], 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): 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 D to A p3 3 -1 �r �,A 2,b 3. > V . / M 4 r ��. 5. 1` F 6. my 7. rvic- bq z�lz �rps ° Z Grt7 ' blv�.c�� �/�i•� inlos � �' 8. 4(7a 9 z 6z3 9. t�► r6 `3 10. PI 12. n '`t' 1 ��.t,a�r ,/.iffJ�drJ talf� 13. 3Z I b ak. Cn :s+ A 3o 1-3 14. 15. g l in�a,-mot �S-1 . nes f-r 3 /s Prescribed by the Iowa Secretary of State i State of Iowa f Nomination Petition for Non-Partisan Mil I 11 � Candidate Information Ise SE° 1 0 2013 �1 Name of Candidate: (!I G Office Sought: n"�L Q R•'r'; Candidate's County of Residence: �tS Candidate's City of Residence. __ m Type and Date of Election: General on / / Special on ! / School on IRCity on Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? n No Yes For School Elections Only F chool District: School Director District(if any): FFor City Elections Only For Other Elections Only office Ward(if any): 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 ur name Today's House number and street City Date 2. 3 D4. 5. 6. r/F�v/ IflCnt 7. SIX/ as©a 8. �G orkC red r 1 31 2 i 4 -2® 12. 13. - 14. 15. 1 ,712 1s Prescribed by the Iowa Secretary of State State of Iowa , t Nomination Petition for Non-Partisan bffli e `p l L_� ? 2013 JI Candidate Information L a p wi Name of Candidate: n Office Sought: r�L, Ty L L,?ul Candidate's County of Residence: A A^Q Candidate's City of esidence: Type and Date of Election: General on_/_/ Special on_/_/ U School on ity on / Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder?X No Yes For School Elections Only F chool District: School Director District(if any): Foffice For City Elections Only For Other Elections Only Ward(if any): 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 1. Cj 2 3. - Ir f 4. `"99 �9ys .M/6 8. -�vZ 9. 10. B O __1 3 6111 12/ 1 lslcnl .,` 3,0 15. 15 Prescribed by the Iowa Secretary of State State of Iowa E � Nomination Petition for Non-Partisan Offs t � a 2013 Candidate Information I w> Name of Candidate: 1911`1 � � ^��� /� Office Sought:Sou9 H' I _ Candidate's County of Residence: J — Candidate's City of Residence: iv, Lc Type and Date of Election: ❑General on_/ / ❑Special on_/_/ School on ❑ K City on Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? T No Yes F For School Elections Only school District: School Director District(if any): F For City Elections Only For Other Elections Only office Ward(if any): 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. I Address where you live in Iowa Sign your name Today's lyy4le House number and street City Date T 2. 1 C 7 Ci-O 3. U le 4. 3 5. _� (3 ccU�° Alt 9-,27-� 6. Fi�In� S. ell 9 10. wins o: /,zo O 'oP 11. 12. � 13. 14. V�q /S Prescribed by the Iowa Secretary of State 7 State of Iowa Nomination Petition for Non-Partisan 0 ice; 2013 Candidate Information Name of Candidate: -,*2012 ial, i( Office Sought Candidate's County of Residence: Candidate's City,of Resi Type and Date of Election: 7 General on_/_/_ E]Special on ❑School on _/_/_ Z City on Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? [K No E] Yes For School Elections Only School District: School Director District(if any): F office Ward (if any):For City Elections Only For Other Elections Only Office District(if any): E 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 Today's House number and street City Date 2.. 3. L-3 J 01,&0 4.. 5. A,5ev tz -c Z-e, x 6. 3 7. M t5 —2-2-2-Z)23 902 &1101­1 11? 4,---( 14"1 e 1-2 s. 9. 1W *03 F11Anq 41-P- 13 12.. 13. Otl 22 14. _3o, I /�o s 5 3 6 15.. :9 27- Prescribed by the Iowa Secretary of State