HomeMy WebLinkAboutA003 - Receipt of Nomination Papers - Victoria Szopinski L '
State of Iowa
Receipt of Nomination Papers
Receipt Number: Office Received In: Ames City Clerk's Office
Received By: i av ,. R -
Delivered By: V I r+r r1 .&
Date and Time Delivered: ct, 04 a++.m. p.m:
Candidate's Name: V I ( - �, �j ZQ�1 ✓1 S K I
Office Sought: nAl v- Office District (if any):
Election Type and Date:
❑ General on / / ❑ Primary on / / 0 City on _LJ_1 07 2017
❑ School on / / ❑ Special on / /
Documents Received: (check all that apply)
Affidavit of Candidacy Faxed? ❑ Yes RNo I I'
Nomination Petition Number of pages (approx):
❑ 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: J li �� V0 Phone: 5 ��3q
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 _/ �C, _/—=
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 S E P 1 1 2017
Affidavit of Candidacy ►/y
Candidate' Name(exactly as it should apRear on the ballot—no titles,parentheses,or quotation marks): L
771 uroKI G c)-PI �e CITY CLERK
Candidate's Name Sounds Like (phonetic spelling): S I- o W N 5Z E
Office Sought: I 1&-f0 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
❑School on / / ❑ Special on
Candidate's Affiliation (only complete for partisan offices or Ch.44 city nominations):
❑ Democratic ❑ Libertarian ❑ Republican
❑ Not affiliated with any organization
❑ Name of Non-Party Political Organization:
No more than 5 words and exactly as it should appear on the ballot.
Candidate's Home Address:3 10 BOSS A,►`'rl�" - .-FA60011 S-1
Street(no P.O.boxes) City State Zip County
Candidate's Mailing Address (if different than above):
Street ��^ City / state
Zip n County
Candidate's Phone: ���` /IC3J Email:
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 1 am elected, 1
will qualify by taking the oath of office. 1 know that I 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 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$1,000 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 candidat for more than one office to be hl d at this election(except in the case of county agricultural
extension council or soil and w to conservation district commissio
i
Candidate's Signature: O
Must k signed in the r nce of Ynotary.
State of:,7atjtq County of: SyR-y
Signed and sworn(or affirmed)before me on date of: g-S-%7 o��Al�ls ill L. Rippefgef
�� : Commission Number 14654!k
By: VicT0,2/A SZO P/NSK% * ,* My Commission xplt
Print Candidate's Name �OWp
Notary Signature: Z. Notary Public or authorized notary under§9B.10
Prescribed by the Office of the Iowa Secretary of State Revised 412017
LI l�
State of Iowa
Nomination Petition for Non-Partisan Offic irh SEP 1 1 2017
Candidate Information �M
CITY CLERK
Name of Candidate: lG d21 Sze l Office Sought: I� OF AMES. IOWA
Candidate's County of Residence: OTorf Candidate's City of Residence: AMES
Type and Date of Election: tt
&eneral on / / (>pecial on / / 0chool on 1 / ity on 1 t /4/4
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder?( No ®Yes
L
For School Elections Only
School District: School Director District(if any):
Fo
For city ElectiOnly For other Elections Only
ffice Ward(if any): Office District(if any):
We,the undersigned eligible electors of the appropriate county,city,school disbfct school or community college director district,or other district
as established by law,and the state of Iowa hereby make the nomination outlined above. ff the candidate named above accepts the nomination,
we believe the candidate is or will be a resident of the appropriate county,cdy,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.
g� 2-6
WAI�r" PLO �zlq 9055 g
5. iT��L ��f F122-9.
6. 8
10
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Prescribed by the Iowa Secretary of State
State of Iowa
Nomination Petition for Non-Partisan Offic 1 2017
Candidate Information
Name of Candidate: [C ®P11 A r lPv� Office Sought: o CITY CLERK
Candidate's County of Residence: �� Candidate's City of Residence: AM F-5
Type and Date of Election:
&eneral on / / (>pecial on / / C�Pchool on _/ / ity on It /_/ 14
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):
FFor City Elections Only (�For Other Elections Only
ffi ce 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
1. ✓ r�' 71
l��
272 � " Z 71
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Prescribed by the Iowa Secretary of State O
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State of Iowa
Nomination Petition for Non-Partisan Offid 8 E P 1 1 2017
Candidate Information ,d 4 PAA
Name of Candidate: IG 0(Z� �� 1 Office Sought: q CITY CLERK
Candidate's County of Residence: ��®�� Candidate's City of Residence: A�G�
Type and Date of Election:
&eneral on / / (>pecial on_/ / 1>chool on _/ / ity on�k /-4/
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder?0No ®Yes
(�For School Elections Only
School District: School Director District(if any):
F
For City Elections Only For Other Elections Only
office 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 , <AE C) 1ty Date
t,r5' � �- �1 7_2 ��«l a ss /�� 11 ?
2. GK
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Prescribed by the Iowa Secretary of State
State of Iowa
Nomination Petition for Non-Partisan Offici SEP 1 1 2017
Candidate Information
Name of Candidate: VIt Q O F.l Office Sought: o CITY CLERK
�a� p A
Candidate's County of Residence: Candidate's City of Residence: AM
Type and Date of Election:
&eneral on / / especial on / / 133chool on / / &ity on
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? No ®Yes
Fs:
r School Elections On
ol District: School Director District(if any):
FFor City Elections Only r For Other Elections Only
ace Ward(it 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
2. C/17
5.
s. (,ASS h U Yz , (l
7. Lkk S
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15. �Sl (��R� try- - - 20
Prescribed by the Iowa Secretary of State
U L
State of Iowa
Nomination Petition for Non-Partisan Office SEP 1 1 2017
Candidate Information `
Name of Candidate: LTO F_1 A ✓�S50 ? 145�.j Office Sought: o /- CITY
ITY CLERK
Candidate's County of Residence: t dr^ f Candidate's City of Residence: A�-w,t
Type and Date of Election:
&eneral on / / j3ppecial on / 1 achool on / / ity on /_a
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 Electionslhool District School Director District(if any):
FFor City elections Only r For Other Elections Only
office Ward(if any): 1 Office District(if any): 11 1
We,the undersigned eligible electors of the appropriate county,city,school district,school or[community college director disbict 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
rr' House number and street city Date
1. f . .2//
2. r. .�
3.6.
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5.
1
9.
10. 3 Ci.3
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Prescribed by the Iowa Secretary of State
II
State of Iowa
Nomination Petition for Non-Partisan Offid SEP 1 1 2017
Candidate information (W
Name of Candidate: IC7FORIA S2Q?W5K=1 Office Sought: ® CITY CLERK
Candidate's County of Residence: SE.2 Candidate's City of Residence:
Type and Date of Election:
&eneral on /_/ (>pecial on / / K>chool on _/_/ gity on.
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):
F
For City Elections Only F
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
2.
4'' t6- lot -+ f
5.
Y
Ave s q /z/I
7. i
8. ( i
9.
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Prescribed by the Iowa Secretary of State q
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State of Iowa
Nomination Petition for Non-Partisan Offici S E P 1 1 2017
Candidate Information s PM
Name of Candidate: &-TO A a R-1 P Office Sought: CITY CLERK
Candidate's County of Residence: O�� Candidate's City of Residence:
Type and Date of Election:
&eneral on / / 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?Wo*Yes
sFor School Elections Only
chool District: School Director District(if any):
F
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. /f 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. i lY 3�1 o ROBS PP. AM ES 5 0t I4-
2. u '7 /0 � Cz ✓
4. ,fit$ Qoss �� � irAt
5. U n <D 420 A Ue- e s • I T
Q-I a.C- 5—)R-_I
1.1A 4_- to Aele L41 Awl 5-
9 5—
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10.
fi AMj - 6 /5. 7
12.
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13.
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14. ,
15. 31 l?S V/
Prescribed by the Iowa Secretary of State
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LJ L
State of Iowa
Nomination Petition for Non-Partisan Offs S P 1 1 2017
Candidate Information `t'Lf Pf"
Name of Candidate: Iz i SZo 1 S Office Sought:
C CITY CLERK
I Co
Candidate's County of Residence: cJ�O F ( Candidate's City of Residence:
Type and Date of Election:
eneral on Q3pecial on JoSchool on 1 / sty on � k / 4
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder?Wo O Yes
F
For school Elections Only
school District: School Director District(if any):
Fo L
For City Elections Only For Odw Elections Only
Ward(if any): Office District(if any):
We,the undersigned eligible electors of the appropriate county,city,school dishict school or community college directors 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 our name Today's
House number and street City Date
1. �� 11yv, ul�LgNo•1� D/L 9-[iz(2oi to
2. f ' _
3.
U. � /.•, L. d 1 � Ili' �SA.,R. ' f
7.
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10. Vl r�
13. 3 Z 2 Z4�`' Sr r s D&-Aug Zdl?
14.
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Prescribed by the Iowa Secretary of State
"y
L1 L� l
State of Iowa ff"i
Nomination Petition for Non-Partisan Oc SEP 1 1 2017
Candidate Information a P
Name of Candidate: VtC--T0F,1A i�� Office Sought: M OITY CITY CLERK
COF AMES, IOW
Candidate's County of Residence: ✓ t ot Candidate's City of Residence: I—/��t-w�t
Type and Date of Election: 4/ 14
&eneral on / / ar-pecial on / / K33chool on / / / ity on I t I
Is the candidate running to III a vacancy due to the death,resignation,removal,or temporary appointment of an office holdef? No ®Yes
F
r School Ekwdons Only
hool District: School Director District(if any):
FOOZCity Elections Only r For Oti�er Elections Only
Ward(if any): I Office District(if any):
We,the unde►signed eligible electors of the appropriate county,city,school district,school or community college director district,or other district
as estabrshed 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. Ila OU07 ✓g. f ftrnes q#,4, ,
2 es
4. 906 bcLk lctS 4 y-2, C1 Y
[7.
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s. /� — l-� t ✓ zz)
917
/7
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12. l
13. ie'l
14
15.
Prescribed by the Iowa Secretary of State
1�
L 1E
State of Iowa
Nomination Petition for Non-Partisan Offic SEP 1 1 2017
Candidate Information
`��. CITY CLERK
I--
Name of Candidate: R I A S20P I 1c I Office Sought: OFAMFSIOWA
Candidate's County of Residence: 0�� Candidate's City of Residence: A%M ES
Type and Date of Election:
&eneral on �pecial on coo on on / / ity on_/4/
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder?PNo ®Yes
F
For School Elections Only
chool District: School Director District(if any):
FFor 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
,/T
ign your name Today's
House number and street Ci D to
1 � '
N)
5. t I Inna A y e, "-1 5 1� 1
6. Nej& Aje. 5IN10
7.
d 7 CL,4 plc v�
1Co
12 � f c� 40z
15. eL �
Prescribed by the Iowa Secretary of State
State of Iowa
Nomination Petition for Non-Partisan Office S E P 1 1 2017
Candidate Information
Name of Candidate: V tCR Z I A S20 P l 45 K-1 Office Sought OF AVFS CITY CLERK A
Candidate's County of Residence: SM Candidate's City of Residence: AM
Type and Date of Election:
(eneral on / / 0pecial on ! 03chool on ! / &ity on�! /
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appoinhnent of an office holder?(�No ®Yes
For School Elecrfons Only
School District: School Director District(if any):
For City
Odw
F fiice Ward(if any): I Office District(if a y�
We,the undersigned eligible electors of the appropriate county,city,school district,scud or community college director district or other district
as established by law,and the state of Iowa hereby make the nomination outlined above. ff 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 communif 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. j �a- o(,mto
4. jqY1 At, Awl, ` 3 / �
7
s. L r>�u 1 4-53 Q ��M C� r 9
(�t ciAV- 5C� t q 3
8. v & 17
9. .
11. IlezIru
12. � (JLr' Q. ✓ � 3 1�
13 (v ✓ 7
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15.
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Prescribed by the Iowa Secretary of State
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