HomeMy WebLinkAboutA007 - Receipt of Nomination Papers - John Haila, Mayor State of Iowa
Receipt of Nomination Papers
t
Receipt Number: ZC2� _C''Z Office Received In:
Received By: CS
Delivered By: al I d
Date and Time Delivered: �' /.3 ( /ZC2�
C : 3.� a.m
Candidate's Name:
Office Sought. LA
i Office District(if any):
Election Type and Date:
❑ General on I I ❑ Primary on / / City on / C`Zi Z�
❑ School on / ! ❑ Special on
Documents Received: (check all that apply)
❑! Affidavit of Candidacy Faxed? [] YesNo
Nomination Petition Number of pages (approx): -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: kr1�, ��C�S�
Phone: 5l�-Z��-❑ � �
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 7/09
State of Iowa n
Affidavit of Candidacy 0 EL EE
Candidate's Name (exactly as it should appear on the ballot—no titles, parentheses,or quotation marks)
John A. Haila AUG 31 2021
Candidate's Name Sounds Like (phonetic spelling): Haila = "hay-luh"
CITY CLERK
Office Sought: Mayor of Ames CITY of AME ,
District or Ward (if any):
Vacancy- Is the candidate running to fill a vacancy due to the death, resignation, D No ❑ Yes
removal, or temporary appointment of an office holder?
Type and Date of Election:
❑ Primary on / / ❑ General on
City/School on 11 /02 /21 ❑ 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:
2408 Suncrest Drive Ames Iowa 50010 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:515-290-5436 Email:John@haila.family
Candidate's Affirmation
I swear(or affirm) that the information provided on this form is correct. 1 will be qualified to hold this office and if l am elected, 1
will qualify by taking the oath of office. l know that l 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 I 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.)
l know that I cannot be a candidate f more than one office to bbe filled at this election, except as otherwise provided by law.
Candidate's Signature: �v
Must be signed in the presence of a notary.
State of: i County of: �;
i ( i,
Signed and sworn (or affirmed) before me on date of: '` . *�&=" R.VOSS
f` i %.'`
Number 13101 r'
By.— i tki �� k !itl ,
Print Candidate s Name
Notary Signature: �; ,� ("� � ; � �� � ^�
-- ` (- Notary Public or authorized notary under§9B.10
Prescribed by the Office of the Iowa Secretary of State Revised 1012019
State of Iowa
Nomination Petition for Non-Partisan Offre U p EE
Candidate Information
Name of Candidate: John A. Halla Office Sought: Mayo Of mes@_� I,35
Candidate's County of Residence: Story Candidate's City of Resi ence: q�tORY CLERK
r Y t AMFRr1AWA
Type and Date of Election:
0 General on / / Special on / / Fn_j 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? Q 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): 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.
2. '
l Pj
/ a
3. 4 --7-
�33
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Prescribed by the Iowa Secretary of State Revised 412021 I rJ
State of Iowa
Nomination Petition for Non-Partisan 01115ce 0 0.
Candidate Information
Name of Candidate: John A. Halla Office Sought: May f meS G'-35F4A.1
Candidate's County of Residence: Story Candidate's City of Res dence• Arrgly
CLERK
CITY OF AME&4GV_A--1
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? Q No ❑ Yes
For School Elections Only
ES
hool 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 . s Tr 4-
2. � s) -Q_�
3. Vsus t DDT I lei c Z
4. c d �Gd. �c� e-6Pi
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Prescribed by the Iowa Secretary of State Revised 412021 1 5'
State of Iowa
Nomination Petition for Non-Partisan O c
Candidate Information
Name of Candidate: John A. Halla yMa of6es(26 5 PO
Office Sought: � ���
Candidate's County of Residence: Story Candidate's City of Re Bence A CLERK
Type and Date of Election:
General on / / Special on / / .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? Q 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): 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 .A 4 1,VI 207 N 0azj kW �wva s ?/Z5/21
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Prescribed by the Iowa Secretary of State Revised 412021 `�
State of Iowa 0 a.
Nomination Petition for Non-Partisan Offi e IE n
Candidate Information
Name of Candidate: John A. Haifa YmeS �
Office Sought: 0 Ma Of i (' 35 fV
TIY
Candidate's County of Residence: Story Candidate's City of Resi ence: ` F M SR OWA
Type and Date of Election:
General on / / []Special on 1 / E 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? Q No Ej Yes
For School Elections Only
F
chool 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
House number and street Today's
1 el v City Date
Pct s9rj / Z3 7l�
2.
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Prescribed by the Iowa Secretary of State Revised 412021
State of Iowa a a. IF. n
Nomination Petition for Non-Partisan O
Candidate Information
Name of Candidate: John A. Halla Office Sought: Mayo Of me c3
�' CLERK
Candidate's County of Residence: Story Candidate's City of Res dennw: o ' AMES,IOWA
Type and Date of Election:
General on / / 0 Special on / / OCity/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? F 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): 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
mo
2. e3 n .25/b W,zu'te Ox?_ 17r. !h P S Z ILon-
3
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Prescribed by the Iowa Secretary of State Revised 412021 15
State of Iowa
Nomination Petition for Non-Partisan Offi
Candidate Information
Name of Candidate: John A. Haila Office Sought: Mayor f A 8S (' PM
��I CLERK
TY
Candidate's County of Residence: Story Candidate's City of Resid nce: '�I`I"Y"C7F AMES, IUU'JA
Type and Date of Election:
0 General on / / Special on / / 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? Q No ❑ Yes
For School Elections Only
School District: School Director District(if any):
OFor 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
Carl S' y 4C
3.
t1 /
4. � .t t
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5. n 3 R, s 12- e C 4rfot( �-
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Procrrihcri by tho Inwn Rurratmnr of cfafn
State of Iowa 0
Nomination Petition for Non-Partisan O e
Candidate Information !
Name of Candidate: John A. Halla office Sought: Mayor o A' es 35 P
��
Y CLEF:'
Candidate's County of Residence: Story Candidate's City of Resi nce: Ml IOWA
Type and Date of Election:
General on / / Special on / / E 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? Q No Yes
F
For School Elections Only
School District: School Director District(if any):
For City Elections Only r For Other Elections Only
Foffice 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
1. s >k�v� r�� p
g y y
ANTH�I 2. w L= L-'T Q o V
3. &t4 l;46F, I S55 Rca Dr: �1 S g b c�
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Prescribed by the Iowa Secretary of State Revised 412021 t5
State of Iowa 0
Nomination Petition for Non-Partisan Off
Candidate Information 2 0 21
Office Sought: Ma
Name of Candidate: Mayor John A. Haila ( 35 p�'•1
a-
Candidate's County of Residence: Story Candidate's City of Residf A A�t @S MOF AMES IOWA
Type and Date of Election:
❑General on / / Special on / / E 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? M No Yes
For School Elections Only
F
chool 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.
Address where you live in Iowa
Sign your name Today's
House number and street City Date
1 . 1P �0 _�>115
2. Arlo f
wla rj,1A &j A S
3. - I
4. - n
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Prescribed by the Iowa Sar_rPtary nt ctato
State of Iowa 0 DL
Nomination Petition for Non-Partisan Off
Candidate Information AM, 9 1 IMI),
Name of Candidate: John A. Halla
Office Sought: Mayor pf A e :35- pi(,i
Candidate's County of Residence: Story CLEP,':
Candidate's City of Resid nce: &Gt°?tF AMES, IOWA
Type and Date of Election:
General on / 0 Special on / / 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? Q■ No Yes
For school Elections Only
F
chool 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
House number and street Today's
City Date
2. s ate.
5 �
3.
8 Z 3 Ll
JCS t4q, i
5. ,r
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6.8.
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Prescribed Secretary of kL.
State of Iowa a IL F.
Nomination Petition for Non-Partisan Offi
Candidate Information ,
Name of Candidate: John A. Halla Office Sought: Mayor O Am S 2 TY CLERK
1..35 PM
Candidate's County of Residence Story — Candidate's City of Reside e: A AS -;FAMES, IOWA
Type and Date of Election:
General on I / 0 Special on / OCity/School on 11 i 02 /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
F
chool District: School Director District(if any):
FO
or City Elections Only For Other Elections Only
tf Mice Ward(if any): O ffice 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 3 City Date
iL
• S3
s 8 Z Z! i
4.
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D.nc...4. 4 k—il.... 1—..... C..
State of Iowa
Nomination Petition for Non-Partisan OfficE 0 B. EE
Candidate Information
Name of Candidate: John A. Haila Mayor o m s '3 5 pk�
Office Sought:
Candidate's County of Residence Story Candidate's City of Reside e: Ames CITY CLERK
n,Tv nr: en,st:C ir1 e/A
Type and Date of Election
7 General on 1 / a ! i 11
❑Special on �City/School 02 on / ?21
Is the candidate running to fit a vacancy due to the death, resignation,removal,or temporary appointment of an office holder? v No [j Yes
For School Elections Only
E
hool District: School Director Distract(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 drstnct
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
House number and street Today's
f City Date
3 _ram`erg - 3 ,� _
14.
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GAL L ! C G C
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D coo nci,.n.1 I... 1... I....,-.C.,......�.....c c...a_ •`•
State of Iowa D.
Nomination Petition for Non-Partisan Off
Candidate Information f Ailr_ 9 1
Name of Candidate: John A. Haila Office Sought: Mayor f A e ( '.35 PM
_:iY CLEF K
Candidate's County of Residence: Story Candidate's Cityof Resid ce: erSOF AIv1ES, OW,
Type and Date of Election:
General on / / Special on / / 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? 0 No Yes
F
For School Elections Only
chool District: School Director District(if any):
F
For City Elections Only (�For Other Elections Only
ffice 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
3.
4.
5.
6. 74 W T�7
7.
8. 1 ��yliEG tJ4cK59�.! � STr''CEf Gu,Lkt�N�'
9.
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Prescribed by the Iowa Secretary of State Revi.sPd 419n9i