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HomeMy WebLinkAboutVicki Tripoli-Completed Candidate Filing SEL 101 Major Political Party or Nonpartisan rev.1n2 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 Wrice, DK City Recorder(Auditor),City of Candidate Information O Democratic Parry O Republican Party Nonpartisan O Incumbent Judge Can�idate Legal Name* Candidate Name(As it should appear on ballot)* C) L Filin,q for Office off District and/or Position(if applicable)* p Residence Address,Street/Route* ,] ( _ S7/ City* �J L A-.10 �� State* Zip* Cj C ® County of Residence�S�C�C Home Phone Work Phone J Cell Phone Fax / 700- c;?& Email* 1' 2 '3 Q> m5n e _� Website Mailing Address(All correspondence 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 Prospective Petition with proposed signature sheet Petition circulators will be paid(Mark On -_oyes'" No Q Completed Petition with certified signature sheets 2012 Filing 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 employment—paid or unpaid)(required) Occupational Background(previous employment—paid or unpaid)(required) +�v- rJ _ 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 t✓l Ni. v Q� Ne o c: 2-la S e. cr* S 0 Cwt c Prior Governmental Experience(elected or appointed)(required) 0/) C' By signing this document 1 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 * 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 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. AWaming 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) 1 � 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 CRI�Candidate ❑ Political Committee ❑ Primary 20_ General 20 ' 7-� ❑ Other Election Date Candidate or Political Committee Name Committee Identification Number lc, V't D(I Treasurer's Full Name Telephone Number(day) Address(stret orOroute,city ta�,zip code)/y q v L Office of Filing` 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 � ic�MNI- tmt . ee organized exclusively to support or to oppose a candidate, I certify that the committee will not make attributable expenditures in this election in excof$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 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 (Authorized Use) expenditures. /04p� If the City Recorder or the City Attorney finds that a candidate filing a declaration of limitation on expenditures has exceeded e the applicable expenditure limit, at the next election at which the candidate is a candidate for election to public office, the City 41 —;43> Recorder shall publish a statement, in the City, indicating that the candidate violated a previous declaration of limitation. er CITY OF ASHLAND August 6, 2012 Vicki Tripoli 690 Spring Creek Drive Ashland OR 97520 A prospective petition has been completed and filed with the City Recorder's Office for Parks Commission Position#l.. A petitio s been approved for circulation. t Barbara Christensen City Recorder CITY RECORDERITREASURER Tel:541488-5307 �. 20 E Main Street Fax:541-552-2059 Ashland,Oregon 97520 TTY: 800-735-2900 www.ashland.orms CITY OF ASHLAND August 15, 2012 Vicki Tripoli 6980 Spring Creek Drive 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 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 Report Date : 8/14/2012 1:58:28 PM User Name : Hvall, Marty W Number :ASH2O12-12 Title :City of Ashland Park Commissioner Pos 1 Vicki Tripoli Petition Information Petition Name : City of Ashland Park Commissioner Pos 1 Vicki Tripoli Petition Date : 08/06/2012 Date Filed : 08/06/2012 End Circulation Date : 08/13/2012 Minimum Signatures Required : 25 Accepted Of Minimum : ( 120% ) Total Signatures Processed : 30 Processing Summary Sample: All Total Accepted Signatures : 25 (83% ) Of Those Processed Total Rejected Signatures 5 (17% ) Of Those Processed Accepted Reason Total (% Rejected) Valid Signature 25 (100%) Rejected Reason Total (% Rejected) Inactive Due to Moving 1 (20%) Not Registered (Includes Cancelled) 3 (60%) Printed Signature, No Attestation on File 1 (20%) Oregon Centralized Voter Registration Page : 1 y / Candidate Signature Sheet - Nonpartisan Petition ID Petition circulators will be paid: O Yes No (Mark one) This is a candidate nominating petition.Signers oft is 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 ! Office District or Position Number if applicable I�i�K.i I r� poti �rr To the Appropriate Filing Officer,We,the undersigned voters, request the candidate's name above, for nomination to the office indicated, be placed upon the appropriate ballot at the next N©Vv v� 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 S/✓,;t3 cf L o V Ly,�� > W SUS `f0 5,4IXfX& e f,0 , L .h Vill E h' cveck ttl ;/r Circulator Certification This certification must a signed by the circulator! I hereby certify that 1 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 fQIoliy with a fine of up to$125,0000 and/or prison for up to='years. (ORS 26^T?15) 0 g / 2- Circulator Signature Date gigned mm/dd/yy L. 6 -serkns, Cre Printed Name of Circulator culator's Address street, city, zip code County Elections Official Certification I hereby certify signatures this petition are those of active registered voters in C-1.7r f AS%11— f—W County, Oregon. Signature of unty Elections Official Date Certified mm/dd/yy Sheet Number SEL 121 —1n2 oas 2,19.072 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 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 Officerp District or Position Number if applicable Ut t I rt pot To the Appropriate Filing Officer,We, the undersigned voters, request the candidate's namFe'printed above,for nomination to the office indicated, be placed upon the appropriate ballot at the next m©v (r r 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 rt ,e2 _G6 i'n 1'Z— - S U G _ y s - -3 B /(, l Z v�i 9 e_ .SC1 n S o �`f' a l�� n c( �C C� S 6 P4 i .±�s _ $'6'�D/� _ r�G�a �U O%n �I C CSI/,?�%i � sh/n�� _ Ke d� X03 s .$ - �-- 2 0 toy L-V M N c)W J) r-A !4 3 G,r-66 hart 5 t . 5 t,�-i� _ r �lj u�tRM 3 o 0-1 iiTL `.1 S� t SK�_a,� Circu ator Certification Th 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 ,.. c__ _._w U5 IC 060.715) statement may result in conviction of a felony with a fine of up to zb 125,000 and/or prison iu1 uN years. (011311S Cir�for Signature 1 Date i�gne�mm%dd/yy ' Ll C Printed Name of Circulator Circulator's Address street city, zip code County Elections Official Certification I hereby certify ? signature on this petition are those of active registered voters in C_17y j IJJX(,,I.�..) County, Oregon. I Signature of C my Elections Official Date Certified mm/dd/yy Sheet Number S EL 121 rev 1172 ORS 249.072 Candidate Signature Sheet - Nonpartisan Petition ID Petition circulators will be paid O Yes t51b No (Mark one) This is a candidate nominating petition.Signers oft is 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 r Office ' I District or Position Number if applicable 1 � K c I r, pot i �,rCmust 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 Po v A&I ;Z, 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 f• - J s �. o�-►lL��-- _ $�8�/Z rv, mh1�( /ZS WjWVr Sf aSti lar�( � q SZO 04 r�sr,n� G-wlre � �J SP�►� Creek. C Q � �J ,s 2-C)V f � � t IA s Sl 7 1 ` r z t-t f-P-Zy CPPK`F-(L- ata f4la*,j?b � eo 2 I-CD ti / 9 7J; ,o 't7av � �l—�-' J '► ( i2- 6�c ( Y� Q p - �� Pb�n 0,� Circulator Certification This certification must be signed by the circulator) I hereby certify that I witnessed the signing of the signature sheet by each individual whose signature appears on the signature sheet, and I believe each individual is an elector qualified to sign the petition.(ORS 249.061) 1 also certify that compensation I received, if any, was not based on the number of signatures obtained for this petition.Warning! Falsely signing this i.._ 114c 000 and Mr-Prix for ^to 5 years. (ORS 260 715) I statement-may result in conviction of a felony with a fine of up to$IGU,VVV and//Mr NiwCn �N � r..���• �- Circulator Signature Date Signed m/dd/yy Printed Name of Circulator Circulator's Address street, city,zip code County Elections Official Certification I hereby certify signatures on th' rtion are those of active registered voters in L/�� C1F XS//1-A'� County, Oregon. Signature of C my Elections Official Date Certified mm/dd/yy Sheet Number SEL 121 —1/120 .1. Candidate Signature Sheet - Nonpartisan Petition ID Petition circulators will be paid O Yes Q� 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' Name . r Office i District or Position Number if applicable To the Appropriate Filing Officer,We, the undersigned voters, request the candidate's namFFe�`'� printed above, for nomination to the office indicated, be placed upon the appropriate ballot at the next Mo v A&I A 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#o ional < �' r - 7 _/ � /oZ �a Yfi _ &3 ,_1 rj�1 C(ret -�r I;- l/YIC�_ 3 Fps 5 8 9 10 _ Circulator 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) I also certify that compensation I received, if any,was not based on the number of signatures obtained for this petition.Warning! Falsely signing this state gment.may result in conviction of a felony with a fine of up Lv 40125,V V V and;^vr prison for up to 5 year&• ((1R 260,715) Circulator Signature to Signed mm/dd/ (a 0 •S r vy, Printed Name of Circulator J Circulator's Address street city,zip code County Elections Official Certification I hereby certify l Sig tures on t p ion are those of active registered voters in L'f Ty �F C¢Sf/L/�.�1'! County, Oregon. Sig at a of County Elections Official Date Certified mm/dd/yy Sheet Number SEL121 —imonszmon