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HomeMy WebLinkAboutA008 - Receipt of Nomination Papers - Mary Kitchell t State of Iowa Receipt of Nomination Papers Receipt Number: Office Received In: Ames City Clerk's Office Received By: Delivered By: Date and Time Delivered: /❑/20!7 d a_Z5 a. /p.m. Candidate's Name: Office Sought: /fRuS7 :L Office District (if any): Election Type and Date: ❑ General on / I ❑ Primary on / I ❑X City on ❑ School on / / ❑ Special on Documents Received: (check all that apply) [[Affidavit of Candidacy Faxed? ❑ Yes R No Nomination Petition Number of pages (approx): _ 7 '79 ❑ 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: Phone: $J-6_23�f- /CISJ Nomination papers are available for public inspection. Objections to the qualifications of candidates and the legal sufficiency of nomination papers may be filed until: 9/6❑--2017 This receipt acknowledges the date and time the nomination papers were received. It does not necessarily mean the papers will be accepted for filing. Nomination papers will be carefully checked to be sure they meet basic requirements. The papers will be returned to the candidate if they are rejected. Give original to the candidate and keep a copy for the office. Prepared by the Iowa Secretary of State's Office Revised 7109 a State of Iowa Affidavit of Candidacy SAP 1 i 2011 Candidate's Name (exactly as it should appear on the ballot—no titles,parentheses,or quotation marks): MRR~ M . VN j-VCJ-AE L1- Is PM 777-7777 Candidate's Name Sounds Like (phonetic spelling): �(1"TC - L CITY OF AMES, IOwA Office Sought:__ lAo-jP iT AL _TRuSTE lF District or Ward (if any): Vacancy- Is the candidate running to fill a vacancy due to the death, resignation, ❑ Yes ® No removal, or temporary appointment of an office holder? Type and Date of Election: ❑ Primary on / / ❑ General on / / City on ❑ School on / / ❑ Special on Candidate's Affiliation (only complete for partisan offices or Ch.44 city nominations): ❑ Democratic ❑ Libertarian ❑ Republican ❑ Not affiliated with any organization ❑ Name of Non-Party Political Organization: No more than 5 words and exactly as it should appear on the ballot. Candidate's Home Address: yHiiA ED6EwATcR kvieo A s :_A 50010 S_F6P, Street(no P.O.boxes) City State Zip County Candidate's Mailing Address (if different than above): y ( iy EDUEWATER DRIVE AIAES 50c)10 STO Street City State Zip County Candidate's Phone: rj l$-aq a-3 I Email: ' K� - C own 0 Candidate's Affirmation /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, I will qualify by taking the oath of office. I know that I cannot hold public office if l 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 l am required to organize a candidate's committee, which shall file an organization statement and disclosure reports if l(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 l 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 conservation district commission). Candidate's Signature: Must b1bAigned the presence of a notary. State of:_t A County of: O ! 1 Signed and sworn (or affirmed)before me on date of: FNotarial �ELE GILLESPIE Seal•Iowa BY r '�J l f J mission#770878 Print Candid te's Name .� ion Expires I Notary Signature: Notary Public or authorized notary under§913.10 Prescribed by the Office of the Iowa Secretary of State Revised 412017 State of Iowa SEP 1 1 2017 inination Petition for Non-Partisan Office a:rs , Candidate Information CITY CLF �Tas I'rrAL TR Lks T EE ITY. F !aM E K MC��L L Office Sought: Candidate's County of Residence: ST®R Y Candidate's City of Residence: �C.s Type and Date of Election: General on / / ❑Special on / / ❑School on / / City on Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? Pq No Yes F For School Elections Onty chool District: School Director District(if any): For City Elections Only F 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 Sign your name Today's House number and street city Date 2. * 3. ��vt - 87 ID61 ag 3 5 7- Z� S 7 G/ 9. (ram 3o , ET m _ it 10. �r s > U aY �Slt cnrz �- 201-7 1,y I l 13. I-), 6UPV4 / lws ab1 14_ �� o�w 15. �iL�✓Zl�.l � /5 v Prescribed by the Iowa Secretary of State State of Iowa Nomination Petition for Non-Partisan Offic SEP 1 1 2017 Candidate Information M i M1 KtTCHCLL k AiY� Name of Candidate: �' I�R � Office Sought ®s� =�I--CI Candidate's County of Residence: 75TQ Candidate's City of Residence: AmEs Type and Date of Election: General on / / Special on / / School on I / City on 'I /O a/ o7e I Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? IS No Yes FFor School Elections Only School District: School Director District(if any): Foffice For City Elections Only For Other Elections Only 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 3. i -114— I TC) -d-ti��Oi`v(`k� (� 4. IL5C 1 9 Prier)wmd!e d G1�1 C 5 5. Ava Antes u 6. 7. o K! r e r r�r z sJ q� Vk - C -f 5 t 9. ^� -la � 10. �Sm oqlo ) 12. ' t o emt-W jF 1 f 3 tc T��erir,� rneS 1 . X 15. �5✓ Prescribed by the Iowa Secretary of State (( (l, [LE State of Iowa �— Nomination Petition for Non-Partisan Office SIP 1 1 2017 Candidate Information l Name of Candidate: !� /�R 7 M MC NE L L Office Sought: P0.S Pt-rkL ,� I Candidate's County of Residence: jT®R Candidate's City of Residence: �s Type and Date of Election: ❑General on / / Special on / / School on IP City on Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? Pq No Yes For School Elections Only FSchool District: School Director District(if any): FFor city Elections Only For Other Elections Only office 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 19 17 2: C3 3 ZU !� g7 a-.�-I k7 4831 5. man kyl 44OUL R -7 6. w�nl�� 16 Z 0 Ar Iffy (F 20 17 7. a,13q rr%s 11. y" `l0� Gi1I,L 6✓ iv SZd' 17 12.'' / �j lU� 628 13._T -121 `tI ZU 1 14. . 431 / A 7 / 15. Vt Prescribed by the Iowa Secretary of State State of Iowa f1 R , Nomination Petition for Non-Partisan Office ' M ��+=�' 1 1 7.017 /� Candidate Information 1 Name of Candidate: i ' 1 A R 7'a, �v/�,• K IBC NE L L office Sought: TY F AMF_S. OWOWA Candidate's County of Residence: T,0 Ry Candidate's City of Residen Type and Date of Election: General on / / Special on / / [!School on / / City on i Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? iPq No Yes For School Elections Only [School 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 Sign your name Today's House number and street city Date 1. (`r1 _-•��oQSL �{l 1�-1 �t,�o s.r- Yam? . Ay"cS TA S f 20I 2. 3. / .90 = ki b !7 4. kB 9. t,2 10. 12. 13. 24_ 15. P t &J-G 4 r A. i� Prescribed by the Iowa Secretary of State State of Iowa Nomination Petition for Non-Partisan Office _ i 2017 Candidate Information Name of Candidate: MAR 7 +��q. K iTe IAE Lt- Office Sought: Pa_S Pl AL Candidate's County of Residence: S�®R Candidate's City of Residence: Es Type and Date of Election: General on / 1 Special on School on / / ^�City on Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an officeholder? Rj No Yes For School Elections Only School District: School Director District(if any): 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 City Qate 2. 502/ /q 3. 4.1 rk w 9 5. � , W`1 � 5�1 6. 3Efsy 77 7. r 38 °0 t 8. Fic fill 9. & 1 2 �e �� S -0008 11. .b�rivtt, 9 O' &A 5A rry UU Z 14 9 � Dr, j In f -s 15.�'0 rjVp2 �� I© 7 /3 Prescribed by the Iowa Secretary of State Firn State of Iowa I' Nomination Petition for Non-Partisan Office! FSII 1 i 2017 Candidate Information Name of Candidate: MP\R\/ M. K i`TC NC LL Office Sought: Candidate's County of Residence: STD o ! Candidate's City of Residence: �s Type and Date of Election: General on / / Special on / / School on / / City on Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? ;I 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): 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. �- 2 IS Csz�sr`�, 3. � -s �us e� �12� � 5 IV I/!? a. ,d5 3l c2 ,, srI Fr,PQer� 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. Prescribed by the Iowa Secretary of State State of Iowa Nomination Petition for Non-Partisan OfficFP 1 2017 Candidate Information F. - /� 5 M R�' 1° I i VrC N�L L Office sought: PoS P f TA k�S Name of Candidate: CITY of AV Candidate's County of Residence: Candidate's City of Residence: Type and Date of Election: '{� I 1 ©'� ,�o t El General on / I Special on / I School on 1 I 7"City on 1 / Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? pq No Yes For School Elections Only School District: School Director District(if any): F For City Elections Only F 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 Today's Sign your name House number and street City Date 2. r `�t [ L�✓�1 t°/LU-e L d c�c1 f 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. Prescribed by the Iowa Secretary of State