HomeMy WebLinkAboutA013 - Receipt of Nomination Papers - Gloria Betcher State of Iowa
Receipt of Nomination Papers
Receipt Number: 9 Office Received In: A/ 4 Li (l�Da.lfS Q��c�
Received By: /LL L
Delivered By: 19)onm B�TCNEl2
Date and Time Delivered: 9 / 3 13 Lo:5 a.m p.m.
Candidate's Name: 94hx/�a J5F_TCHEtZ M
Office Sought: 4M&-S ►VAR15 Office District (it any):
Election Type and Date:
❑ General on / / ❑ Primary on / / City on I/ / 5 /a
❑ School on / / ❑ Special on
Documents Received: (check all that apply)
[�J' Affidavit of Candidacy Faxed? ❑ Yes [KN0
Nomination Petition Number of pages (approx): S �� Siq�fill E"PS�
❑ Certificate of Nomination by Convention for Non-Party Political Organization)
❑ Certificate of Nominatior}by Convention for Political Parties
Person to contact if there are questions about this filing:
Name: G, aye B&—rngER Phone: 5/5-29Z- 5177
Nomination papers are available for public inspection. Objections to the qualifications of candidates and the
legal sufficiency of nomination papers may be filed until: ! z� / J3
--------------
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
7_711,
State of Iowa I
Affidavit of Candidacy
SAP i : 2013
Candidate's Name (exactly as it should appear on the ballot-no titles,parentheses,or quotation marks):
Candidate's Name Sounds Like (phonetic spelling): C,31ow-ree-a Betjer
Office Sought: i tative
District or Ward (if any):omPc \Nam 1
Vacancy—Is the candidate running tf vacancy
of an office
o the death,a resignation,
❑ Yes � No
removal, or temporary appointment
Type and Date of Election:
❑ Prima on I / ❑ General on 1 / ❑✓ City on 11 /05 /13
ry
❑ School on / I ❑ Special on ! 1
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:
City
State Zip County
Street(no P.O.boxes)
Candidate's Mailing Address (if different than above):
City
State Zip County
Street
Candidates Phone:
��5_797_59 77 Email: [jabotr-horwarrl l(r�omatl com
Candidate's Affirmation
1 swear(or affirm)that the information provided on this form is correct. 1 will be qualified to hold this office and if I am elected, 1
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.
h shall file an orga
iz
I know that 1 am required to organize a
contributions, idates make expendittee, whi ures, or incur indebtedness In excess statement
of$750 inand
reports
if 1(or my committee)receives calendar year for
the purpose of supporting my candidacy for public office. (This does not apply to candidates for federal office.
1 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 water conservation district commission).
Candidate's Signature:
st be signed in t presence of a notary.
State of:�A County of: 5-TOR yl Sta nL-
Signed and sworn (or affirm Jill L. Rippergered)before me on date of: 9` 1-3 �minkm Number 146549
* 4 My Caea�uioe
By: toRiA
Print Candidate's Name
Notary Signature:
Prescribed by the Office of the Iowa Secretary of State
Revised 112013
r 5 1 I
r
State of Iowa
Nomination Petition for Non-Partisan Office
Candidate Information vLF i 3 20110; j
Name of Candidate: Gloria J. Betcher Office Sought: City Council Representative` {
Candidate's County of Residence: Story Candidate's City of Residence: ._A7TTPS'.
Type and Date of Election:
General on / / Special on_/ School on / / ❑City on 11 / 05 / 13
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? P No ❑ Yes
For School Elections Only
Fs,hool District: School Director District(if any):
FFor City Elections Only For Other Elections Only
office Ward(if any): 1 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
i, fl
( 11�
2. LU 1, /J���! �/A�� ��'�� f �', 7� _ Vr 1�� � ��J
3. >
Say
5.r Slmo c 1�5 Ayr.-- 26
6. � . OA.
7. �
Pam- 7��,,."t�_
s tE
9.
/ S Z?163
10.
11.
12.
13.
14.
15.
/
Prescribed by the Iowa Secretary of State
. State of lows � �,
FrNomination Petition for Non-Partisan Offi
Candidate Information LE 3 201.1
Name of Candidate: Gloria J. Betch r Office Sought: City Co �Cil
Candidate's County of Residence: Story Candidate's City of Resid
____
Type and Date of Election:
General on / / Special on / / School on / / G City on 11 / 05 / 13
Is the candidate running to fill a vacancy due to the death,resignation, removal,or temporary appointment of an office holder? 9 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): 1 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 Toda
City e
ate
2. Ite"
�lNa In
17
,-1 /
4.
I
2-1
�
6. nA a�/, pr F.<l5fxri7 l
8. n r3� s 13 L
9.
/,*, L�,`71 U�e� L C�7 -,
1 Q. l3 .3
1 �w
12 Joy
13
b 31 hFa u rcQAY m¢.$ g ly t
5.
^-Co f I N/3 J
/5
Prescribed by the Iowa Secretary of State
State of Iowa f , u
Nomination Petition for Non-Partisan Offic
{ I SAP 13 2013
Candidate Information
Name of Candidate: Gloria J. Betcher Office Sought:_City Coun I Representative
E :..__
Candidate's County of Residence: Story Candidate's City of Residence: Ames
Type and Date of Election:
General on / / Special on_/ / DSchoolon _/_/ ❑City on 11 /05 / 13
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? �3 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): 1 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
City Date
2. 6 r�
3.
6.
3
9. � ►
,� '�-t C' 2 CF f , l C1
10. ss;�� 2 /i�
,r
'7C 7� ✓G ,Yj�
12. yaw
.t,. ' Ems rr�• � � n !J/�
Cfe
.ury / ) x a
15.
Prescribed by the Iowa Secretary of State
Late of Iowa E i
Nomination Petition for Non-Partisan ®ffice i
Candidate Information
Name of Candidate: Gloria J. Betcher Office Sought: City QQuncll Representative
Candidate's County of Residence: Story Candidate's City of Residence AM,es
Type and Date of Election:
General on / / Special on / / School on / / ["j City on 11 / 05 / 13
Is the candidate running to fill a vacancy due to the death, resignation, removal, or temporary appointment of an office holder? N No Yes
F
For School Elections Only
chool 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 distract,
or
other district established by law as required bylaw.
Address where you live in Iowa
Sign your name Today's
House number and street City I Date
1.
ve A MET /s i3
2. l ata03.
sInY►�t3�
4.
5.
6.
7.
18.
9.
10.
11.
12.
13.
14.
15.
I
Prescribed by the Iowa Secretary of State
State of Iowa
Nomination Petition for Non-Partisan Office 7
Candidate Information
Name of Candidate AA I
Office Sought: W( -
Lie
Candidate's County of Residence:
Candidate's City of Resideriml .- )"n-VW—S
Type and Date of Election:
E53eneral on Opecial on Ochool on &ty on 13
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder.?GNo ®Yes
FFor School Elections Only
School District: School Director District(if any):
1 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.
Sign your name Address where you live in Iowa
Address where you live in Iowa
House number and street city Today's
Date
iq V
2. C'I'Z/17.0 13
0,
LZ tA
3. 1
L)IG ku 1_0 -
4. ---k
14
Zj
6. 0)
7
8. 1
9#2 0?
9
10.
11. 17kr�_ Av-e AwZA
12.
13.
14.
15.
/10
Prescribed by the Iowa Secretary of State