HomeMy WebLinkAboutA012 - Receipt of Nomination Papers - Amber Corrieri, Council at Large State of Iowa
Receipt of Nomination Papers
Receipt Number: Office Received In:
Received By: Di g^ 1& Voss
Delivered By: KM or CVol C,�(,i
Date and Time Delivered: q / (5 Ilk �: �Q a.m p.m.
Candidate's Name:
1r�, y" CQMOVI.1
Office Sought: U 1 Y� l Office District(if any): A+—L (,
Election Type and Date: J
❑ General on / / ❑ Primary on / I [ City on /azi 20 0-
El School on / I ❑ Special on / I
Documents Received: (check all that apply)
ffidavit of Candidacy Faxed? ❑ Yes WNo
Nomination Petition Number of pages (approx):
❑ 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: rr` Y t���j{/1 Phone:
Nomination papers are available for public inspection. Objections to the qualifications of candidates and the
legal sufficiency of nomination papers may be filed until:
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
0 a. CE
State of Iowa
Affidavit of Candidacy SEP 15 2021
Candidate's Na exactly as it should appear on the ballot—no titles, parentheses,or quotation r s):
CLERK,
CI'sr',f' .7DF AMES, iOWP,
Candidate's Name Sounds Likke� (phonetic spelling):
Office Sought: / c� l,/ i1 �UL�/1G� District or Ward (if any): ���
Vacancy— Is the candidate running to fill a vacancy due to the death, resignation, V No ❑ Yes
removal, or temporary appointment of an office holder?
Type and Date of Election:
❑ Primary on / / ❑ General on
jCity/School on Z Special on
Candidate's Affiliation (only complete for partisan offices or Ch.44 city nominations):
❑ Democratic ❑ Republican
0 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:
eg4 r-
,� SOZ16 S7ZCI�
Street(no P.O.boxes) City State Zip Co my
Candidate's Mailing Address (if different than above):
Street / / 9 City State Zip County
Candidate's Phone: 75 Email: t; Caen
Candidate's Affirmation
1 swear(or affirm) that the information provided on this form is correct. I will be qualified to hold this office and if I am elected, 1
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.
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.)
1 know that 1 cannot be a candidate for mor an ne o ' e o be filled at this election, except as otherwise provided by law.
Candidate's Signature:
st be gned in re presence of a notary.
State of:lk County of: rA LAR DIME R.VOSS
n y14umber 134019
Signed and sworn (or affirmed) before me on date of: '1 ��5 ZbZ� — V
ow
By: hm6cjr
Print Candidate's Na
Notary Signature: yLl�l�Gl.�'�`�D Notary Public or authorized notary under§913.10
Prescribed by the Office of the Iowa Secretary of State Revised 10/201 q
State of Iowa IL FE
Nomination Petition for Non Partisan
Candidate Information
Amber Corrieri
Name of Candidate: Office Sought:7Ametid
CounCilF 3,
Y CLERK
Candidate's County of Residence: Story Candidate's City of Rnc�
Type and Date of Election:
General on / / Special on City/School on 11 /2 / 21
Is the candidate running to fill a vacancy due to the death, resignation, removal,or temporary appointment of an office holder? Q No Yes
For School Elections Only
FSchool District: School Director District(if
FFor 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 Today's
Sign your name
House number and street City Date
CIS
2.
3. L� 3 Y ► L� - — 3 -Zl
CL
4. h, a� te
6. - io5 \j- Ayll e
7.
8.
9. i �t
10.
14.
15.
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Prescribed by the Iowa Secretary of State Revised 412021
0 [L CE
State of Iowa
Nomination Petition for Non-Partisan Oif e SEP 15 2021
Candidate Information
1"1 C� �,�ri�� g / .
Name of Candidate: 'J v Office Sought: AME
RK
Candidate's County of Residence: � �� Candidate's City of Residence: ,
Type and Date of Election:
General on / / ❑Special on / / E/City/School on /r'/ 2— /
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? ON. Yes
F
For School Elections Only
school District: School Director District(if any):
Foffice
For City Elections Only For Other Elections Only
Ward (if any): A IC 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
2. /L- 1Z-
3. 2 ZI
4 (QG `�' v`Z�C t 5' r g l
5.
6. Z 33 tZ L2�'e�� C �2! Z1
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Prescribed by the Iowa Secretary of State Revised 412021
1�
State of Iowa 0
Nomination Petition for Non-Partisan
SEP 15 2021
Candidate Information 1
Name of Candidate: Amber Corded Office Sought: Ame Cit 1 L Y CLERK
Cl-,-,,OF AMES, IOWA
lua
Candidate's County of Residence: Story Candidate's City of Re nce:
ft
Type and Date of Election:
❑General on / / E Special on / / F�]City/School on 11 / 2 / 21
Is the candidate running to fill a vacancy due to the death,resignation, removal,or temporary appointment of an office holder? Q No Yes
FFor School Elections Only
School District: School Director District(if any):
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
Sign your name Today's
House number and street City Date
1 zo t 3 &cQenS� ioj; r�n�S U 31 I 2LUZ1
2. t. 2v13 Cofscy.Lr� , Cl.- �w,LS 184
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Prescribed by the Iowa Secretary of State Revised 412021
State of Iowa H I
Nomination Petition for Non-Partisan Of
SEP 15 2021
Candidate Information
��� '�
Name of Candidate: Amber Corrieri Office Sought: Ame City , o
C„ AMES, IOWA
Candidate's County of Residence: Story Candidate's City of Re
Type and Date of Election:
General on / / ❑Special on / / QCity/School on 11 /2 /21
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):
For City Elections Only For Other Elections Only
Foffice 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. j
5.
6.
7 _A-Tz7-
8. L 2737 Hu�i.so
10.
1
Qq 10-112.1
13. tit--- 'CAL
14.
15. E 7 Zl
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Prescribed by the Iowa Secretary of State Ravi�erl d/�m�
0 t
State of Iowa =-
Candidate
Nomination Petition for Non-Partisangi
Information
Name of Candidate: �`�yl� c d�/. Gam'/
Office Sought: /
Candidate's County of Residence: Candidate's City of Residence:
Type and Date of Election:
General on / / ❑Special on / / []'City/School on / I/ / Z/ ?—/
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 Onchool District: School Director District(if any):
F For City Elections Only F
For Other Elections Only
Office Ward(if any): '��' 7 C,� 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. I V1 t 4 7 Z
2. Wi
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3. S Q tj A,L rt N 7 3 , A ri �-s i( (2
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Prescribed by the Iowa Secretary of State Revised 412021 15
State of Iowa
Nomination Petition for Non-Partisan i SEP 15 2021
Candidate Information I'),ICi 3, `
Name of Candidate: �%'� �C a/!� Office Sought:
�G' i r r /
Candidate's County of Residence: ( Candidate's City of Residence:
Type and Date of Election:
General o / Special on / / y/School on /// Z/
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
F
chool District: School Director District(if any):
FFor City Elections Only For Other Elections Only
office Ward(if any): _, ' !CYO 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
A, Z-Z -?-z/
2. ,r (p
c. t� t�►�ke 71z7 t
4.
6. Wit, 7 27.E
7.
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Prescribed by the Iowa Secretary of State Revised 412021
FS
State of IowaEP 15 2021
Nomination Petition for Non-Partisan Offi
Candidate Information
/ Clay CF :s AM
, Iowa
Name of Candidate: (�'� y!%/I i'�/ Office Sought: G /
Candidate's County of Residence: 'yi Candidate's City of Residence:
Type and Date of Election: /
General on / / Special on ity/School on
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? D Jo Yes
F
For School Elections Onchool District: School Director District(if any):
F
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
3.
l` / V1
4.
5. t k
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
Prescribed by the Iowa Secretary of State Revised 412021