HomeMy WebLinkAboutA009 - Receipt of Nomination Papers - Beth Swenson i
State of Iowa
Receipt of Nomi iation Papers
Receipt Number: Office Received In: Ames City Clerk's Office
Received By: .r i�aoti
Delivered By-. � ,�P�►/�
Date and Time Delivered: _2 09 Z 7
Candidate's Name: &:64, Jw.1mAy-r
Office Sought: 116MC ��/ -e4 Office District (if any):
Election Type and Date:
❑ General on / / ❑ Primary on / I ❑X City on _JJ_/_D2 _/ 2017
❑ School on / / ❑ Special on
Documents Received: (check all that apply)
® Affidavit of Candidacy Faxed? ❑ Yes ❑ No
Nomination Petition Number of pages (approx): 15 070 41- J
❑ 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: /R. V� Phone: c35-BIOS
Nomination papers are available for public inspection. Objections to the qualifications of candidates and the
legal sufficiency of nomination papers may be filed until: _g_/ -?C, _/ 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.
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The papers will be returned to the candidate if they are rejected.
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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 7
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Affidavit of Candidacy
Candidate's Name (exactly as it should appear on the ballot-no titles,parentheses,or quotation marks):
8' %017
CITY CLERK
Candidate's Name Sounds Like (phonetic spelling): CITY OF AMES. 10VVA
Office Sought: M /
—f`,,/c 6()c✓J 64 t r,t,,ts_�e 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 �Cj j
❑ School on / / ❑ Special on
Candidate's Affiliation (only complete for partisan offices or Ch.44 city nominations):
❑ Democratic ❑ 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 Ho a Address: -t-
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: _ ` j 7 Email: -7 `�2 a� �:a (� C Cis
c
Candidate's Affirmation
I swear(or affirm) that the information provided on this form is correct. l will be qualified to hold this office and if I am elected, 1
will qualify by taking the oath of office. I know that 1 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 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 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 be signed in the presence of a notary.
State of:� County of: 57p21/
7 =�pRW p StampJill L. Ripperger
Signed and sworn (or affirmed)before me on date of: � m �..ZOf`7 Commission Number 146549
,t * My Commission-fExpaes
By: HE-.-rH 5iniL1,j5otJ
Print Candidate's Name
Notary Signature: X �, pa--- Notary Title:
Prescribed by the Office of the Iowa Secretary of State Revised 9/2015
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State of Iowa
Nomination Petition for Non-Partisan O I
Candidate information q r P R 2017
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Name of Candidate: Office Soughtf F�T�' ' ::7'
CITY
Candidate's County of Residence: Candidate's City of Resid nee: k4ES, IOWA
Type and Date of Election:
General on / / Special on / / School on / / Lr l`- on�l l
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? Yes
F
For School Elections OMy
school District: School Director District(if any):
For City Elections Only For Other Hections 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 Toda 's
House number and street City y
Date
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Candidate's County of Residence: �Za�� Candidate's City of Residence:f4: 't
Type and Date of Election:
General on Special on ! I School on / ! i City on (/'2
is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? Ej NO Yes
(�For School Elections only
I School District: School Director District(if any):
FO
For City Elections Only 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
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State of Iowa h—
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Type and Date of Election:
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Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? lo'El Yes
Forschool Elections Only
school District: School Director District(if any):
FOIZr City Elections Only For Other Electrons Only
e 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 House number and street CityT
Date
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State of Iowa
Nomination Petition for Non-Partisan Offid j117 i
Candidate Information
Name of Candidate Office Sought0q�;,in
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Candidate's County of Residence: Candidate's City of Residence: 41- r c 3
Type and Date of Election:
General on 17 Special on School on tlalty on fi (7 12,1
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? EI-9-o [I Yes
FForSchool 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.
Sign your name Address where you live in Iowa Today's
House number and street City Date
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Name of Candidate: — �� h �t� Office Soughti'�o1C
Candidate's Countyof Residence: �f ��� �� ��� iUl�Jq
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Type and Date of Election:
General on / I Special on / ( School on I / City on /207
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? Erigoii Yes
F
For School Ejections Only
chool District: School Director District(if any):
FO
For City Elections Only- 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 Warne Today's
House number and street City Date
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Prescribed by the Iowa Secretary of State
State of Iowa
Nomination Petition for Non-Partisan Offi �E° - Sul'
Candidate Information
Name of Candidate: l� Office Sought3 r ry�c
Candidate's County of Residence: ��1 Candidate's City of Residence: 412-7 ES,
Type and Date of Election:
General on I / Special on / f School on 1 City on /1' 1
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? �o IE] Yes
r Farschoo/Eleciiansomy
FSchool District- School Director District(if any):
r—For City Elections Only For Othe►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 nameT r
House number and street City Date
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State of Iowa
Nomination Petition for Non-Partisan Off
Candidate information 7-7 H
Name of Candidate: Office Soughttv,
Candidate's County of Residence: Candidate's City of Residence: )-- -7 C-3'
Type and Date of Election:
F-1 General on— I I E]Special on I I School on —I—/ City on fi 121207
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? EJ-1V�o [] Yes
FFor School Elections Only
School District: School Director District(if any):
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- 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.
Sign your name Address where you live in Iowa Today's
House number and street City Date
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Prescribed by the Iowa Secretary of State
State of Iowa
Nomination Petition for Non-Partisan Office SF F, 2017
l Candidate Information t
Name of Candidate: 1 ���'-\ Office Soughtf�,r)Ac� -
Candidate's County of Residence: S4-n- Candidate's City of Residence: 4,-)-7 C3'
Type and Date of Election:
General on ! / Special on / / School onEn City on 1:2 120
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
hool District: School Director District(if any):
Fo:r City Elections Only �For Other Elections Only
e Ward(if any): 1 Office District(f 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
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Prescribed by the Iowa Secretary of State
State of Iowa
Nomination Petition for Non-Partisan Office `'v -
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Candidate Information
Name of Candidate: � = �' t't s' t Office SoughtM -�T n C;` - e
Candidate's County of Residence: S4-czn Candidate's City of Residence: {-(-/: 7 LJ
Type and Date of Election:
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Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? Ej o� Yes
F
For School Elections Only
hool District: School Director District(if any):
Fr City Elections Only For Other Elections Only
oze 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
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Prescribed by the Iowa Secretary of State
State of Iowa
Nomination Petition for Non-Partisan Offi6e
Candidate Information
Name of Candidate: %11 Office Sought ` one
Candidate's County of Residence: Candidate's City of Residence: -{7')-7(f 3'
Type and Date of Election:
[1 General on I / Special on I I School on I / City on 1.7 !
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? El-go0 Yes
F
For School Bectians Only
hool District: School Director District(if any):
Fo
For City Elections Only 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
1.
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State of lows
Domination Petition for Non-Partisan OffiG I '
Candidate Information
Name of Candidate: Office Sought V 1�7,,1
Candidate's County of Residence: Candidate's City of Residence: '
Type and Date of Election:
General on / / L j Special on / / []School on on # 1.&'r
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):
FFor City Elections Only For Other Elections Only
ffice Ward(if any): Office District(if any): I
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.
Sign your name
Address where you live in Iowa
Today's
House number an street City Date
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Prescribed by the Iowa Secretary of State
State of Iowa
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Nomination Petition for Non-Partisan Offi
Candidate Information
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Name of Candidate: Office Sought / - ►.( J
Candidate's County of Residence: Candidate's City of Residence:
Type and Date of Election:
General on / 1 Special on / I 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? ErITO,M Yes
F
For School Ehwdons Only
school District: School Director District(if any):
FOffice
For City Elections Only For Other Elections Only
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. jo i ?'�vu 317 711 l
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Prescribed by the Iowa Secretary of State
State of Iowa --
Nomination Petition for Non-Partisan Officer
Candidate Information f
Name of Candidate: ��� 'r '--' ' �� %r� Office Sou ht_ qfl lc �� -
Candidate's County of Residence: T�s� Candidate's City of Residence:
Type and Date of Election:
General on / / Special on / / School on ! I r City on It /'2 /20 ff
is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? ®"No 11 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 five in Iowa j
Sign your name Today's
House number and street City Date
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State of Iowa
Nomination Petition for Non-Partisan Offi Y`^
Candidate Information
Name of Candidate:
Office Sought �'>�
.
Candidate's County of Residence: S4n�� Candidate's City of Residence: 4,')'1 C 3-
Type and Date of Election:
General on I / ❑Special on / ( School on ! / City on 1:2 12
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? ETto El Yes
�FvrScbool Elections Only
chool District: School Director District(if any):
FCG
r City Elections Only �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
A House number and street City Date
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