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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 b'--S L" m•e s Co y z o z t 2. ✓ ZO C�e ��,s� 2 Z 4. S° 5. �o Sect 7. (o Z 3 for a. LP 2 ,�,�,�� 9. -r�•,reSS�t Yl S 12. i V_ 13. IQ V LSD D12 Yv1S 27 21 15. Vl � _ ��� s � T�/2 7 A 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 5. 6. f�V 7. F a a-1 8. 10. 11. Ur• �S � �12. 13. 14. I 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. 3. -c �-�P 4aa �e ��x/agar 4. 2 &I ZOZ( 5. - Z 6. jL,, -4 , 11 Z� � s' adz 9 Z.Z. 4,� 4 A of. 9. cjo�_�-- \2A 14 �NL Qa 2�I 1 . 11. 12. 13. 14. 15. Prescribed by the Iowa Secretary of State Revised 412021