HomeMy WebLinkAboutA009 - Receipt of Nomination Papers - Anne Kinzel °ry
State of Iowa
Receipt of Nomination Papers
Receipt Number: /3 ODD Office Received In: C%Ty LFi�KS OFF1cE
i
Received By: ��
Delivered By:
Date and Time Delivered: _�/� / 13 g : .20 (3/p.m.
Candidate's Name: AFL
Office Sought: A ? Office District (if any):
Election Type and Date:
❑ General on / / ❑ Primary on / / City on
❑ School on / / ❑ Special on
Documents Received: (check all that apply)
[I Affidavit of Candidacy Faxed? ❑ Yes Z No
Nomination Petition Number of pages (approx): 1(p /9j
❑ 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: t!
Name: 4171 Phone: Sly ss7 -lvDa1
Nomination papers are available for public inspection. Objections to the qualifications of candidates and the
legal sufficiency of nomination papers may be filed until: 9 / ag/-�
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
R
State of Iowa
Affidavit of Candidacy p L
Candidate's Name(exactly as it should appear on the ballot—no titles,parentheses,or quotation marks):
Candidate's Name Sounds Like (phonetic spelling): r _ - I �-� 9 qh►
f1Fi�s C..�Utv, I Q ut v e
Office Sought: � District or Ward if an
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 d 1 S / i 3
❑ 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:
�2-o D vt F' F
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: 5 i SS ``t `:? i Email: rent k i n zel 2OV3 G �(1,ci►(� U, v�
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, I
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.
l know that l 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.)
l 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 waMed ervation district commi ion).
Candidate's Signature: ��C_
Must be signed in the presence notary.
State of ZL County of STd&y
Signed and sworn(or affirmed)before me on date of: q-4 - 43 Jilt L Rippefget
.F®F Comm Number 146M
By:�j NNE " /IAIZ94, �,€�.� my �
m Print Candidate's Nae IOW*
Notary Signature.
Prescribed by the Office of the Iowa Secretary of State Revised 112013
State of Iowan �.,
Nomination Petition for Non-Partisan Office
Candidate Information
,�11
Name of Candidate: A/tl'!& Office Sought:A m e.� it,_i Ia I - �
4
Candidate's County of Residence: �`t:5 t'�t _ Candidate's City of Resid 1`1 l it s
Type and Date of Election:
&eneral on / / ipecial on ! / chool on / / ity on / / f
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder?6No ®Yes
F
For School Elections Only
school District: School Director District(if any):
F
For City Elections Only For Other Elections Only
ffice 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
,. MA
1426 d4-Ae -4.
2.
3.
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Prescribed by the Iowa Secretary of State
State of Iowa 1 rj T,
Nomination Petition for Non-Partisan mice
Candidate Information �:.•_` SEP 6 2013
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Name of Candidate: 4 "` Office Sought:
Candidate's County of Residence: �`r�='°''"� Candidate's City of Residence
.-
Type and Date of Election:
&eneral on / 1 Opecial on I l (pchool on / / *,"ity on ff l S l L�
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder?(bNo ®Yes
F
For School Elections Only
school District: School Director District(if any):
For City Elections Only For Other Elections Only
F0;1ce Ward(if any): 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 Today's
House number and street City Date
® L- A l'M
3. AV Z 3
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Prescribed by the Iowa Secretary of State
State of Iowa
Nomination Petition for Non-Partisan Oftits
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Candidate Information Ck ct �2 0 41
Name of Candidate, A .,)t)e- Office Sought: ck
Candidate's County of Residence: Candidates City of Residence: t i 1-YJ e-J
Type and Date of Election:
General on Mpeciai on chool on ity on
AC*t%
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder?0 No ®Yes
FFor
School Elections Onlyhool District'. School Director District(if any):
FFor City Elections Only For O&W Ejections Only
c�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.
Sign your name Address where you live in Iowa Today's
House number and street city Date
.2. Amrs.5 013
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Prescribed by the Iowa Secretary of State
State of Iowa ��'
Nomination Petition for Non-Partisan Officel r j
S E P - 62013 ` r '
Candidate Information
Name of Candidate: Office Sought:L`
Candidate's County of Residence: — �c0',4 Candidate's City of Residence: % Z r
Type and Date of Election: �j,,
UPeneral on / / Opecial on / / jpchool on / / R'A ;ity on
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office`holdde�r?JbNo ®Yes
FFor School Elections Only
chool District School Director District(if any):
(�For City Elections Only For DOWE/actions on&
I 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
-
3. - - --
4. A O u -7 �' of
5. r ��, �
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Prescribed by the Iowa Secretary of State
State of Iowa , - --�-- - ;. -- --4
Nomination Petition for Non-Partisan Offico �'-
Candidate Information _
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Name of Candidate: O v)vb e_ Ki f):Z.Zj Office Sought: me5 �u Ica 1 C,� d Q v
Candidate's County of Residence: Candidate's City of Reside ice:
i i
Type and Date of Election:
&eneral on / / I&pecial on / / P&chool on / / I)Vity on
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):
For City Elections Only For Other Elections Only
1-0;1ce 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 wilt 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
21 _.._ Z
3.
4.1 U ,v /ate ✓�, s / "
5.
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7.
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Prescribed by the Iowa Secretary of State
State of Iowa
Nomination Petition for Non-Partisan Offi
7'
Candidate Information
Ual
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Name of Candidate: P rj Cr Office Sought:AAwl--,
Candidate's County of Residence: Candidate's City of Reside ce:
Type and Date of Election:
&eneral on 03pecial on C>chool on O � ity on It
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder?VINo 0 Yes
FFor School Elections Only
School District: School Director District(if any):
For city Elections only For DUMvElec"ns,Only
Fc�ce Ward(if any): I 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.
Sign your name Address where you live in Iowa Today's
House number and street city Date
7
A A/ 1' -7
-Y-/)Y1, I/JA�j 777
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Prescribed by the Iowa Secretary of State
State of Iowa
Nomination Petition for Non-Partisan Office
n Candidate Information
Name of Candidate: L 16 A2 e Office Sought: Am e-s 3un
Candidate's County of Residence: S�UYH Candidate's City of Residen - s
Type and Date of Election:
&eneral on / / Opecial on 1 / epchool on / / J&ity on
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder?ONo ®Yes
F
For School Elections Only
chool District: School Director District(if any):
For City Elections Only For Other Elections Only
Fc�ce Ward(if any): 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 Today's
House number and street City Date
� 2 D '7 4)-,
3, 44
5.
6. 9/3/1 S
7. yy\
9. 1 3 i No 9
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14.
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Prescribed by the Iowa Secretary of State
State of Iowa
Nomination Petition for Non-Partisan Offikt � --
I ,> 0
Candidate Information ` r�
Name of Candidate: �`� ���� - Kai, Office Sought:,4 ay�e ri LV lc J G�✓' r"1 s
Candidate's County of Residence: S -JY"tj Candidate's City of Resid tnce:
Type and Date of Election:
&eneral on / / Wc;llt�pecial on / / chool on / / Jity on // / -S /1-3—
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder?J&No UYes
FFor School Electons Only
school District: School Director District(if any):
Fc
For City Elections Only For 0lhei►Eleebons Only
ffice Ward(if any): Office District(if any): 1
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
j !,
5.
r r' m .eQ b' C
c.;, At,t zVA (72
8.
A- d
9. '9 u 'I`ll 1—jf��j I, , �. ,e f4i bit-i
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Prescribed by the Iowa Secretary of State
State of Iowa
Nomination Petition for Non-Partisan Office
Candidate Information
Name of Candidate: ��1�/NC �/N 2EC Office Sought:Af�F5 CUU/)G/LAT GAgGit�
Candidate's County of Residence: •S-TDA -> Candidate's City of Residence: A/12SS
Type and Date of Election:
&eneral on f -+t3 I&pecial on i l Ochool on / / ity on !t l S l
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? No ®Yes
FFor school Elections Only
school District: School Director District(if any):
Fcff
For City Elections Only For OtberElechons Only
ce Ward(if any): 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 wi11 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
ref,, ?w '
I
Y:D�17 I (ill...
3.
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9.
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J Prescribed by the Iowa Secretary of State
State of Iowa
Nomination Petition for Non-Partisan Office
Candidate Information
Name of Candidate: AJVNE e<1ti ZE-e-, Office Sought:A1165 Uhi f t.-A-T C ARf>-eZ�
Candidate's County of Residence: Candidate's City of Residen maA� 6
Type and Date of Election:
�eneral on L..W l on / / Ochool on / / ity on
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder?ANo ®Yes
F
For School Elections Only
School District: School Director District(if any):
F
For city Elections Only— For o0wMecoons onlyffice Ward(if any): 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 Today's
House number and street City Date
13
2-113-7 /� 1
3. Z G� i'Z �<�-t /`�t� l
4. JeAA
5. �-
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Prescribed by the Iowa Secretary of State
State of Iowa
F.
Nomination Petition for Non-Partisan Offic Candidate Information
Name of Candidate: /O�V"E office Sought A rt6S U CI[L AT LARC-sue 'L
Candidate's County of Residence: S7D a y Candidate's City of Residen A '
Type and Date of Election:
&eneral onpecial on 1 / E&chool on / / &ty on
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder?GNo 0Yes
F
For School Elections Ohool District: School Director District(if any):
For City Elections Only For Otter Elections Only
Fot ce Ward(if any): -� 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.
271
U /
3. �.
—l3
4.
t �N
s. s a� ►3
� 111
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13.
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Prescribed by the Iowa Secretary of State
State of Iowa _
Nomination Petition for Non-Partisan Office
Candidate Information
Name of Candidate: 4NA)6-: A- }IN ZELL- Office Sought:��C-sQJU�VGlt�
Candidate's County of Residence: Candidate's City of Residence: AnES
Type and Date of Election:
General on `�V '�R �pecial on / / Ochool on / ! apity on
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an officeholder?®No ®Yes
F
For School Elections Only
school District: School Director District(if any):
F
For City Elections Only For OftwElections Only
ffice 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
R� ^��-4 I 1.k Xl fir.
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Zli'
3. 8
4.
7.
8.
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Prescribed by the Iowa Secretary of State
State of Iowa q
Nomination Petition for Non-Partisan Office
(3)
Candidate Information
Name of Candidate: . AWE .J'_—/A42& - Office Sought: 41'7F—S COU.VC/C �T Ggl�G-� g
Candidate's County of Residence: Candidate's City of Residence:
Type and Date of Election:
i
O)General on _ (>ecial on J l Ochool on / / Wity on
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder?Wo ®Yes
For School Becdons Only
F
chool District: School Director District(if any):
FFor City Mactions Only For 00w Elections Only
cffice 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
C TM7 / CeL
3rehrvi-5fether /�/L`� ✓" L ei!?mil l/ I U`/ 7-13
3. `+ I ; J, J�1 G,;� n,c 7_ i
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Prescribed by the Iowa Secretary of State
State of Iowa
Nomination Petition for Non-Partisan Office
Candidate Information
/-�AI V� Kiev ZEJ__ I
Name of Candidate: Office Sought� �-5 CrxDU!!
Candidate's County of Residence: S7�7'012 y Candidate's C of Reside ! �l y
�y qpq_,� — �5
Type and Date of Election:
&eneral on 3 Opecial on I Ifachool on ityon
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 Ohool District School Director District(►f any):
For City Elections Only For obwvElecams 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
1. House number and street Today's
city Date
3.
ICT V 1 0 U_
4.
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7 1_3
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9 , -
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Prescribed by the Iowa Secretary of State
State of Iowa
Nomination Petition for Non-Partisan Office @ 9:2Dam
r
Candidate Information
Name of Candidate: Office Sought:A17e5,s LG1(,�LI•j_[AiQG ..„
Candidate's County of Residence: S7-0/1 y Candidate's City of Residerk'W-1--l�Y?6_5
Type and Date of Election:
&eneral on �G �pecial 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?eNo ®Yes
F
For School Electfons Only
hool District. School Director District(if any):
For City Elecdons Only For 0aw—mmcSons poly
F
ffice 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 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.
Sign your name Address where you live in Iowa
House number and street City Today's
1. 420 tt F AV Date
2. Air �� I L3
4. .17
�!
7
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91-
10. 4J j "P' ...I � / /7 .3
12.
15.
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Prescribed by the Iowa Secretary of State
v
State of Iowa
Nomination Petition for Non-Partisan Offioe-
Candidate Information
Name of Candidate: fix/ K/NZEc� Office Sought:4/7!E�5 &bVA)C_1 .AT LAR&cj,
Candidate's County of Residence: 67-0A y r,
Candidate's City of Residence: -A r>F,S
Type and Date of Election: W
(Peneral on - Opecial on / /
Ochool on ity on /L? /L5
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder?QNo ®Yes
[SFor School Jec6ons Onty
chool District School Director District(if any):
For City PJeclions Only Oa"OMy
Office Ward(if any): [O�ffifficeD*7ctv(jf 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
ign your name Address where you live in Iowa
House number and street Today's
�� Date
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Prescribed by the Iowa Secretary of State