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HomeMy WebLinkAboutA007 - Receipt of Nomination Papers - Amber Corrieri r State of Iowa Receipt of Nomiviation Papers Receipt Number: Office Received In: Ames City Clerk's Office Received By: ❑+c�✓ � _ �1� Delivered By: Date and Time Delivered: 9 / �' /c�_o 15 a.m /p.m. Candidate's Name: P\,,V1�3ey- Office Sought: 4L- C,0�U/-�ea - �� ❑4 �> Office District (if any): J Election Type and Date: ❑ General on / I ❑ Primary on / I ❑X City on _11_/ Q ,' 2017 ❑ School on / ! ❑ Special on Documents Received: (check all that apply) Affidavit of Candidacy Faxed? ❑ Yes \�<No Nomination Petition Number of pages (approx): ❑ Certificate of Nomination by Convention for Non-Party Political Organi-7ation ❑ Certificate of Nomination by Convention for Political Parties Person to contact if there are questions about this filing: V Name: ❑1c��lL -� . Q❑ Phone: a' ❑ I J 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 / 2 F,_/-= This receipt acknowledgesthe 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 7/09 State of Iowa L Affidavit of Candidacy Candidate's Name(exactly as it should appear on the ballot—no titles,parentheses,or quotation marks): S E P 2 0 2017p/ CITY CLERK Candidate's Name Sounds Like (phonetic spelling): rITY , OF AMES. IOWA Office Sought: } i nl j ( ���/' =�dC_ 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 1117117 ❑ 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: \ 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: 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, ! will qualify by taking the oath of office, i 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. /know that/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 1 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 cons�Zkion di gi commission). Candidate's Signature: " / Must si en of a notary. State of: County of: Cjjr, h(.{ Signed and sworn(or affirmed)before me on—date of: �' �C ` El lane R. Voss Commhision Nwnbw 1;34NOBy: � V�'JOe ''Print Candidate's Name ! I ry g atu /,_`�. ;,�,�� �•�- ���;J-1-X , Notary Public or authorized notary under§9B.10 Prescribed by the Office of the Iowa Secretary of State Revised 412017 State of Iowa [! IT Nomination Petition for Non Partisan Off Candidate Information F P 2 0 2M, �U Name of Candidate: Amber Corrieri Office Sought: Ames i C - -lacae CITY CLERK Candidate's County of Residence: Story Candidate's City of Resid nce: APJR- OF AMES. 10`'VA Type and Date of Election: General on / / Special on ! / School on / / EgCity 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? F1 No 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):_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. /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 2. 4 "Z , 1. rf lc i 3. 2i> 214 V41 a q 7. .7 *Ix 11,7 8. - 9. ✓jo , 10. 17 11. � 12. Esc,9 i�, r Yo rat_ }�✓ j -(� Z�( ! 13. • i. wtEs �v 3� Lira `1- 15. Prescribed by the Iowa Secretary of State State of Iowa Nomination Petition for Non-Partisan Of1i e SEP 2 0 2017 Candidate Information 6, A t Name of Candidate_ Amber Corrieri Office Sought: Ames i Councl C��=f RK I CITY c Candidate's County of Residence: Story Candidate's City of Residence: Ames Type and Date of Election: General on El Special on-I-/- School on ! / [rrHCity 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 F For School Elections Only chool 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 4. 3.Z©i5 Aut I' 3� 6. 8. 12. 13. 14. - ice, Prescribed by the Iowa Secretary of State U l� State of Iowa Nomination Petition for Non-Partisan 1 e SEP 2 0 2017 U Candidate Information Name of Candidate: Amber Corried Office Sought: Am s i a Y RK Candidate's County of Residence: Story Candidate's City of Residence: Ames Type and Date of Election: General on / / Special on / ! School on / / Q 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? C] No Yes FFor School Elections Onlyschool District: School Director District(if any): F For City Elections Only For Other Elections Only ffice 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 o 9 1'7 Od (7111117 6. /4m 7. r 21-7 8. r59,5 ©'� l� 10 9 11. ' 12: F SC►l j'lCLt_fc' 13. Prescribed by the Iowa Secretary of State State of Iowa Nomination Petition for Non-Partisan O � i Candidate information UP 2 n Q17U t S 4A Name of Candidate: Amber Corrieri Office Sought: Am Ci l -at-lara CITY CLERK Candidate's County of Residence: Story Candidate's City of Re idence: 4'B F AMES, IOWA Type and Date of Election: General on I Special on ( / School on / / ['City on 11 17 / 2017 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 chool District: School Director District(if any): FFor City Elections Only For Other Elections Only ffice Ward(if any): at-large Office District(it 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 bylaw. Address where you live in Iowa Sign your name Today's House number and street City Date 1. �r a 2 � Z rash 4i- Ck 3 n , r 4. 152) 7. 4, ; 9. ` ' S 13. 14. 15. Prescribed by the Iowa Secretary of State State of Iowa �� Nomination Petition for Non-Partisan J SFP 2 0 20ii Candidate Information Name of Candidate: Amber Corried Office Sought: Am s i ounc - �h C C Candidate's County of Residence:_Story Candidate's City of Residence: Ames Type and Date of Election: General on 1 I Special on I I fEj School on / / ['City on 11 / 7 12017 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 Sections Only F chool District: School Director District(if any): FFor City Elections Only (�For Other Elections Only Office 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 �Z 17 7 3. r � >' f 4. Alllnct---s Cyh�417 5. .. 2 ST. /Z 1 6. -----�_ 2 9 4'Is' L IS, e"h 0 wu)" E ,rc / In c s 9/,,z l/'7 7 8. z �� 10. �-7 17 11. 7j d j0 % LAW, i .,,e 9- .7- 13. 20 C�5'i�i'k LTG 17.za I 14. Prescribed by the Iowa Secretary of State 4' State of Iowa = Nom ination Petition for Non-Partisa n Offi Candidate Information S E P 2 0 2017 (J ) A Name of Candidate: Amber Corrieri Office Sought: Ame Ci Candidate's County of Residence:_Story Candidate's City of ReE ideneei ITY 1 _2OF AMES. IOWA Type and Date of Election: General on / / Special on / / []School on / / C3'City on I I / 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 F For School Electionschool District: School Director District(if any): oFor City Elections Only For Other Elections Only ffice 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 nam Today's House number and street City Date 3. ~ r^ 17 6. 7. ::;Z;?3I r0P? C,,� e� r / ,� C 10. 12. 1 'Y-_ 17 13. c� 14 15. - Z t„ Prescribed by the Iowa Secretary of State r; State of Iowa 11 L Nomination Petition for Non-Partisan Of 6 I Candidate information S Name of Candidate: Amber Corrieri Office Sought Ames Ci v Co T'y �Pr Candidate's County of Residence: Story Candidate's City of Reside �� �M��` ���' Type and Date of Election: General on ! 1 Special on 1 / School on I / [yCity 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 E For School Elections Onhool District: School Director District(if any): F 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 ' n your name Today's House number and street City Date 601( ie 5. 6. 7. �- 8. 9. 10. 11. � 12. 13. 14. 15. Prescribed by the Iowa Secretary of State r