HomeMy WebLinkAboutA010 - Receipt of Nomination Papers - Gloria Betcher, Ward 1 State of Iowa
Receipt of Nomination Papers
Receipt Number: 2LZ — 5 Office Received In: al L l erk1J
Received By:
Delivered By.-
Date and Time Delivered: q / Cq / 6 : a I a.m./U
Candidate's Name: cl 1 _3��7 cy_
Office Sought: Ghf Cal t'��-t I Office District (if any):Ij
1
Election Type and Date:
❑ General on / / ❑ Primary on / / City on Ill ICE/ ZOZ 1
❑ School on / / ❑ Special on
Documents Received: (check all that apply)
Affidavit of Candidacy Faxed? ❑ Yes XNo
N/Nomination Petition Number of pages (approx): In
❑ 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: C-4,v,lz Bctll' n Cr Phone: �j 2`4 Z .5 r7-7
Nomination papers are available for public inspection. Objecns to the qualifications of candidates and the
legal sufficiency of nomination papers may be filed until: I / _Zj /—ZL2—
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
State of Iowa
Affidavit of Candidacy SEP 0 9 2021
Candidate's Name (exactly as it should appear on the ballot—no titles,parentheses,or quotation marks):
Gloria Betcher
ciTY CLERK
CITY OF AMES,IUW
Candidate's Name Sounds Like (phonetic spelling): GLO-ree-ah BET-cher
Office Sought:Ames City Council District or Ward (if any): 1
Vacancy—Is the candidate running to fill a vacancy due to the death, resignation, ❑� No ❑ Yes
removal, or temporary appointment of an office holder?
Type and Date of Election:
❑ Primary on / / ❑ General on
Q City/School on 11 /02 121 ❑ Special on / /
Candidate's Affiliation (only complete for partisan offices or Ch.44 city nominations):
❑ Democratic ❑ Republican
Q 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 Mailing Address (if different than above):
Street City State Zip County
Candidate's Phone:(515) 292-5177 Email:gloria.betcher@amescitycouncil.org
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, I
will qualify by taking the oath of office. l 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 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 l cannot be a candidate for more than one office to be filled at this election, except as otherwise provided by law.
Candidate's Signature:
ust be signed in the presence of a notary.
State of: I A County of: S�Z1 F L
n �E R.VOSS
Signed and swom (or affirmed)before me on date of: SE" I. LC�L Number 134019
Print Candidate's Name
Notary Signature: ti'LQ J► \ 1�`� dJ Notary Public or authorized notary under§913.10
Prescribed by the Office of the Iowa Secretary of State Revised 1012019
State of Iowa
Nomination Petition for Non-Partisan Offic SEP 0 9 2021
Candidate Information
Name of Candidate: Gloria Betcher Office Sought: City COu CII CITY CLERK
Candidate's County of Residence: Story County Candidate's City of Residence: Ames
Type and Date of Election:
General on / / Special on / / 0 City/School on 11 /02 /21
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? X No Yes
For School Elections Only
School District: School Director District(if any):
Foffice
For City Elections Only �For Other Elections Only
Ward(if any): 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
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Prescribed by the Iowa Secretary of State Revised 412021
State of Iowa
Nomination Petition for Non-Partisan Offi SEP 0 9 Z021
Candidate Information LA _
Name of Candidate: Gloria JIM Betcher Office Sought: City Col loralCITY OF AMES, IOWA
Candidate's County of Residence: Story County Candidate's City of Residence: Ames
Type and Date of Election:
General on / / Special on / / 0 City/School on 11 102 /21
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? K No Yes
IS,
For School Elections Only
hool 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. ,f- L#r&)k 521 Wh-) 4m , Ames g l 27 f:24
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Prescribed by the Iowa Secretary of State Revised 412021
I� 1 L M�
State of Iowa
Nomination Petition for Non-Partisan O SEP 0 9 2021
�� pltil
Candidate Information `s
Name of Candidate: Gloria Betcher Office Sought: City C i inCll CITY OF AM ES, IOWA
Candidate's County of Residence: Story County Candidate's City of Residence: Ames
Type and Date of Election:
General on / / Special on / / 0 City/School on 11 /02 /21
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? ® No Yes
Fs,hool
For School Elections Only
District: School Director District(if any):
For City Elections Only For Other Elections Only
Foffice Ward(if any): Office District(if any):
We, the undersigned eligible electors of the appropriate count ci school district school or community college director district, or other district
g 9Y� city, Y 9
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.
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Prescribed by the Iowa Secretary of State Revised 412021