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Home My WebLink AboutA006 - Receipt of Nomination Papers - Louis W. Banitt State of Iowa Receipt of Nomination Papers ph '41-" Recei p t Number: — (� Office Received In: CIA4 N rk \/ Received By: ❑ " c)s Delivered By: Date and Time Delivered: a.m p.m. Candidate's Name: t Office Sought. > ;n��`�"{ ' C t J�� CI Office District (it any): Election Type and Date: ❑ General on / I ❑ Primary on / I City on ❑ School on / I ❑ Special on / I Documents Received: (check all that apply) Affidavit of Candidacy Faxed? ❑ Yes IgNo Nomination Petition Number of pages (approx): �Cfq ❑ ❑ 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 lfiling: Name: L.�t �A �S �; �\ Phone: C> ❑" � � �� I Nomination papers are available for public inspection. Objections to e qualifications of candidates and the legal sufficiency of nomination papers may be filed until: 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 ❑� ��_ L l State of Iowa �� Affidavit of Candidacy UI AUG 2 ; 2013 Candidate's Name(exactly as it should appear on the ballot—no titles,parentheses,or quotation ma C1� CITY 110'vVA Candidate's Name Sounds Like (phonetic spelling): Office Sought: Trul;tPP Mary Grinpipy MediCal Center 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 11 /5 /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: 9Si4 Kellogg Av AmeS, Iowa 50010-4863 tore 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:515-232-1 122 Email:rinr Prrossuathg net 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, 1 will qualify by taking the oath of office. 1 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. i know that i 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 wateT,�eonservation district ommission). Candidate's Signature: t ' , Must be signe in the presence of a notary. State of eW County of:901 yyam� (Stamp) Signed and sworn(or affirmed)before me on date of: X F3 LO STEsiHAN BATES Sy: i �� Commission Number 732487 Print Candidate's Name My Commission Expires Io Januar 20, 2014 Notary Signature: Prescribed by the Office of the Iowa Secretary of State Revised 112013 Q IE State of Iowa L� AUG 2 7 2013 Nomination Petition for Non-Partisan Offi ro � a.tO Candidate information C1TY OF AGES.!0`NA Name of Candidate: Louis W. Banitt Office Sought: Trustee Candidate's County of Residence: Story Candidate's City of Residence: Ames Type and Date of Election: General on / / F1 Special on I / School on I I [City on 11 /5 /2013 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): FFor City Elections Only FFor Other Elections Only ifice Ward(if any): none 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. 5 7. 9. A ^ > %� � / t• to �i - (�- ! 10 12. LA 7�? 13. 15 Prescribed by the Iowa Secretary of State State of Iowa Nomination Petition for Non-Partisan Off ic a AUG 2 7 2013 Candidate Information I I �, I 16 Name of Candidate: Louis W. Banitt Office Sought: Trustee- ary Gree Candidate's County of Residence: Story Candidate's City of Residence: ice_'.__._..,__ Type and Date of Election: F1 General on _ Special on School on [City on 11 /5 /2013 Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holde? 0 No E] Yes r School Elections Only School District: School Director District(if any): Ps: FFor City Elections Only For Other Elections Only ;.ce Ward(if any): none 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- Sign your name Address where you live in Iowa Today's House number and street city Date f 3. S., Jj 5. -7 V 6 3 7. 8. k", /Z Qltzll� CC aao wha IT M/ L 14. ti -71 44 WZ L&o',J PN Prescribed by the Iowa Secretary of State 4 State of Iowa ! �U ceAUG 2 7 2013 Nomination Petition for Non-Partisa i Candidate Information Cl-,Y s Name of Candidate: Louis W. Banitt Office Sought: T - 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 15 /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 School District: School Director District(if any): Foffice For City Elections Only Other Elections Only Ward(if any): none Ei� e Disirict 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 other drstapprop blie county, by law as required by law.school or community college director district, or rict Address where you live in Iowa Today's Sign your name House number and street City Date lvs 3. 4. 2 6. (o Q /e 7 /Z / 10. Rai^ 3 QUA tju 12. 6,11,1y,;41 13. t cC 1,� �, Arm lizr'2ri 14 i 5 4._ -c� ,r N.S i 2 z c, !3 15� 2-0O3 Prescribed by the Iowa Secretary of State p L State of Iowa Nomination Petition for Non-Partisan O i AUG 272013 ` Candidate lnfon�nation a , ) . ,nil. Name of Candidate: Louis W. Banitt Office Sought: Trust a-Ma qd. r CITY r)F'411 S.I0WA Candidate's County of Residence: Story Candidate's City of Re Type and Date of Election: General on / ( Special on / ( School on / / [City on 11 /5 /2013 Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holden 0 No ❑ Yes F For School Elections Only School District: School Director District(if any): FofFi For City Elections Only For Other Elections Only- ce Ward(if any): none 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 ^, %-' /O 4. 1 1� ,, , ,z, 1-3 s. 310 �.�%6. 'stepn4 72A 6L y 7. 8. 7 �� —� C t�S 01,- —]a — 9. i�t u� J nJ- /z 11 r70 � Y �— � --� Harold�enSeVl j e am( �;V I1"�PM Z. / La (/ Zvi r4 �. Prescribed by the Iowa Secretary of State � State of Iowa Nomination Petition for Non-Partisan O i AUG 2 7 2013 Candidate Information , Name of Candidate: Louis W. Banitt Office Sought: Trustee Ma Candidate's County of Residence: Story Candidate's City of Residence: Ames Type and Date of Election: General on I / Special on / / School on _/ / Eif City on 11 /5 12013 Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? 0 No Yes Fs: r School Elections Only ol District: School Director District(if any): P r City Elections Only For Other Elections Only e Ward(if any): none I 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 T 's House number and treet City Date 2. Z, i� — 3. 07 4. t � 5. 8. 12. 15. Prescribed by the Iowa Secretary of State State of Iowa 1 ! Nomination Petition for Non-Partisa ceAUG 2 7 2013 "D r 4 Candidate Information ir Name of Candidate: Louis W. Banitt Office Sought: Tr stee-Ma jGireele, 'Med:Gtr Candidate's County of Residence: Story Candidate's City of Residence: Ames Type and Date of Election: General on / / Special on ( / School on EjfCityon 11 /5 /2013 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 Only chool District: School Director District(if any): FFor City Elections Only For Other Elections Onl yice Ward(if any): none 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 bylaw,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,ypur name Today's F House number and street City Date 4. 5. 44 e7 Da P utt f", 7. - ►�� 1 /tV iV1 led 13 8. �.; L• )crfrc( _`' / C !J /►ate 11c�; to • � /' ' �` o /2 J__l//Z� 12. s�ctie r, r l j 14. F= r,� 15. Prescribed by the Iowa Secretary of State '2 ; 1 State of Iowa _} Nomination Petition for Non-Partisan t'::M t�fi e AUG 2 7 2013Candidate InformationName of Candidate: Louis W. Banitt Office Sought: Ta reeie•'Med. Ct1 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 /5 /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): r City Elections Only {�For Other Elections Only FofZ e Ward(if any): none I Office District(if any): - I — 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 �y City Date 1. l �o a (/t A aw, It, a 2. t 6. 7. 8. 9. - - ; 12. 13. 14. 15. t\ Prescribed by the Iowa Secretary of State