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Home My WebLink AboutA008 - Receipt of Nomination Papers - Beth Swenson, MGMC Board of Trustees State of Iowa Receipt of Nomination Papers I Receipt Number: Z CZ 1 _0,�3 Office Received In: Received By: ss Delivered By: n(n Date and Time Delivered: / / 2-1 : C0 a.m. m� Candidate's Name: ck�e s Office Sought: TrCts-I L?eS Office District(if any): '— Election Type and Date: ❑ General on / I ❑ Primary on RCity on 7 Z— ❑ School on / / ❑ Special on Documents Received: (check all that apply) Affidavit of Candidacy Faxed? ❑ Yes JNo 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: ► t C� `�C� VC SS 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: q / Zl /2-Ci 2--1 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. i Prepared by the Iowa Secretary of State's Office Revised 7109 State of Iowa Affidavit of Candidacy SEP 01 2021 Candidate's Name (exactly as it should appear on the ballot—no titles, parentheses,or quotation m s): ClQ ��'1 F1 1 CITY OF AMES, IOWA Candidate's Name Sounds Like (phonetic spelling): Office Sought: Lf4Q �i� � S� �i District or Ward (if any): Vacancy— Is the candidate running to fill a vacancy due to the death, resignation, A No ❑ Yes removal, or temporary appointment of an office holder? Type and Date of Election: ❑ Primary on / ! ❑ General onXA City/School on / 2/ Zoc i ❑ Special on I / 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 Home Address: y�l D o"zr2r�vl -Sty I—Tr�e_S D LJr— _ad la Street(no P.O.boxes) City State Zip Count Candidate's Mailing Address (if different than above): Street City '^ State Zip County Candidate's Phone:5� ��— `��O'� ��' Email: `�� W Z� � ��' � 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, 1 will qualify by taking the oath of office. I know that I 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 as otherwise provided by law. Candidate's Signature: Must be signed in the presence of a notary. State of: County of: to E R.VOSS Signed and sworn (or affirmed) before me on date of: Se, \ `�` ;�«=Number 134019 L�I0 By: Print Candidate's Name Notary Signature:c\ '>p, / 1 � Notary Public or authorized notary under§9B.10 Prescribed by the Office of the Iowa Secretary of State Revised 1012019 U LL, [E State of Iowa SEP 01 2021 Nomination Petition for Non-Partisan Off' e Candidate Information UIn'CIERK Name of Candidat / �� Office Sought: Candidate's County of Residence: Candidate's City of Residence: -4=;A--e� Type and Date of Election: General on / / ❑Special on / / jCity/School on 1 ' / Z—/ z r Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? ONo Yes FFor 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 gereby make the nomination outlined above. If the candidate named above accepts the nomination, we believe the candidate is or will be a resrttlWnt 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 T) 0,A / Al 16 G 0 K EAIN EP y S . A4 Z 2 C) L"e' z 3. 1 4. 5. s. � s�m 2 70 3 ka, 7. OW 9 ut� 8. a� zt 9-prC, I tic�rrrf C o��,QC4i`]i a �i s �/3 10. 11. 12. 13. 14. 15. Prescribed by the Iowa Secretary of State Revised 412021 j State of Iowa Nomination Petition for Non-Partisan Off SEP 01 2021 Candidate Information 1 a / PNj (/� ITY RK Name of Candir.ate _ Office Sought' '1�� T Candidate's County of Residence: Candidate's City of Residence: Type and Date of Election: General on / / Special on / / ACity/School on /// z/ Z� Is the candidate running to fill a vacancy due to the death, resignation,removal,or temporary appointment of an office holder?,KNo 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. 11 �fA e,. j S tzi- 2 2. r, ZzLl 3. Y - 4 r 6. 7. 8. 9. 10. 11. 12. 13. -14. 15. Prescribed by the Iowa Secretary of State Revised 412021 r 0 IL ME State of Iowa SEP 01 2021 Nomination Petition for Non-Partisan Off Fe r 9 �� ( C;G �t Candidate Information �� C21TY OF A _ Name of Candidate: rZ r tJC�hS Office Sought: , I Candidate's County of Residence: S-frL_\ Candidate's City of Residence: I?_ Type and Date of Election: ❑General on / / Special on / / City/School on Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? No ❑ Yes Fschool For School Elections Only 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. 1*2 Ho►di V..--% - 1 I t 2. 1 S / S -1-14-2c21 3. J�A AM -I - h 5 , . 6. f IDf�� t� 1�5 1- (4-4--7. ' - 9. 10. E _�t x 13. E 3q 0� �Gt ��rvt �Cl2� �.�s i :0_ x' 15. x Prescribed by the Iowa Secretary of State Revised 412021 Fire �SEP State of Iowa Nomination Petition for Non-Partisan ® 0772(0�21� D Candidate Information cc pm Name of Candidate: j �i� ,1 =) LEPK Office Sought: ; I j�! F-4E Candidate's County of Residence: r-�� Candidate's City of Residence: Type and Date of Election: General on / / Special on / / City/School on �/ -_I Is the candidate running to fill a vacancy due to the death,resignation, removal,or temporary appointment of an office holder? ] No E] Yes [SFor School Elections Only 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. c� 4. 1 l e1 i 6. 7. C i f,T' 2-1 AA 8. Vj 9. 10. 12. 13 14. 15 i Prescribed by the Iowa Secretary of State Revised 412021 State of Iowa a Nomination Petition for Non-Partisan O e SEP 0 1 2021 Candidate Information _ Name of Candidate: ��It �ti L� r i� y Office Sought�/ ' C_ Y• . E ,O Candidate's County of Residence: Candidate's City of Residence: Type and Date of Election: ❑General on []Special on / / ❑ p �q City/School on 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 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. Si n o name Address where you live in Iowa House number and street Today's ( City .D to 2 4. Av-r- A me 'Tit, 1 7. p� 8. 9. 3 fp 12 l 0 1 13 144 � t! r m Prescribed by the Iowa Secretary of State Revised 412021 State of Iowa 11 Nomination Petition for Non-Partisan O i e SEP 01 2021 1 Candidate Information Name of Candidate: e-4( i. .1 rij Office Sought: 3 r' CITY F j Candidate's County of Residence: Candidate's City of Residence: Type and Date of Election: Fj General on / / Special on / / City/School on / j/ 2—/ Z Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? o ❑ Yes For School Elections only ACC School District: School Director District(if any): For City Elections Only For Other Elections Only F 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. Sign your name Address where you live in Iowa Today's House number and street City Date 1. � ctrz u2. � 3. 4 / r . fie 5. 6. s 7. $. ILI g 9.d C�? ut Q 12. ►�- 1) 13. �. . 14. 3 k 15. / e , d N Prescribed by the Iowa Secretary of State Revised 412021 �5 �inationfttition of Iowa [L EE f:N:o� or Non-Partisan O SEP 01 2021 Candidate Information f Name of Candidate: : A �f c� C�it Office Sought:/J�vC V' giw�� Candidate's County of Residence: Candidate's City of Residence: t Type and Date of Election: ❑General on K Special on / / ty `� I Z-1 ❑ P Ci /School on 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 S 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 ae_,�, t�-_ 4- z n 4. - 5. 6. 9. Au, BPS - _ __._S _t_1-ram 12. 13. 14. 15. Prescribed by the Iowa Secretary of State Revised 412021 State of Iowa , Nomination Petition for Non-Partisan O e I' SEP 01 2021 I Candidate Information Name of Candidate: , ; Office Sought&' ' c' Cli -�' Candidate's County of Residence: s Candidate's City of Residence: --j1L�r., Type and Date of Election: General on / / E]Special on / / 2 ZL [City/School on l / / Is the candidate running to fill a vacancy due to the death,resignation,removal,�or�t-emporary appointment of an office holder? No Yes For School Elections Only �� Fs hool District: School Director District(if any): F For City Elections Only—� For Other Elections Onfy 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. Sign your name Address where you live in Iowa House number and street City Today's .. . {_-��__ � ate 3. - 4. t- 5. 6. 7. - , s. 9. 10. 11. 12. 13. 14. 15. Prescribed by the Iowa Secretary of State Revised 412021