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HomeMy WebLinkAboutA004 - Receipt of Nomination Papers - Gloria Betcherf r i State of Iowa Receipt of Nomination Papers Receipt Number: Office Received In: Ames Ci ty C1 erk`s Ofr;a- Received By: Ji Delivered By: Qe".— Date and Time Delivered: U� l�l i7 _ a.m. p.m. Candidate's Name. Bztt� Office Sought. ��1�/id Office District (if anyl. Election Type and Date: E] General on / / CI Primary on / / J City on El School on / ! Special on / / Documents Received: (check all that apply) Affidavit of Candidacy Faxed'' ❑ Yes �No domination Petition Number of pages (approx): Certificate of Nomination by Convention for Non-Party Political Organization 17 Certificate of Nomination by Convention for Political Parties Person to contact if there are questions about this filing: Name Phone 571E- .23 q1 - 5i0,5 Nomination papers are available for public inspection. Obiections to the qualifications of candidates and the legal sufficiency of nomination papers may be filed until: g / ?h ,' 9017 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 candir'ate and keep a copy for the office. Prepared by the Iowa Secretary of States Office Revised 7/09 State of Iowa Affidavit of Candidacy i I illi Candidate's Name(exactly as it should appear on the ballot—no titles,parentheses,or quotation marks): Gloria Betcher 0 CITY CLERK Candidate's Name Sounds Like(phonetic spelling): GLOR-ee-ah BET-cher CITY OF AMES, IOWA Office Sought: City Council Representative District or Ward (if any): ward 1 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 / i ❑ General on / / ❑- City on 11 / 07 / 17 ❑ School on / I ❑ Special on I / 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: 531 Hayward Avenue Ames IA 50014 Story Street(no P.O.boxes) City State Zip County Candidate's(Nailing Address (if different than above): Street City State Zip County Candidate's Phone: (515) 292-5177 Email: gloriabetcherwardl@gmail.com 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. I know that 1 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 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 consation district commission.). r� Candidate's Signature: �Nli st be signed in e presence of a notary. //nn r y jL'L State of: AA County of: _ 74,V (Stamp) Signed and sworn(or affirmed)before me on date of: -/':5 - / o ala[f� Jill L. Ripperg er Commission Number 146549 gy: L7[-G,F ,19 E!G 1• F_k _ * * My Commission Expires Print Candidate's Name Notary Signature: � F Notary Public or authorized notary under§96.10 Prescribed by the Office of the Iowa Secretary of State Revised 412017 State of Iowa L� Nomination Petition for Non-Partisan Offic Candidate Information tS1 5 2017 Name of Candidate: Gloria Betcher Office Sought: Cit Coun I Re CIT Candidate's County of Residence: Story Candidate's City of Residen AmelN OF AMES, IOWA Type and Date of Election: General on / / Special on I / School on / / City on 11 /07 /17 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 Onchool District: _ School Director District(if any): r—For City Elections Only r For Other Elections Only Office Ward(if any): Ward 1 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. 3► -y- wo-r� >�. ��� s r 3. f�s _'�c� S- z ®� ,;'� 4. 'WV✓ >l ;�t 1-71 1� 5. LC 6. z 9. 10. 13. (!301 r.LLCOAtc- Ayc 14. 6ai 6- 5 c Prescribed by the Iowa Secretary of State [I [IL State of Iowa Nomination Petition for Non-Partisan ©fFic S E P 1 5 2017 Candidate Information Name of Candidate: Gloria Betcher Office Sought: City Counc it Represent —�,T A Candidate's County of Residence: Story Candidate's City of Residence: Ames Type and Date of Election: i7 General on / / Special on / ! ❑School on _/ / ©City on 11 /07 17 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 Office Ward(if any): Ward 1 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. 7S - -f 2 1 Z 1-rb S !' 4. ci1 T) U `� t G4.ileg q o� r/zs I 9. Z 11 10. �3! /,zo-13. 14. w rne� t fF 15. _ Prescribed by the Iowa Secretary of State I State of Iowa Nomination Petition for Non-Partisan Office SEP 1 5 2017 Candidate Information °` CITY CLERK Name of Candidate: Gloria Betcher _ Office Sought: City Coun it Re remifiativoAAM-ffd.10WA Candidate's County of Residence: Story _ Candidate's City of Residence: Ames Type and Date of Election: General or_/ ! Special on / / ❑School on / / [ City on 11 /07 /17 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): oFor City Elections Only For Other Elections Only ffice Ward(if any): Ward 1 , 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. -S' -A,-! 4. 5. /LV 6. 7. 8. 9. 10. 11. 12. 13. 14. R �5 � Prescribed by the Iowa Secretary of State