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Home My WebLink AboutA006 - Receipt of Nomination Papers - David Martin F State of Iowa co2 C Receipt of Nomination Papers Receipt Number: Office Received In: Ames CiteClerk's Office Received By: ❑j�� . V� '`�J Delivered By: a-,v"4 r Date and Time Delivered: �l tl_ / a�❑ I I 1,�a.m. p.m. Candidate's Name: �� Office Sought: -t4-tA .ir (if any): Election Type and Date: ❑ General on / ! ❑ Primary on / ! ❑X City on _UL/ 07 2017 ❑ School on / I ❑ Special on / I Documents Received: (check all that apply) Affidavit of Candidacy Faxed? ❑ Yes No Nomination Petition Number of pages (approx): a ❑ 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: ❑Icy. , � ` 0E5� i Phone: a3q — J n5 Nomination papers are available for public inspection. Objections to the qualifications of candidates and the legal sufficiency of nomination papers may be filed until: q /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 U L State of Iowa Affidavit of Candidacy SEP - 5 2017 Candidate's Name(exactly as it should appear on the ballot—no titles,parentheses,or quotation marks): Li CITY CLEHK Candidate's Name Sounds Like (phonetic spelling): CITY OF AMES, IOWA p Office Sought: r ►`Me- C` 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 t1lome Address: \ J�0 � r \PA P_ 1 Street(no P.O.boxes) City State Zip County Candidate's Mailing Address (ifdifferentthan above): Street City It State Zip County Candidate's Phone: i 2� �- �7 1 Email: �i t�,�� ,vT��`� �'Me l 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, will qualify by taking the oath of office. 1 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 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.) 1 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=,V_� nct com ission). Candidate's Signature: Must be signed in the presence of a notary. State of: County of: Signed and sworn (or affirmed)before me on date of: 5 iane R. Voss .'��'0*' Oanmission Number 134012 = ,*' my Canmisdw EvIlm By: iow% _C----20 c Print Candidate's Name Notary SignaturlE�ld /��1 �� ' Notary Public or authorized notary under§913.10 Prescribed by the Office of the Iowa Secretary of State Revised 412017 State of Iowa Nomination Petition for Non-Partisan O 0 L IE Candidate Information SEP - 5 2017 Name of Candidate: David Martin Office Sought: Ames I v Council C ` J Candidate's County of Residence: Story Candidate's City of Resi ence: me!�,,ITy r'I FRK CITY OF AMES, IOWA Type and Date of Election: General on / 7 Special on D School on / / [City on 11 /7 /2017 Is the candidate running to fill a vacancy due to the death, resignation, removal,or temporary appointmerit of an office holder? ® No ❑ Yes For School Elections Only School District: School Director District(if any): For City Elections Only For Other Elections Only Foffice Ward(if any): Ames Ward 3 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 five in Iowa Sign your name Today's House number and street City Date 2. 4- l� , 'ice �-� fix' Y"-� 8- 5 I-7 3. 6. 10. E r I z.- ti e- Q A 111L + _ Z 17 / A �y i 13. LUL wba-�4 5� /12 14. 15. Prescribed by the Iowa Secretary of State — State of Iowa Nomination Petition for Non-Partisan Of L Candidate Information SEP - 5 2017 Name of Candidate: David Martin Office Sought: Ames UIy jounri'l 1 Candidate's County of Residence: Story Candidate's City of Resi ence: erITY CLERK i CITY OF Type and Date of Election: General on 7 Special on / / ❑School on / / City on 11 /7 /2017 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): FoFor City Elections Only For Other Elections Only ffice Ward(if any): Ames Ward 3 7777;1 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 3. , ', f Cl1 (Io 5 f L/ /-7— 5 __ 6. 7. 8.� 10. 11. 12. 13. 14. 15. Prescribed by the Iowa Secretary of State (L�