HomeMy WebLinkAboutA015 - Receipt of Nomination papers - Mary Kitchell co��
' State of Iowa
Receipt of Nomination Papers
Receipt Number: 1 3-0 1 ' Office Received In: -
Received By: I IM� YI
Delivered By: M lle
Date and Time Delivered: Oq / 1- / /3 a : 4f a.m.0
Candidate's Name: M01W
`�I,+che I I
Office Sought: 6AAC iIzki S 6_e Office District (it any):
Election Type and Date:
❑ General on / I ❑ Primary on / I City on A / 5 03
❑ School on / / ❑ Special on
Documents Received: (check all that apply)
[� Affidavit of Candidacy Faxed? ❑ Yes [�J'No
❑`� Nomination Petition Number of pages (approx): qq 51yiafto-es)
❑ 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: Am ( Phone: _6l5-zq2 `34517
Nomination papers are available for public inspection. Objections to the qualifications of candidates and the
legal sufficiency of nomination papers may be filed until: q / / /3
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 u I r�
t Affidavit of Candidacy 14*
Candidate's Name(exactly as it should appear on the ballot—no titles,parentheses,or quotation marks): S EP 1 7 2013
�Y C-L
Candidate's Name Sounds Like (phonetic spelling): K c+C_l1
Office Sought: 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 H / 05 / ' 3
❑ School on / / ❑ Special on
Candidate's Affiliation(only complete for partisan offices or Ch.44 city nominations):
❑ Democratic ❑ Republican
f7Not affiliated with any organization ("Nominated by Petition"will be listed with the candidate's name on the ballot.)
❑ Name of Non-Part Political Organization:
Y 9 No more than 5 words and exactly as it should appear on the ballot.
Candidate's Home Address:
{�lf �s wa 5y0)D S py
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: J l —�.� —3�( 1 Email: = ` e
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/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 I am required to organize a candidate's committee, which shall file an organization statement and disclosure reports
if l(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.)
l know that l 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:
Musf be sign in t presence of a notary.
State of:ka County of: 9'(
(Stamp)
Signed and sworn(or affi ed)before me on date of: Z4 /x i STEPHANIE BATES
nn//f / c Commission Number 732487
By: `� C', elt Z My Commission Expires
Print C iciate's Name •�O Januacy 20, 2014
Notary Signature: s 1%'" ,j
Prescribed by the Office of the Iowa Secretary'of State Revised 1/2013
State of Iowa
_7 20113vt
Nomination Petition for Non-Partisan Office
SAP
Candidate Information
M
Office Sought: _F,-u_5,+e
Name of Candidate: M R T H E L L
Candidate's County of Residence: Si J-'I Candidate's City of Residence:
Type and Date of Election:
General on
-1 Special on E]School on City on
F-1 F
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? No E] Yes
For School Elections Only
School District: School Director District(if any):
For City Elections only For Odw 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 To 0day s 7
'S
Sign your name t
House number and street city Date
1. T 0%, La/I
Vill P_3 54-
M,r
5..
U I
6.
9.
Y714
10. jam 61
a
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Z*Z_Z—w—t-
15.(
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Prescribed by the Iowa Secretary of State
State of Iowa r-
Nomination Petition for Non-Partisan Office -' a /Y PAJ
S`a
Candidate Information r
!j!
hli
Name of Candidate: G�" (� / !}J 7C{��L� Office Sought E_
J r
Candidate's County of Residence: SY�—I Candidate's City of Residence:
Type and Date of Election:
General on / / Special on / / School on City on 105
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder?x No Yes
F
For schooi Ekw0anschool District: School Director District(if any):
FoZ
Cityaft*ons owy For Ortrer awtfons Only
Ward(if any): 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
I�
2.
4.
5.6.
S
2
"1 Z l
d2�3
9.
11.
tie
S S G3'
14.`
15.
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Prescribed by the Iowa Secretary of State
State of Iowa
Nomination Petition for Non-Partisan Office I C� a:lzf
• r- _ lip
P .y� 'y/ /'y\/ / ,J /Candidate Information ScP 17
-," Val' �/ I \ TCtj L L L
Name of Candidate: � Office Sought: !t �� - •..;-� . .... � ,
Candidate's County of Residence: _S+0-7-C 4 Candidate's City of Residence:
Type and Date of Election:
General on / / Special on / / School on / / 7T City on�� /LS/ i 3
Is the candidate running to fin a vacancy due to the death,resignation,removal,or temporary appointment of an office holder?x No Yes
School Eh xWom OnlFsz
l District: School Director District(if any):
city Elections only For Other 6ecoons only
Fzce Ward
(if any): 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
ate y
2.
3.
4. 6
5. P1 00
_ 1 19
57
8. ,i'
11 3�x�7i ja,
10.
11.
12.
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13.
14. � � ""�`3!7 r /
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Prescribed by the Iowa Secretary of State
State of Iowa I '' 8
Nomination Petition for Non-Partisan Office[ @ a I�tM/K
) � Candidate Information
` ' `r SLEP 1 7 2013 °
Name of Candidate: % (\ )TC 1- L L Office Sought e r/e
Candidate's Countyof Residence:
�`� � Candidate's City
Type and Date of Election:
General on / / Special on / / School on / / City on /f !c/ 1 3
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder?J�o Yes
For School 8ecoons Only
School District: School Director District(if any):
FZcity Becoons only For Odw Beetions only
Ward('rf 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.
S' name Address where you live in Iowa
Today s
ouse number and street city Date
t-1,-i i
s
' r
5.
6.
t- )C�,.i ` Ship �t�: H 6
7. Lesl a� a
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8.' A
9. ,A.
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15.
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Prescribed by the Iowa Secretary of state
State of Iowa i L
Nomination Petition for Non-Partisan Office
J� SEP 1 7 2013
Candidate Information -
Name of Candidate: /" Il l\Y K I t C i4 E=LL Office Sou9 ht: a,1 CC,
l f, c' 7JT-i^
J f�Candidate's County of Residence: _ i{ Candidate's City of Residence:� _5 --
Type and Date of Election:
General on_/ / Special on /_/ School on /_/ City on OS/E
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 Onchool District: School Director District(if any):
FfFor 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. 3�0 ' 0,l-/3
3. � �
5. I
6.
7.
9.
11. Su G X�c yh e. $ (�2�/3
12.
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14.
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Prescribed by the Iowa Secretary of State
f1 ....,.....
,
State of Iowa `=
Nomination Petition for Non-Partisan Office
Candidate Information SLF 1 7 ?Ol3J
Name of Candidate: MAP,
Y 11 i T c/� [L L Office Sought
Candidate's County of Residence: Candidate's City of Residence:
Type and Date of Election:
General on / I Special on / / School on / / F,�City on jr / 0—1 1
Is the candidate running to fll a vacancy due to the death,resignation,removal,or temporary appointment of an office holder?No Yes
School BecfiomFsz
l District: School Director District(if any):
FZFor city Sections only— r For other BecoDm only
Ward('if any): 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 Hie 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 Hie apprapdate 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 y e Today's
PGr r House number and street City Date
r
3.
-
4.
5. f ldC Qr
6
C i/ -- � -
8. ;�'�^ J/lr_
s.
9-1 �_f-3
10.
12
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14.
91 - l
15.
Prescribed by the Iowa Secretary of State
State of Iowa
/
Nomination Petition for Non-Partisan Office,, f� r `t PM
S^P 1 7 2013
Candidate Information
i
Name of Candidate: M arLA Office Sought:T S Cc.
Candidate's County of Residence: Candidate's City of Residence:
Type and Date of Election:
General on / / Special on / / School on / / XCity on / 9/�
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 Onlchool District: School Director District(if any):
Fcf
For City Elections Only For Other Bections only
ce 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.
3. / R -�x C,� /7 13
Cir o 17 /3
5.
6.
9.
S,
12. l7
In?c l7
13. L b Iq
14. Ate
15.
Prescribed by the Iowa Secretary of State