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HomeMy WebLinkAboutA009 - Receipt of Nomination Papers - Mary Kitchell, MGMC Board of Trustees State of Iowa Receipt of Nomination Papers Receipt Number: Office Received In: 0 e_r ' Received By: i C V C, Delivered By: INA En Date and Time Delivered: 9/ 2f,2-1 1 a.m. Candidate's Name: Office Sought: Office District (if any): Election Type and Date: ❑ General on / I ❑ Primary on City on I i / U2 2I ❑ School on / / ❑ Special on Documents Received: (check all that apply) Affidavit of Candidacy Faxed? ❑ Yes No r Nomination Petition Number of pages (approx): lG ❑ 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: -1)1 �,rr, V t C's Phone: I0J Nomination papers are available for public inspection. Objections to the qualifications of candidates and the legal sufficiency of nomination papers may be filed until: / Z( / �'2-I This receipt ac knowledges cknowledges 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 j Affidavit of Candidacy SEP 0 7 2021 Candidate's Name (exactly as it should appear on the ballot—no titles,parentheses,or quotation marks): A K i i C.i-1 C L L ;;I TY C L F n C)TY OF ALES, IOV,1.6, Candidate's Name Sounds Like (phonetic spelling): V, Tcl, — �► PvAa;-y C re_Cle y M&31,ca: c i Office Sought: District or Ward (if any): 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 City/School on /0,A/ a i ❑ Special on 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: 41 1y Edgc Dfive Street(no P.O. boxes) City State Zip Count` Candidate's Mailing Address (if different than above): Street city State Zip County S1�- t-t5► -� i33 ��-) Candidate's Phone: S i 5 - 9 a-3 I (H� Email: �`��"��'t```k� v`�+i "' �`-wc Candidate's Affirmation 1 swear(or affirm) that the information provided on this form is correct. 1 will be qualified to hold this office and if I am elected, I will qualify by taking the oath of office. 1 know that l 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. 1 know that 1 am required to organize a candidate's committee, which shall file an organization statement and disclosure reports if 1(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 more than one office to be filled at this election, except as otherwise provided by law. Candidate's Signature: ) Mu t tye'sign in the presence of a notary. State of: ,--i_4 County of: I-DV Signed andsworn (or affirmed)before me on date of: U MICHELE GILLESPIE By: j Y_6LrQ Notarial Seal-Iowa Pnnt Cand date's Name Commission #7709 8 _ My Commission Expires% 3 Notary Signature: -C 1 L�_ 10 i Prescribed by the Office of the Iowa Secretary of State Revised 1012019 State of Iowa a EL LL Nomination Petition for Non-Partisan Offic Candidate InformationEP 4 7 2021 /� i { M�s2 i1KT' �tY i�lci�i6AiL LEitt r Name of Candidate: f I Z� y t I C f�'E L L Office Sought7of�f MES, IOVIA Candidate's County of Residence: � Candidate's Cityesiden Type and Date of Election: General on ! f Q Special on l I ,tA City/School on Is the candidate running to fill a vacancy due to the death,resignation,removal,or terrporary appointment of an office holder? No Yes fti For School Elections Only School District School Director District(if any): FCity Elections Only r For Other sectiosm Only Z 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 _ I _ 4. 110 5. 6. -©su �2 7. 8. ne 0. f 10. 12. 13. 14. 15. State of Iowa [E Nomination Petition for Non-Partisan Off r rvl ' Candidate Information �SEP 072021_ Name of Candidate: IV 1 L r E—IC �E L L Office Sought '(� i . T^�.J Candidate's County of Residence: �� r�,1�`r Candidate's City of Res CI WES, IOWA Type and Date of Election: General / ❑ on ❑Special on I I tt City/School on E ` Is the candidate running to fiH a vacancy due to the death,resignation,removal,or temcrary appointment of an office ho4def? No Yes For School Elections only School District School Director District(if any): �iffi For City Elections Only For OWw Elections Only ce Ward(if any): � �Office Dis-trict(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 five in Iowa Sign your name Today's House number and street city Date 4ram -�4/1 Ll 2. r k�^ �1 S-� tj Ljl� 5. t, bji 1,2 06 7. c C�u � �4vG � t �&r'I CUf�c (JrIvf .aV�+3 ++ $ 5" �/ Xe���r r�u P i �� z Z,� i7 a� 1 �� =s � 13. 14. r. L 15. �� ter. G r l State of Iowa 0 [L FE Nomination Petition for Non-Partisan Of ' 1 ;�,t Candidate Information 4 'SEP A"DicAiL c F, ' Name of Candidate: _ 1 AR Y t 1�t f C v-,e L L- C fice Sought 'ice`, 'ice, tf( t t ,. A 'I `�.C4ERK Candidate's County of Residence: ,J ! +,'� 1Y Candidate's City of Residence: Cy kkES, IOW?, t Type and Date of Election. General on FSpecial on ( / Q City/School on : E Is the candidate running to fiEt a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? No ❑ Yes For School Elections Ortly School District School Director District(if any):FoFor City Elections Only For Other Elections Only fFce 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. I Address where you live in Iowa Sign your name Today's House number and street City Date 2. 3- 4. C�� 6. t L o / ('fi�� D z 7. tiff 12. ! 13. 14. 15. r.____��_� ...ai., ......,c.......a....,s C♦-.a.. l7c vicnrl di7/19� State of Iowa F .Nomination Petition for Non-Partisan Offc,; 1 4 S P�,tEP 0 7 2021 Candidate Informatio 0 n M � 1�Pv t2`/ �'c�LtYMCI�iCH� C t'� Name of Candidate: I - ►nR y (�i I L�-L- Office Sought: , 10 WA Candidate's County of Residence: 0R Candidate's City of Residence: 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 For School Elections Only School District: School Director District(if any): FFor City Elections Only For Other Elections Only Off ice 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 House number and street City Date 2. fi 5 7. Z 8. ? k._ 9. 10 12. 33 C) 14. 15. w5tn cV5i Cle vdaAcL 4�� ftiv,s Prescribed by the Iowa Secretary of State Revised 412021 f i4 State of Iowa 0 i. im Nomination Petition for Non-Partisan Offs Candidate Information \SEP 0 7 2021 E i t l�ti �{ (� vc`7'i+ti=t�iC/ti bt; C Name of Candidate: R i(C H e L L Office Sought: TG }� T— Candidate's County of Residence: ,� L±f `i Candidate's City of Resid ES, IOWA Type and Date of Election: F-lGeneral on i ! Q Special on ! / ' City/School on _LL/_! .2 j Is the candidate running to fill a vacancy due to the death,resignation,removal,or terr�ry appoinfirent of an office holder? 'No Yes F ForSchool Electionschool District School Direct District(if any): FF City Elections Only For Otiw Elections Only oL Ward(if any): L Office Dtshict(if arry): 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 1•nfe in Iowa Sign your tame Today's House number and street city Date ' r i 3. ILL 371C �C_7 V 4 - J 12. 13. 14. 10. n n / 15. wrJZc_D-r ao c;� I State of Iowa Nomination Petition for Non-Partisan Offi j . � t'+r j Candidate information �'SEP 0 7 2021 Name of Candidate: 1" r.z y 4 i I C['i �-L Office Sougr�t �•\.�. ---� r r{; Candidate's County of Residence; fr �' Candidate's City of Reside-_ - �bVA r Type and Date of Election: General on ! / Special on / i ' City/School on f.L (.x! E� _LL Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holdeO. No Yes For School Elections Only School District Schaal Director District(i€any): ��ffi For City Elections Only For Other Elections Only ce 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 taw, 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. fYr 3. 5. C' d 6. 7. 1 c J 3 ►�RL4 A �- s. 10. �N Lit, I 3 Z 11. 12. 13. 3 you 14. 15.ifs f Ida ' �l C► r ; 5 3 i �reL( Juc cC eee 7c