HomeMy WebLinkAboutA008 - Receipt of Nomination Papers - Amber Corrieri J
State of Iowa
Receipt of Nomination Papers
Receipt Number: 3p G'CA+ Office Received In:
Received By: t:D-
Delivered By: vv1�:),tfY e-b�l
Date and Time Delivered:
Candidate's Name: P\3A Utj- CA?yv V'I
Office Sought: a�� lC= � ���� C l l�'1C'a t�f -�-��� '�- Office District (if any):
9
Election Type and Date:
❑ General on / / ❑ Primary on ERCity on C)6/ af o
❑ School on / / ❑ Special on
Documents Received: (check all that apply)
Affidavit of Candidacy Faxed? ❑ Yes �ZNo l
Nomination Petition Number of pages (approx):
❑ Certificate of Nomination by Convention for Non-Party Political Organization J /
❑ Certificate of Nomination by Convention for Political Parties
Person to contact if there are questions about this filing:
Name: i�tiy� ��e%v- Le l���V�l� ✓1
Phone:
Nomination papers are available for public inspection. Objec�ti ns t tf,>e qualifications of candidates and the
legal sufficiency of nomination papers may be filed until: / Ac1 !j
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
State of Iowa I;
Affidavit of Candidacy I
Candidate's Name(exactly as it should appear on the ballot-no titles,parentheses,or quotation marks):
SEP - 5 2013
ri - �� '. c.T Pk
Amber CorrieCI i(CLERK
Candidate's Name Sounds Like (phonetic spelling): -ber kor-ee-a'r-ee CITY OF N e I
Office Sought:AMes Cfty Council District or Ward (if any):at-large
Vacancy—Is the candidate running to fill a vacancy due to the death, resignation, ❑ Yes ❑✓ No
removal, or temporary appointment of an officeholder?
Type and Date of Election:
❑ Primary on / / ❑ General on / / ❑✓ City on 11 /05 /2013
❑ School on / I ❑ Special on
Candidate's Affiliation (only complete for partisan offices or Ch.44 city nomination):
❑ 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:
2.804 Aspen Rd Ames IA 50010 Stow
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:515-451-9275 Email:a►„ber corried&g mail.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 1 am elected, I
will qualify by taking the oath of office. I know that 1 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 govemor or by the president of the United States.
I know that l am required to organize a candidate's committee, which shall file an organization statement and disclosure reports
if 1(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.)
1 know that 1 cannot be a candidate fVoa eoffice to be filled at this election(except in the case of county agricultural
extension council or soil and water c �ct commission).
Candidates Signature: /
M�s4kie fined' th 's nce a notary.
State of:D-/ County of: S�0,c4
(Stamp)
Signed and swom(or affirmed)before me on date of: 1�
Print Candidate's Name
Notary Signature:
Prescribed by the Office of the Iowa Secretary of State Revised 112013
t
State of Iowa 9 L _ F.
Nomination Petition for Non-Partisan Of i
Candidate Information
SEP - 5 2013
11-7
Name of Candidate: Amber Corrieri Office Sought: Ames it
CITY OF AMES,10M _7
Candidate's County of Residence: Story Candidate's City of Resi
Type and Date of Election:
Special on I / School on City on f f /��I X
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
FS,hool District: School Director District(if any):
For City Elections Only For Other Elections Only
Office Ward (if any): at-large 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
2. 0
J pi l 4-h
3.
4. O
5. 2,71-7 13
g
10. rr z�/Z I-k s 13
11. 3
13.
1 >CsF{c�ll Z "s tA4vve;
Prescribed by the Iowa Secretary of State
0 L C
. State of Iowa
Nomination Petition for Non-Partisan i
1 SEP
Candidate Information - 5 2013
LEI Name of Candidate: Amber Corried Office Sought: Ameg Cit
6 F AMES,10'NA
Candidate's County of Residence: Story Candidate's City of Recide �
Type and Date of Election:
YQeneral on 11 / 5 / 2QL [-]Special on / I School on / / City on 5 //3
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder?� No Yes
Fschool
For School Elections Only
District: School Director District(if any):
FFor City Elections Only For Other Elections Only
Office Ward(if any): at-large 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. Jaco n p
3. �a
5. /70 ,� JG r �e1.s �
6. IBC"
�+, l 2 0
7. 140-1
� �
8. - 2
9. 3
10.
11. �
1
13. ��a"" .
15. G` ?Z 0 n7 e S2
Prescribed by the Iowa Secretary of State
J
State of Iowa `.
It ` �
Nomination Petition for Non-Partisan O i
Candidate Information
SEP
Name of Candidate: Amber Corrieri Office Sought: Ame CityCI �'
CITY
Candidate's County of Residence: Story Candidate's City of Residence: mes
Type and Date of Election:
Ef'General on-4 l� '--z^o Special on / / School on / / City on N / (�
Is the candidate running to fill a vacancy due to the death,resignation, removal,or temporary appointment of an office holder? K No Yes
F
For School Elections Onlchool District: School Director District(if any):
oFor City Elections Only (�For Other Elections Only
ffice Ward (if any):.at-large 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
1 1 (� i'L
ya
5Ia
4. ��a28 5 8
5.
7.
s. -.- �`�G` 3�z55 � _� g a3 J/3
s 306,�— I;a
10. 4 S �
G c14 AtO;3 FVZ
11. -
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12. � - 1
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13.
14.
V\—N 7) '@14 1
15
7�7�1 2Y /
Prescribed by the Iowa Secretary of State
State of Iowa
a L
Nomination Petition for Non-Partisan O i
SEP -52013I
Candidate Information C
Office Sought: Ames Cit
Name of Candidate: Amber Corrieri CITY OF AM'[
Candidates County of Residence: Story
Candidate's City of Res
Type and Date of Election: City on
C3i' enera on
0 Special on 1 1 School on
to fill a vacancy due to the death,resignation,removal, or temporary appointment of an office holder? �No Yes
Is the candidate running
For School Elections Only
School Director District(if any):
School District:
For Other Elections Only
For City Elections On►y Office District(if any):
Office Ward(if any): -
ligible electors
the
county,
school district,
school
or o college
director district,
nomination,
district
We, the undersigned e If the candidate namedabove accepts the
as e ei e bylaw, and the state of Iowa hereby make the nomination
we believe the candidate is or will be a resident
the
pstablished by law required by law.school or community college director distract, or
other district
Address where you live in Iowa Today's
Sign your name House number and street City Date
l
2.
3. Nub Olt � �*, k I�rrn�S T"
�� � vt
4.
or
5.
20
6 - t3
fjrlc"J�1 , I/ f��' kw r S. F?s��1 51
8. ��� i k 1ST h v�
9.
10. ; 3i�( C�,� ��vv� �
�i� �ti-c� >% � t3
12.
,r C IUD
15. {�
Prescribed by the Iowa Secretary of State
State of Iowa
Nomination Petition for Non-Partisan Oft '
Candidate Information
Name of Candidate: Amber Corrieri Office Sought: Am s i
,h
Candidate's County of Residence: Story Candidate's City of Resi mimes
Type and Date of Election:
1
[v7General []Special on / I School on / I 7 City on
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an otnce noiaerr L_1 NO LJ r es
School Elections Only
FS:
ol District: School Director District(if any):
For City Elections Only For Other Elections Only
�1lfftce Ward(if any): at-large 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 estaousnea ny iaw,and the state ui iuw&hurnuy mane;;IV nunlilial uri outhAmd 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. I14 �SejW "V tit,
3.
6.
17.
z
12.
13.
v
1
Prescribed by the Iowa Secretary of State
e _
Nomination Petition for Non-Partisan Off
State rf �.,..«
._.._ Cep
Candidate Information i
Name of Candidate: Amber Corrieri Office Sought: Ames it Cmu I
p
ICandidate's County of Residence: Story Candidate's City of Resideence"..A m=k5 V - IOWA
Type and Date of Election:
&Generalnri 11 Special on I I School on / / City on
IIs the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder?. No Yes
Far School Elections Only /�
Sntnol District: School Director District(if any):
I
Fo;1ce
For City Elections Only For Other Elections Only
Ward(if any): at large Office District(if any):
We, the undersigned ef0ble 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
Sian vaur name Today's
House number and street city Date
�c--.o -�
4.
r
5. n
F" i
7.
C
sr-vl - �r
i/ 5 13�i�Z r j i ilzIEf
10.
12. W/1
15.
Prescribed by the Iowa Secretary of State
date of Iowa [�
-- ornination Petition for Non-Partisan O
I ,I
Lardidate information UL-1 -
a
arne of C.aindidate: "tuber Corrien Office Sought: Am S 'i oUnC _
GTY CL':RK;
Candidate's City of Res ence: AMnci � iP
;aaaate's County of Residence: tort' -.
Type and Date of Election:
— 13 Special on / I [�School on 1 Iity on�/ �C
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? No Yes
Fw acnoo+ciections Only
_= cci District: School Director District(if any):
I
For City Elections Only For Other Elections Only
Office Ward(if any): at-IS[gP Office District(if any):
We the urdersianed 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 me 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 :::��Today's
Sian vour name
House number and street citY/} Date
1. �k 1
2.r
r
3. \ c, /
4. t
5. 4 -f 3
6. 1 �o� Color - 13
7 , Alta a�c�✓ IOU /y
i
9. 7 r l U,
10.
11. �-
12.
13.
14.
15.
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Prescribed by the Iowa Secretary of State