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HomeMy WebLinkAboutRegina Ayars - Completed Candidate Filing SEL 101 Major Political Party or Nonpartisan 1/12 ORS 249.031 8 This information is a matter of public record and may be published or reproduced. Original O Amendment Filing Officer: O Secretary of State O County Elections Official of County Mail or Deliver to County Elections Office tig'City Recorder(,Auditor),City of � Candidate Information O Democratic Party O Republican Party Nonpartisan O Incumbent Judge Candid"Legal Name* Candid Name(As it should appear j'ballot)* c, ,� r Filing or Office of* / District and/or Position(if applicable)* Residence DCddress,Street/Route* City* StateQ Zip* C--- 7S County of Residence Home Phone Work Phone Cell Phone Fax Email* �` /] / Website Cky/ �• � �L Mailing Address(All correspon(9ence,will be sent to this address)* City* � State ZiP* *Indicates a required field.At least one phone number is also required. O Filing by Declaration,with the required filing fee Office Filing Fee Office Filing Fee United States President n/a County Judge $50 United States Vice President n/a MSD Executive Officer,MSD Auditor $100 United States Senator $150 MSD Councilor $25 United States Representative $100 County Office $50 Statewide Offices $100 City Office set by charter or ordinance State Senator or Representative $25 Justice of the Peace n/a Circuit Court Judge $50 District Attorney $50 'v prospective Petition with proposed signatu sheet eexRlon ci• tcJll epaid(Marls e) OYes No 4-campleted Petition with certified signature shat 2012 Filing Dates B)' Primary Election May 15,2012 Candidate Filing State Voters'Pa C andidate Withdrawal September 8,2011 to September 8, 2011 to March 6, 2012 March 8, 2012(for paper filing) March 9, 2012 or March 12, 2012(for electronic filing) General Election November 6,2012 May 30,2012 to May 30, 2012 to August 28, 2012 August 28, 2012 (for paper filing) August 31, 2012 or August 30, 2012 (for electronic filing) (continued) Required Information(If no relevant information list none or n/a) Occupation(present employment-paid or unpaid)(required) Occupational Background(previous employment-paid or unpaid) (required) c � S s/"r vv, is Ed tional Background(sch6 s attender/necessary use attachment)(required) Name of School(no acronyms) Last grade Level Diploma/Degree/Certificate Course of Study Completed (AA, BA, BS, MA, PhD accredited) (optional) Not honorary 7,�2 Aol- J Priorr�Gov/ernmental Expelence(elected or appointed)(required) /7SvC�.q/C>d/'/ S r,c- �J<�/�7`Y[ •s s/g%'' ' 'tip 7 /osn r.�7� /irl By signing this document,t hereby state that. --> I will accept the nomination for the office indicated above 4 1 will qualify for said office if elected if not nominated, I will not accept the nomination or endorsement of any political party other than the one named I have been a member of said political party, subject to the exceptions stated in ORS 249.046,for at least 180 days before the deadline for filing a nominating petition or declaration of candidacy(ORS 249.031) 4 all information provided by me on this form is true to the best of my knowledge and -> no circulators will be compensated based on the number of signatures obtained by the circulator on a prospective petition Check the applicable box(not applicable to candidates for federal office-US Senate and US Representative): r By marking this box, I certify I do not have an existing candidate committee and I do not expect to spend more than $750 or receive more than$750 during each calendar year. I understand I must still keep records of all campaign transactions and if total contributions or total expenditures exceed$750 during a calendar year, I must follow the requirements detailed in the 2012 Campaign Finance Manual By marking this box, I certify that I have already filed or will soon file a Statement of Organization for Candidate Committee(SEL 220). For detailed instructions, see the 2012 Campaign Finance Manual. 0 Warning Supplying false information on this form may result in conviction of a felony with a fine of up to$125,000 and/or prison for up to 5 year ORS 260.715).A perso only file for one lucrative office or not more than one precinct committee person at the sa election.Unless the p son h withdrawn from the first filing,all filings are invalid.(ORS 249.013 and ORS 249.170) — 6-at_ GUS Candidate's S' nature Sig ed For Office se Only Initials Approval Code/Receipt Number CERTIFICATE FOR VOLUNTARY CONTRIBUTION & SPENDING LIMITS CITY OF ASHLAND AMC 2.41 PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK Candidate ❑ Political Committee ❑ Primary 20_ ORI- General 20 12-- ❑ Other Election Date Candidate Political Committee NapV Committee Identification Number Treasurer's Ful ame AV �C // Q/ Telephone Number(day�D/� �.cJ7TL�/ Address (street or route, it , state,zi cod ) flffira of Fiiinn /Y e I certify that if I am signing as a candidate, I will not make attributable expenditures for this election in excess of $3,352.00 (including expenditures of my principal campaign committee), or, if I am signing as a treasurer of a political committee organized exclusively to support or to oppose a candidate, I certify that the committee will not make attributable expenditures in this election in excess of$3,352.00. Candidate or treasurer's signature Date Signed [NOTE: If the candidate or committee treasurer elects NOT to be bound by the expenditure limitations,the following line should be signed instead of the line above.] I elect nXo limited to the ibuta expenditures specified in this certificate and city ordinance. Candidate treasurer's signature Date Signed The City Recorder is authorized to publish a statement in the City, indicating whether or not the candidate has agreed to limit (Authorized Use) expenditures. If the City Recorder or the City Attorney finds that a candidate filing a declaration of limitation on expenditures has exceeded �—� Lg the applicable expenditure limit, at the next election at which the candidate is a candidate for election to public office, the City Recorder 5 Z©12 �UN shall publish a statement, in the City, indicating that the candidate violated a previous declaration of limitation. CITY OF ASHLAND June 5, 2012 Regina Ayars 199 Hillcrest Street Ashland OR 97520 A prospective petition has been completed and filed with the City Recorder's Office for Council Position #5. A petition has been approved for circulation. Barbara Christensen City Recorder CITY RECORDEWREASURER Tel:541-488-5307 �. 20 E Main Street Fax:541-552-2059 Ashland,Oregon 97520 TTY: 800-735-2900 www.ashland.or.us CITY OF -ASHLAND June 12, 2012 Regina Ayars 199 Hillcrest Street Ashland OR 97520 A completed petition, with the required signature sheets properly certified by the county elections office has been received and is filed with the City Recorder's Office for City Council Position#5. Please%pt,7tne know if I can be of any further assistance during this upcoming election time. d!i Barbara Christensen City Recorder/Treasurer CITY RECORDERITREASURER Tel:541-488-5307 �. 20 E Main Street Fax:541-552-2059 Ashland,Oregon 97520 TTY: 800-735-2900 www.ashland.or.us County: JACKSON Petition Processing Statistics Re`)ort Date : 6/8/2012 8:58:38 AM User Name : Connor, Donna Number :Ash2012-1 Title :Ashland City Councilor Pos 5 Petition Information Petition Name : Ashland City Councilor Pos 5 Petition Date : 06/04/2012 Date Filed : 06/04/2012 End Circulation Date : 06/07/2012 Minimum Signatures Required : 25 Accepted Of Minimum : ( 132% ) Total Signatures Processed : 33 Processing Summary Sample: All Total Accepted Signatures : 28 (85% ) Of Those Processed Total Rejected Signatures 5 (15% ) Of Those Processed Accepted Reason Total (% Rejected) Valid Signature 28 (100%) Rejected Reason Total (% Rejected) Out of District 2 (40%) Signatures Do Not Match 2 (40%) Printed Signature, No Attestation on File 1 (20%) Oregon Centralized Voter Registration Page : 1 CITY OF -ASH LAN D Memo DATE: June 7, 2012 TO: County Elections Office FROM: ity of Ashland Recorder's Office RE: Verification of Petitions Please find attached petitions for verification on signatures on the following: Regina Ayars—City of Ashland—City of Ashland Councilor Position#5 Please call my office at(541) 488-5307 once the petitions have been processed and I will pick them up. Thank you! M '.✓' n GIl Z C:= 7)= T r- •. -n- m O r, City Hall City Recorder's Office Tel:541-488-5307 =, 20 E Main Fax:541-552-2059 Ashland,Oregon 97520 TTY:800-735-2900 www.ashland.or.us C dv'date Si nature Sheet - Nonpartisan Petition ID Petition circulators will be paid: O Yes x No (Mark one) 'iy n �� This is a candidate nominating petition.Signers of this page must be active registered voters in the following county: Note to Candidate: Petition signatures must be verified before the petition can be filed with the filing officer. Submit the petition in ample time for the process to be completed before 5pm on the filing deadline day. Candidate' Name j Office District or Position Number if applicable CA 0-1 rl FINS Conedopa- ' 5 To the Approp ate Filing Officer,We,the undersigned voters, request the candidate's name printed above,for nomination ��� election following the filing of this petition, to the office indicated, be placed upon the appropriate ballot at the next V _ Signers must initial any changes that they or the circulator makes to their printed name, residence address or date they signed the petition Signat a Date Signed mm/dd/yy Print Name . Residence or Mailing Address street,city,zip code Precinct#optional 12 r� q�11%14 PST M 'Z P1hrAe �C_.�I�a yrc� �i5-� 5 t. fi S i dj Gj �SZ p / - 4 f (mil Z LE Q L�' ��2> n I a 773 2 t J12 lf J 75Z6 7 1f t � c �S �c l ,b, h /11 fC _fps h /a -z,0( % �U g 10 U.A % _ a... Circulator Certification This certific t*ion must be signed by the circulator! I hereby certify that I witnessed the sign g of the signature sheet by each individual whose signature appears on the signature sheet, and I believe each individual is an elector qualified to sign the ition. (ORS 249.061) so ertify that compensation I received, if any,was not based on the number of signatures obtained for this petition.Warning' Falsely signing this stateme y result in convicti of a lony with a fine of up to$125,000 and/or prison for up to 5 years.(ORS 0.715) d ( Circuktor S)Unature 25 Printed Name of Circulator County Elections Official Certification I hereby certify O signatures on this petition are Signature of County SEL 121 my 1/12 ORS 249.072 ns Official of active registered voters in CITY cif Date gned mm/ d/yy _ Circulator's Address street, city, zip cods A,S/Vl..f od T/1t.�SzxA'County, Oregon. _ Date Certified mm/dd/yy Sheet Number �R Candidate Signature Sheet - Nonpartisan Petition ID Petition circulators will be paid: O Yes X No (Mark one) , �! This is a candidate nominating petition.Signers of this page must be active registered voters in the following county: �ii\ Note to Candidate: Petition signatures must be verified before the petition can be filed with the filing officer. j Submit the petition in ample time for the process to be completed before 5pm on the filing deadline day. Candidat;�Zj' me ( Office District Pion Number if applicable t,�1 a, 5 � � tom. To the AppropkKte Filing Officer,We,the undersigned voters, request the candidate's name printed above,for nomination j to the office indicated, be placed upon the appropriate ballot at the next { � election following the filing of this petition. Signers must initial any changes that they or the circulator makes to their printed name, residence address or date they signed the petition Signature ,Date Signed mm/dd/yy Print Name Residence or Mailing Address street,city,zip code Precinct#optional 2 f 1 __.. /5 (2—. j(I-S A k C,( �1-L CG r L— ���Z t Gt t1 o f �!%t U Ali 6 A Tcao�nCa4&i�/e,}attZel� gta C-�ard�un t�l a ,1`nn�rs�,�((a d 752,J Sr j✓5 Y(� -,- ky2— Cg55 l.a "-0() 6 V3,--7 "-Ji `4- A.5]14�' P 7 fi t 6A,7 A �,f' /1r�� �-tsch�� ?%3 C� 5 `4 10 / '� /_' /9-- n/&-ZA J6 S'l,/� ✓v .75 Circulator Certification This certification must be signed by the circulatorl I hereby certify that I witnessed the signing of the signature sheet by each individual whose signature appears on the signature sheet,and I believe each individual is an elector qualified to sign the petition. (ORS 249.061) 1 also certify that compensation I received, if any,was not based on the number of signatures obtained for this petition.Warningl Falsely signing this stat nt may rgsult in convictf a felony with a fine of up to$125,000 and/or prison for up to 5 years. (ORS 260.715) ulator 'gnature Date§Ign6d mm/dd/yy el Printed Name of Circulator Circulator's Address street, city,zip cod County Elections Official Certification I hereby certify 9 signatu s on this petitio a those of active registered voters in C<Tek, D F llsW44.OP. -7,4 c� 4 County, Oregon. Z/ Signature of C my Elections Official Date Certified mm/dd/yy I Sheet Number SEL121 —1/12 ORS 2.19.072 Candidate Signature Sheet - Nonpartisan Petition ID _0 Petition circulators will be paid: O Yes No (Mark one) This is a candidate nominating petition.Signers of this page must be active registered voters in the following county: J.e (/�t\-s Note to Candidate: Petition signatures must be verified before the petition can be filed with the filing officer. Submit the petition in ample time for the process to be completed before 5pm on the filing deadline day. Candidate' Name Office District or Position Number if applicable U1 rte, S 5 To the Approp to Filing Officer,We, the undersigned voters, request the candidate's name printed above,for nomination to the office indicated, be placed upon the appropriate ballot at the next C/{,{ Iffr� election following the filing of this petition. Signers must initial an c ges that they or the circulator makes to their printed name, residence address or date they signed the petition Sig4at rigned —m /dd/ y Prin Name _ Residence or Mailigng( dress street,city,zip cod Precinct op io al n ,j.30. �� s ;` (p a V- (n a r n%a- vev b r� sdh \3yS Ara ncOv i e� r• ,Asst l � ��G' /2 !"l,` o�e l � �" ��- C s t�_ �1�s' ,�1 F3s��Q�?c/ 9 10 Circulator Certification This certification must be signed by the circulator) I hereby certify t I witnessed the signing o signature sheet by each individual whose signature appears on the signature sheet,and I believe each individual is an elector qualified to sign the p on.(ORS 249.061) I also rtify at compensation I received, if any,was not based on the number of signatures obtained for this petition.Warningl Falsely signing this statemen y resultin conviction of elony ith a fine of up to$125,000 and/or prison for up to 5 years.(ORS 260. 15) l/� l Circulat ign re Dat Signed / /yy 4 C As Printed Name of Circulator Circula or's ddress street, city,zip code 7�1_cl County Elections Official Certification I hereby certify signatures on thiveiition are those of active registered voters in C/T)r of f1J11L40U _:7-,4[e--&P-!County, Oregon. Signature of C my Elections O ficial Date Certified mm/dd/yy SEL 121 .�im ons 2,w.on Sheet Number Candidate Signature Sheet - Nonpartisan Petition ID 0 Petition circulators will be paid: O Yes No (Mark one) This is a candidate nominating petition.Signers of this page must be active registered voters in the following county: (it`� Note to Candidate: Petition signatures must be verified before the petition can be filed with the filing officer. Submit the petition in ample time for the process to be completed before 5pm on the filing deadline day. Candidate' Name Office IDistrict or Pion Number if applicable � i - ! To the Approp to Filing Officer,We,the undersigned voters, request the candidate's name printed above,for nomination to the office indicated, be placed upon the appropriate ballot at the next � election following the filing of this petition. Signers must initial any changes that they or the circulator makes to their printed name, residence address or date they signed the petition Signature Date Sig d mm/dd/yy Print Name Residence or Mailing Address street,city,zip code Precinct#o tional LI r CA 7 8 9 10 Circulator Certification This certification must be signed by the circulator) I hereby certify that I witnessed the signing of the signature sheet by each individual whose signature appears on the signature sheet,and I believe each individual is an elector qualified to sign the petition. (ORS 249.061) 1 also certify that compensation I received, if any,was not based on the number of signatures obtained for this petition.Warning[ Falsely signing this state7t may re It in conviction of a felony with a fine of up to$125,000 and/or prison for up to 5 years. (ORS 260.715) I�o✓11,-- 60 6 v�-- Circulator Si nature Date Signed mm/dd/yy farne( a C . V19 Printed Name of Circulator �,-7- C 5T, 4ShIotl Circulator's Address street, city,zip g- yqs zo County Elections Official Certification / 1 hereby certify signatures on this petition a,,e�hfose of active registered voters in C�)'y �� ^511,L.4.-),0 TAu�1.'County, Oregon.1. i w-" W , `°- GV 0, m Signature o Count lections Official Date C e SEL 121 —v12 ons 2,19.072 Sheet Number