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Home My WebLink AboutKeith Haxton-Completed Candidate Filing SEL 101 Major Political Party or Nonpartisan rev.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 Off", eP/� n City Recorder(Auditor),City of4� � ^`^, Candidate Information O Democratic Party O Republican Party Nonpartisan O Incumbent Judge Candidate Legal Name* Candidate Name(As it should appear on ballot)* Filing for Office of* District and/or Position(if applicable)* C ,/, C 0 u nL; � PQ 6 . 3 Residence Address,Street/Route* II(, -7l 54. City* State* Zip* County of Residence* Home Phone i541 I?1/' Work Phone Cell Phone Fax 7D 5�- Email* j€ Website Mailing Address(All correspondence will be sent to this address)* P r) 11 o.x C7! City* ; State* Zip* b�h� DR. 6�7.r;2G *Indicates a required f",eld.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 � Circuit Court Judge $50 zz District Attorney $50 J(/ �� 0 ° ?Q�� Prospective Petition with proposed signa sF� ulators will paid'(144at) One) OYes KNo ompleted Petition with certified signate heets ?O, 2012 Fling Dates lI"" Primary Election May 15,2012 Candidate Fil ,, State Voters'Pamphlet Fling Candidate Withdrawal September 8,2011 to '1-4eptember 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 612012 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 Wall Occupation(present employment—paid or unpaid)(required) . i Occupational Background(plious employment—paid or unpaid) (required) I i J o ... '�A'A I , !\ 1 i"' (' ! �" / L I�1"!..,j f- 'A L. r it.C, Educational Background(schools attended, if 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 r , Prior Governmental Experience(elected or appointed)(required) By signing this document,I hereby state that. 4 1 will accept the nomination for the office indicated above I 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 4 1 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) --> 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): (' 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 Waming 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 years.(ORS 260.715).A person may only file for one lucrative office or not more than one precinct committee person at the same election.Unless the person has withdrawn from the first filing,all filings are invalid.(ORS 249.013 and ORS 249.170) Candidate's Signature Date Signed For Office Use 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_ Q4 General 20 Z ❑ Other Election Date Candidate or P litical Committee Yame t Committee Identification Number Treasurer's Pull Name Telephone Number(day) Address (street or route, city, $t2te,zip code) T5 -r✓ Office of Filing lj n eFo C 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`Qf$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 shou Id be signed instead of the line above.] I elect not to be limited to the attributable expenditures specified in this certificate and city ordinance. A&A �Lxloin Candidate or treasurer's signature Date Signed The City ecorder is authorized to publish a statement in the City, (Authorized Use) y p y; indicating whether or not the candidate has agreed to limit expenditures. If the City Recorder or the City Attorney finds that a candidate filing a declaration of limitation on expenditures has exceeded the applicable expenditure limit, at the next election at which the candidate is a candidate for election to public office, the City O 201 Recorder shall publish a statement, in the City, indicating that the candidate violated a previous declaration of limitation. JUN Y: ------------ CITY OF ASHLAND June 20, 2012 Keith Haxton 110 7`h Street Ashland OR 97520 A prospective petition has been completed and filed with the City Recorder's Office for Council Position #3. A petition as been approved for circulation. Barbara Christensen City Recorder CITY RECORDERITREASURER Tel:541488-5307 20 E Main Street Fax:541-552-2059 As =, Ashland,Oregon 97520 TTY: 800-735-2900 www.ashland.or.us CITY OF -ASHLAND July 31, 2012 Keith Haxton 1107 1h 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 Council Position#3. Please let me know if I can be of any further assistance during this upcoming election time. r Barbara Christensen City Recorder/Treasurer. CITY RECORDERITREASURER Tel:541-488-5307 20 E Main Street Fax:541-552-2059 Ashland,Oregon 97520 TN: 800-735-2900 www.ashland.or.us Candidate Signature Sheet - Nonpartisan D 1 Petition ID - Petition circulators will be paid: 0 Yes No (Mark one) This is a candidate nominating petition.Signers of this page must be active registered voters in the following county: �u r 1 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's Name Offic I District or Position Number if applicable Xen -( can �o�n�;c� f�os. To the Appropriate 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 Signed mm/dd/yy Print Name Residence or Mailing Address street,city,zip code Precinct#optional Q 6/?0/1-2 1 1 0 '7 fib 5f' As h%fk n a_/ OR, 2-e-) —Z � - Z'f -��Aj ; Z X17 5 1r5 � �� %,1,�ry �� i / 1. f� ,^ai-� a �� (� ,-� k+ ✓sA `- 6�a 5 j;ava�; Usk U �C + -' �¢ l�s�?last da QR � SaO 1 .49 /6 n V/10 `. (v � 'jL. . - Gty� rL goy - � �1p0 e�rv` ( Ast- 1 �� Z� Circulator Certification Thi ertification 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 statement may result In conviction of a felony with a fine of up to$125,000 and/or prison for up to 5 years. (ORS 260.715) Circulator Signature Date Signed mm/dd/yy j kP 110 7f� A504 , OR V52p Printed Name'of Circulator Circulator's Address street,city, zip code County Elections Official Certification I hereby certify lQ signatures on this petition are those of active registered voters in 11M (,ty�a,So kt ,,County, Oregon. 1�GI I1 7123/201a Sig— uVe of County Elections Official Date Certified mm/dd/yy Sheet Number SEL 121 —1/12 ORS 2-0go72 Candidate Signature Sheet - Nonpartisan Petition ID Z-, Petition circulators will be paid: 0 Yes No (Mark one) This is a candidate nominating petition.Signers oi this page must be active registered voters in the following co unty: 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. -Utle District or Position Number if applicable Candid et 's Name I Offil a To the Appropriate 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. 4 Signers must initial any changes that they or the circulator makes to their printed name, residence address or date they signed the petition Date Signed mm/dd/yy Print Name Residence or Mailing Address street,city,zip code Precinct#optional Signature t7-�.I Vr! JIV rk 11(j lr% I-AZ;-4 J�!�� 0�2 6TIA r, I - I 3 - -Z 41000 M C, VI4 -2- kj%j Pr A(Z S Y -4- C h, S-e 6/3 0// 1 - 415 C , 4n, �'2 V tc /7 2-e, I-t- —j?,1c-4wrJ lk RciIt�,e ):�LV 0 hi 0 PS OR 97 57,0 V/8 Z Zv t Ann MaAe- M * tk -7-7 MarqAtfll%-�I-rAl �dudrM V/1 0 C C%� ° /z, a la�ccl L r�S -0 12 / 011we 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.Warningi Falsely signing this statement may result in conviction of a felony with a fine of up to$125,000 and/or prison for up to 5 years.(CARS 260.7151 710 5/ 12 Circulator Signature Date Signed mm/dd/yy �j un.x �r un 7A S1 Printed Name of Circulator Circulator's Address street, city, zip code Count;Elections Official Certification VK W P4 County, Oregon. I hereby certify signatures on this petition are those of active registered voters in lua � "9 10 Ix Date Certified'mm/dd/yy Sheet Number Signature of County Elections Official 1-- SEL 121 w 1112 ORS 249.012 Petition ID Candidate Signature Sheet - Nonpartisan i Petition circulators will be paid: 0 Yes A0 No (Mark one) -'l- This is a candidate nominating petition.Signers oYthis page must be active registered voters in the following co unty: 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 d I ay. Candid at 's Name Off icN ej 1 District or Position Number if applicable To the Appropriate 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. 4 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 m m/dd/yy Print Name Residence or Mailing Address street,city,zip code Precinct#optional th PIZ 0 10 4,5 lie To 061 4,T l? fr75500 'Y&Ir-A LVAy I/604q, -W, \j V7 vt� c,,,f 0 7 2— 10 Circulator Certification This certification must be signed by the circulator) each individual is an elector qualified 1 hereby certify that I witnessed the signing of the signature sheet by each individual whose signature appears on the signature sheet, and I believe ea 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 statement may result in conviction of a felony with a fine of up to$11211,000 and/or prison for up to 5 years.(ORS 260315) 01 /05 / 12 kJA 4lud2-n D Circulator Signature ate Signed mm/dd/yy 0 4u Printed Name of Circulator Circulator's Address street, city,zip code County Elections Official Certification Tko U4-4 �JkW I ac `1 County, Oregon. I hereby certify 15 signatures on this petition are those of active registered voters in Signature of County Elections Official Date Certified mm/cicl& Sheet Number SEL 121 1.,V12 VMS 2-19.072 O Candidate Signature Sheet - Nonpartisan Petition ID Petition circulators will be paid: O Yes No (Mark one) This is a candidate nominating petition.Signers oi 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's Name Offic �, (J District or Position Number if applicable d �a �'Ot1�1e'�,� aS, ' i To the Appropriate 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 Signed mm/dd/yy Print Name Residence or Mailing Address street,city,zip code Precinct#optional I - 1�)( t? - i f u r��e,� 12i _C7 _ re i-s U Y-oen r �C, �' __111 � i k Ic r+%rI fir, <4sr� r - ! � - - 6Q D�/07 /z �_ V6_ �� - Circulator Certificat 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 F 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 statement may result in conviction of a felony with a fine of up to$125,000 and/or prison for up to 5 years.(ORS 260.715) Circulator Signature Date Signed mm/dd/yy ��i( � 61A� q 75 Z 0 Printed Name of Circulator Circulators Address street city, zip code County Elections Official Certification I hereby certify signatures on this petition are those of active registered voters in�( CJ� (� fGG County, Oregon. a0l. Signature of County Elections Official Date Certified mm/dd/y Sheet Number SEL 121 .•,in2 oqs 2•ian72 County: JACKSON Petition Processing Statistics Report Date : 7/20/2012 4:48:43 PM User Name : Connor, Donna Number :Ash2012-2 Title :Ashland City Council Pos 3 Keith Haxton Petition Information Petition Name : Ashland City Council Pos 3 Keith Haxton Petition Date : 06/20/2012 Date Filed : 06/20/2012 End Circulation Date : 07/04/2012 Minimum Signatures Required : J a — Accepted Of Minimum : ( 180% ) Total Signatures Processed : 36 Processing Summary Sample: All Total Accepted Signatures : 30 (83% ) Of Those Processed Total Rejected Signatures 6 (17% ) Of Those Processed Accepted Reason Total (% Rejected) Valid Signature 30 (100%) Rejected Reason Total (% Rejected) Out of District 2 (33.3%) Inactive Due to Moving 1 (16.6%) Signatures Do Not Match 3 (50%) Oregon Centralized Voter Registration Page : 1