HomeMy WebLinkAboutGreg Lemhouse-Final 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 i
X-City Recorder(Auditor),City of
Candidate Information
O Democratic Party O Republican Party Nonpartisan
O Incumbent Judge
Candidate Legal Name* Candidate Name(As it should appear on ballot)*
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Filing for Office of* District and/or Position(if applicable)*
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Residence Address,Street/Route*
City* •, State* Zip* County of Residence*
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Home Phone Work Phone Cell Phone Fax
Email* Website
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Mailing Address(All correspondence will be sent to this address)*
City* U State* Zip*
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*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 ::0 •��District Attorney 0 •�
[ospective Petition with propos ignatus Petition circulators wi q,pgic�� p)p
.4-20-51pleted Petition with certified sr e2ets l V
2v 012 Fling Dates
Primary Election May 15,2012 Candidate Filing State Voters'Pamphlet Filing Candidate 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 em to rnent-paid or unpaid)(required)
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Occupational Background(previous employment-paid or unpaid) (required)
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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
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Prior Governmental Experience(elected or appointed)(required)
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By signing this document,I hereby state that
* 1 will accept the nomination for the office indicated above ������ kli mh-21 &&Yd
* 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)
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.
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 t e same election.Unless the person has withdrawn from the first filing,all filings are invalid.(ORS 249.013 and ORS 249.170)
6r3 /Z
idat¢'s n ure Date Signed
Fo ffic a 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_ General 20 10�'— ❑ Other Election Date
Candidate or Political Commi ee Name Committee Identification
Number
r4 Tele h ne N ay)
Treasurer's e W
WX5
Address (street or rout_e, city,state,zip code)
rlffire of Filing f• �'.1 f �L A
I certify t at if I am signing as a candidate, I will not make attribute itures for this election in excess of $3,352.00 (including expenditures of my principal
campaig committee), or, if I am signing as a treasurer o i lca com tee ganized exclusively to support or to oppose a candidate, I certify that the committee will
not mak ttribut ble expenditures in this election in ex ess of$3,352.00,
a idbte o asurer's signature Date Signed
�OT.E: f e candidate or committee treasurer elects NOT to be bound by the expenditure limitations,the following line should be signed instead of the line
ove.)
I elect not to be limited to the attributable expenditures specified in this certificate and city ordinance.
Candidate or treasurer's signature Date Signed
(Authorized Use)
The City Recorder is authorized to publish a statement in the City, indicating whether or not the candidate has agreed to limit
expenditures, t � D
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 JAN 1
Recorder shall publish a statement, in the City, indicating that the candidate violated a previous declaration of limitation.
CITY OF
ASHLAND
June 13, 2012
Greg Lemhouse
2850 Wedgewood Way
Ashland OR 97520
A prospective petition has been completed and filed with the City Recorder's Office for Council Position
#3.
A petition has een approved for circulation.
r
1.
Barbara Christensen
City Recorder
CITY RECORDERITREASURER Tel:541-488-5307
20 E Main Street Fax:541-552-2059 ww. ��,
Ashland,Oregon 97520 TTY: 800-735-2900
washland.or.us
CITY OF
ASHLAND
August 9, 2012
Greg Lemhouse
2850 Wedgewood Lane
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#3.
Please left 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 ww. I `,
Ashland,Oregon 97520 TTY: 800-735-2900
washland.or.us Ir
County: JACKSON Petition Processing Statistics Report Date : 8/8/2012 2:06:22 PM
User Name : Hvall, Marty W
Number :Ash2012-9 Title :City of Ashland City Council Pos :3 Greg Lemhouse
Petition Information
Petition Name : City of Ashland City Council Pos 3 Greg Lemhouse
Petition Date : 06/13/2012 Date Filed : 06/13/2012
End Circulation Date : 08/05/2012
Minimum Signatures Required : 25 Accepted Of Minimum : ( 160% )
Total Signatures Processed : 40
Processing Summary Sample: All
Total Accepted Signatures : 39 (98% ) Of Those Processed
Total Rejected Signatures 1 (2% ) Of Those Processed
Accepted Reason Total (% Rejected)
Valid Signature 39 (100%)
ejected Reason Total (% Rejected)
Inactive Due to Moving 1 (100%)
Oregon Centralized Voter Registration Page : 1
Candidate Signature Sheet - Nonpartisan
Petition ID
Petition circulators will be paid: O Yes No (Mark one) =�� �-�`drvi a
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 me ; Office
Czu� ?03 Distr�or Position Number if applicable
1 To the Approprkde Filing Officer,We, the undersigned voters, request the ca didat®e'ssname�rinted above,for nomination
to the office indicated, be placed upon the appropriate ballot at the next election^"\ 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
Signatu a //(n Date`Signed fmm/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 rtify that I w nessed 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 t,_ etition. (OR 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
-i statemen inay result in onvictiLAX felony with a fine of up to.$„125,000 and/or prison for win,to 5 years,(ORS 2660,7151
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Printed Name of Circulator Ci ulator's Address street, city,zip code
County Elections.Official Certification
I hereby certify signatures on this petition are those of active registered voters in lGNtbl S(�I(,k$QN County, Oregon.
Signature of County Elections Official Date Certified mm/dd/yy Sheet Number
SEL 121 rev 1112 ORS 249.072
Candidate Signature Sheet - Nonpartisan Petition ID
Petition circulators will be paid: O Yes /6 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 I Office District or Position Number if applicable
i✓�� ��h,c�.s-c �c��.
To the ApproprkWe Filing Officer,We, the undersigned voters, request the ca e'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
gn ture I Date Signed mm/dd/yy Print Name Residence or Mailing Address street,city,zip code Precinct#optional
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Circulator Cartificati This certification ust be signed by the circulator!
I hereby certify tha I itnessed the sig ' 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. i S 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 m y result in conviction of a felony with -fine of up to$125,000 and/or prison for up to 5 years, (ORS 260,715)
Circulator Si a tire
Date Signed m /dd/yy
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Printed Name of Circulator Circulator's Address street, city,zip code q17
County Elections Official Certification 'fN
I hereby certify signatures on this petition are those of active registered voters in �thlandCounty, Oregon.
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Signature of County Elections Official Date Certified mm/dd yy Sheet Number
SEL 121 —1/17 OAS 2.19.0:2
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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:
Jac
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.
District or Position Number if applicable
� Candidate's Name I Office
Le
fKhoxeo
( To the Approp ' e Filing Officer,We, the undersigned voters, request the ca didate'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 mm/ddJ/yy Print Name Residence or Mailing Address street,city,zip code Precinct#optional
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Circu or 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
statement may result in conviction of a felony with a fine of up to$125,000 and/or prison for up to 5 years. 260
(ORS 715)
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Cir la or Signature Date igned m/dd/yy
Printed Name of Circulator Circulator's Address street, city, zip code
County Elections Official Certification , f �
I hereby certify 10 signatures on this petition are those of active registered voters in `� j, ' cCounty, Oregon.
Signature pf County Elections Official Date Certified mm/dd/yy Sheet Number
SEL 121 my1112 ORS M072
Candidate Signature Sheet - Nonpartisan
Petition ID
Petition circulators will be paid: O Yes N No (Mark one) y ��
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 i District or Position Number if applicable
To the ApproprieWe Filing Officer,We, the undersigned voters, request the c didate's name rimed above, for nomination
to the office indicated, be placed upon the appropriate ballot at the next "e' "`mil 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 mm/dd/yy Print Name Residence or Mailing Address street,city,zip code Precinct#optional
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Circula o Certification This certification must be signed by the circulator)
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 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
F felony x ., f to 5 years. (ORS ' )_
s,atemen�may result in conviction o. a �elcny with a fine o. up ��$ 25,000 and/or prison or up , 260.,15
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Circ 116r S!gnatu�e Date Signed mm/ d/yy 'A
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Printed Name;6airc-ullator Circulator's Address street,city, zip code r-7 �d
County Elections Official Certification ,J
I hereby certify signatures on this petition are those of active registered voters in %ki fA , County, Oregon.
Signature of County Elections Official Date Certified mm/dd/yy Sheet Number
SEL 121 —1/12 ons 2.19.0/2