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Home My WebLink AboutA012 - Receipt of Nomination Papers - Victoria Szopinski ii �i State of Iowa Receipt of Nomination Papers Receipt Number: _ �� Office Received In: A tll c A C J, Received By: o Delivered By: 121 �� S Date and Time Delivered: / �� / �� -LL t1-I e.m. P.M. Candidate's Name: `,�I C `� c� 7 Pt l� 1 Office Sought: !�ti �� L��Cac�14 Office District (if any): Election Type and Date: ❑ General on / I ❑ Primary on / I City on 6 an13 ❑ School on / I ❑ Special on / I Documents Received: (check all that apply) Affidavit of Candidacy Faxed? ❑ Yes No �� IC-p(r`l Nomination Petition Number of pages (approx): - ❑ 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: InA- VA I Phone: Nomination papers are available for public inspection. Objens to the qualifications of candidates and the c io legal sufficiency of nomination papers may be filed until: /w / 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 7/09 State of Iowa Affidavit of Candidacy SEP 1 3 2013 Candid`atte's Name (exactly as it should appear on the ballot—no titles,parentheses,or quotation marks): j , o y" AAA CITY CLERK LLLL,,�.�, \ v .v Candidate's Name Sounds Like (phonetic spelling): —55 W—' 1,IJJ SYC.I Office Sought: G 11�c C-o U 1,3 C-1t-- District or Ward (if any): V::-o U P, 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�/ �/ 2013 ❑ 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: 3-4-1 a Boss P-D AMES Soo i4 ST(3 q Street(no P.O.boxes) Clty State up County Candidate's Mailing Address (if different than above): Street Clty State ZIP County 1515. 292 -41(05- h k 11 Candidate's Phone: `jl'7 2b% (030S- c-' Email: \/`52.op1 n S k1 P GMaI t •C 0yr Candidate's Affirmation swear(or affirm) that the information provided on this form is correct. 1 will be qualified to hold this office and if l am elected, I will qualify by taking the oath of office. I know that I 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. I 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 conservatioQ di rict commission). Candidate's Signature: Mus be signe a prese Hof a notary. J; State of:10W2.County of: , I^ (Stamp) Signed and sworn (or affirmed)before me on date of: - �Z-O-O JCN_ By: �I C. +( 1 S?C l V15 k—A Diane R. Voss E ammoafto Nua*w 134" Print Candidate's Name 1 ry n n919,06 Notary Signature: � Prescribed by the Office of the Iowa Secretary of State Revised 112013. State of Iowa Nomination Petition for Non-Partisan Offi 0 L Candidate Information it 1 Name of Candidate: V1 L 16(z �`l , a)P( Y. S K.0 Office Sought: { SEP i 2013 Candidate's County of Residence: c 1 O Candidate's City of Resid nce: Type and Date of Election: CITv01"'.10E�, !OWA &eneral on / I (Special on / / &chool on ity on Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder?G No ®Yes F For 5choo/Electionschool District: School Director District(if any): F For City Elections Only F For Other Elections Only office Ward(if any): FQ U 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 is House number and street City Date (Zo5 S 2. 3. V 7 51/ 6. o s skoI;-b S — 7 -13 8. _ I /2, 10. r' c A 1 Cj� J7 s G -17 ✓t ., 13. 7 )3 14. - -1-13 Prescribed by the Iowa Secretary of State State of Iowa Nomination Petition for Non-Partisan O Q L Candidate Information S E P 1 3 2013 Name of Candidate: Office Sought: C-1 v N C.k L c� L Candidate's County of Residence: 'D Candidate's City of Resid nce: Type and Date of Election: CITY OF AMFS,IOWA &eneral on / / especial on / / &chool on / / ity on II /S/ 13 Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder?O No ®Yes For School Elections Only F chool District: School Director District(if any): F For City Elections Only For Other Elections Only office Ward(if any): :F-O U R 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. F �lll� F6 cxni S�. /�mc� 7-7-a.ri3 2. ��-- 7-z j 4. q 7 5. 6,06. 1. Dr,b s ,r, 1 I Q wu s _ 13 7. loc, Ave-8. y s ,��7 9. .b' 10. I � , 11. c ^ �� Oze�s Zt( 13 12. - Z2 Ai 13. 14. . 41 15. W ..,/ ( v C Q-�1— r Prescribed by the Iowa Secretary of State