HomeMy WebLinkAboutVanston Shaw-Completed Candidate Filing SEL 101
Major Political Party or Nonpartisan rev.1/12 ORS 249.031
0 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,
61 City Recorder(Auditor),City of
Candidate Information
O Democratic Party O Republican Party X Nonpartisan
O Incumbent Judge
Candidate Legal Name* Candidate Name(As it should appear on ballot)*
Ala h s+o ti S�?a k,v Valtn5to yr SLta L,0
Filing f Office of* District and/or Position(if applicable)*
�rK 4r
Residence Address,Street/Route*
100 t-1+tJJa LA)&I :t� ZoFs
City* �a�� State* C))a Zip* 9 7 5 z County of Residence*
�o1G� Spy
Home Phone Work Phone Cell Phone Fax
5-141 - 613 - 5717
Email* Website
f QK zl ( . co rr
Mailing Address(All correspondence wi e sent to this address)*
-- S Q wee.
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 D
JUL 5 2012
bg Prospective Petition with proposed signature sheet ' ' n c1fi vbe rLwrt.91�ej___OYes WNo
mpleted Petition with certified signature sheets
Co
Filing Dates ?�J
Primary Election May 15,2012 Candidate Filing $tatg Voters Pa let Filing Candidate Withdrawal
September 8, 2011 to Septe;l bed 8, 2011 to%March 6,2012 March 8, 20T2�jor 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)
Ye'JnY-'e4 e-4 t4r-a+0 ,-
Occupational Background(previous employment-paid or unpaid) (required)
S u r l r11r'_�C-ew Ae K�t Yreka Un Ialn k)e wa-ovf a v ��5, 6o
SCk00 l5, id-�cc COLA0 4 N/ CJti�IGe � �sl c.1►LOYI ���'7cl i�
Dwc,a*or -fS Waca`Td�" - , r
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
__C 21 S'T�'. �j'�b� �H 1tl ��N 4t�• �o�l tibfy9�-- — _ r t/tr r l r __..._ AUZ
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Prior Governmental Experience(elected or a pointed)(required) .x _ (
By signing this document t hereby state that.
* I will accept the nomination for the office indicated above
* 1 will qualify for said office if elected
-> if not nominated, 1 will not accept the nomination or endorsement of any political party other than the one named
* 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
4 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
C 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.
Warning
Sup ing false information on this form may result in conviction of a felony with a fine of up to$125,000 and/or prison for
U' o 5 ears.(ORS 260.715).A person may only file for one lucrative office or not more than one precinct committee person
a he me election.Unless the person has withdrawn from the first filing,all filings are invalid.(ORS 249.013 and ORS 249.170)
Candi e'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 El Political Committee El Primary 20_ UA--General 20 1v ❑ Other Election Date
Committee Identification Number
Candidate or Political
.,Committee �.�'►'I,UM�
sIV i
Treasurer's Full Name Tele one Numb fu(day)
x5q/- oO 57/ 7
Address(street X route, c'y, zip code) �708
60 Office of Filing Qu-K CcmW1KS'1ur1er-
:4�- '
1 ce ' that if I am signing as a candidate, I will not make attributabl expenditures for this election in excess of $3,352.00 (including expenditures of my principal
cam a' n co mittee), or, ' I am signing as a treasurer o olitical comma organized exclusively to support or to oppose a candidate, I certify that the committee will
no e a ibutabl ditures in this election in a ess of$3,352.00.
��` //
CE Q7 Idat e rtr asu nature 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 not to be limited to the attributable expenditures specified in this certificate and city ordinance.
Candidate or 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 (Ruth d Use)
expenditures.
If the City Recorder or the City Attorney finds that a candidate filing a declaration of limitation on expenditures has exceeded JUC vv
the applicable expenditure limit, at the next election at which the candidate is a candidate for election to public office, the City
Recorder shall publish a statement, in the City, indicating that the candidate violated a previous declaration of limitation. B Y
CITY OF
ASHLAND
July 25, 2012
Vanston Shaw
180 Lithia Way#208
Ashland OR 97520
A prospective petition has been completed and filed with the City Recorder's Office for Parks
Commission Position#1.
A petitio as been approved for circulation.
Barbara Christensen
City Recorder
CITY RECORDERITREASURER Tel:541-488-5307 �.
20 E Main Street Fax:541-552-2059
Ashland,Oregon 97520 TTY: 800-735-2900 ww. ,�
washland.onus
CITY OF
-ASHLAND
August 8, 2012
Vanston Shaw
180 Lithia Way#208
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 Park Commissioner Position#1.
Please let me know if I can be of any further assistance during this upcoming election time.
Barbara Christensen
City Recorder/Treasurer
CITY RECORDER/TREASURER Tel:541488-5307
20 E Main Street Fax:541-552-2059
Ashland,Oregon 97520 TTY: 800-735-2900
www.ashland.or.us
County: JACKSON Petition Processing Statistics Report Date : 8/2/2012 10:36:16 AM
User Name : Hvall, Marty W
Number :Ash2012-4 Title :City of Ashland Park Commissioner Pos #1 Vanston Shaw
Petition Information
Petition Name : City of Ashland Park Commissioner Pos #1 Vanston Shaw
Petition Date : 07/25/2012 Date Filed : 07/25/2012
End Circulation Date : 07/30/2012
Minimum Signatures Required : 25 Accepted Of Minimum : ( 160% )
Total Signatures Processed : 40
Processing Summary Sample: All
Total Accepted Signatures : 30 (75% ) Of Those Processed
Total Rejected Signatures 10 (25% ) Of Those Processed
Accepted Reason Total (% Rejected)
Valid Signature 30 (100%)
Rejected Reason Total (% Rejected)
Out of District 3 (30%)
Signatures Do Not Match 5 (50%)
Not Registered (Includes Cancelled) 2 (20%)
Oregon Centralized Voter Registration Page : 1
Candidate Signature Sheet - Nonpartisan
Petition ID I
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:
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 Office District or Position Number if applicable
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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 Sig rs must initial any hanges that they or the circulator makes to their printed name, residence address or date they signed the petition
Sig a ure Date Signed mm/dd/yy Print Name Residence or Mailing Address street,city, zip code Precinct#optional
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Circulator Certification This certification must be signed by the circulator!
1 hereby certif 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 p ition. (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 resu inp of a felony with a fine of up to$125,000 and/or prison for up to 5 years. (ORS 260.715)
Circulat�of Signature Date igned n, /dd/yy
Printed Name of Circulator Circulator's Address street,c zip code
County Elections Official Certification ''(
I hereby certify signatures on this petition are those of active registered voters in TV* J
N� �l�aN County, Oregon.
$12 ?-Ot
Signature of County Elections Official Date Certified m/dd/yy 1 Sheet Number
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SEL 121 —in2 ORS,za9.072
Candidate Signature Sheet - Nonpartisan
" Petition ID
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:
Note to Candidate: Petition signatu es 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 Office i District or Position Number if applicable
vox s; K � sr
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 Sig d mm dd/yy `Print Name ( t I Residence or Mailing Address et,ci+
Signat code Precinct#optional
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Circulator Certif' n This certification must be signed by the circulator!
I hereby certify h t I witn ed 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 p i o . (OR 249.061) I o certify that compensation I received, if any, was not based on the number of signatures obtained for this petition.Warning! Falsely signing
this
statement m y suit a felony with a fine of up to$125,000 and/or prison for up to 5 years. (ORS 260.?15)
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Circulator Signature Date Signed mm/dd/yy
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Printed Name of Circulator Circulator's Address street ,cit zip code 1;�?'7-7 Z 41
County Elections Official Certification 1
1 her certify —( signatures on this petition are those of active registered voters in C/1�1� Omaha ditekS00 County, Oregon.
J pS 2- 1 201t,
Signature of County El�rctians Official Date Certified /dd/yy Sheet Number
SEL 121
Candidate Signature Sheet - Nonpartisan Petition ID
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:
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 Office �y / District or Position Number if applicable
t f►m .y�tau,� tom` � ��C7�2���s1 cs��'r'- -�
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
Signiatu yb _ Date Signed /dd/yy Print Name Residence or Mailing Address street,city,zip code Precinct#optional
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Circulator CertifiE( +RS9.OP61)This certification must be signed by the circulatorl
" I hereby certify th tnessed 4als 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 petitio rtify that compensation 1 received, if any, was not based on the number of signatures obtained for this petition.Warning! Falsely signing this
statement may r ny with a fine of up to$125,000 and/or prison for up to 5 years, (ORS 260.71155)
Circulator Signature
Date Signed mm/dd/yy
Printed Name of Circulator Circulator's Address street, ty, zip code
County Elections Official Certification II •- ,�
I hereby c.Qrtify signatures on this petition are those of active registered voters in � c% � 1� }�� County, Oregon. j
120 ZDl2
Signature of County Elections Official Date Certified mm/dd/yy Sheet Number
SEL 121 A�u z ens ais nz
Candidate Signature Sheet - Nonpartisan Petition ID
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: �d
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.
Candi`dart�ey's,�Name Office / District or Position Number if applicable siv� 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
Sig a2ure Date Signed mm/dd/yy Print Name Residence or Mailing Address street,city,zip code Precinct#optional
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Circulator Certi ' ation This certifigation must be signed by the circulator!
I hereby certify,t at 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 p ti n. (O 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 r r sul of a felony with a fine of up to$125,000 and/or prison for up to 5 years. (ORS 260.715)
Circulator Signature
ate Signed mm/dd/yy
Printed Name of Circulator Circulator's Address street, 'ty,zip code
County Elections Official Certification A n L'
I hereby certify signatures on this petition are those of active registered voters in 16 l:1'�'(�6�1�wav--4 1 j 6b?QI County, Oregon.
1 SI Z I 7012�
Signature of County riections Official Date Certified mm/dd/yy J Sheet Number
SEL 121 Inv 1112 0R5 T;9,012