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HomeMy WebLinkAboutStefani Seffinger VM~M~MM~V • rl~~ •Y Major Political Party or Nonpartisan rev 10/13 ORS 249.031 I Filing Dates Candidate Filing State Voters' Pamphlet Candidate Withdrawal Primary Election May 20, 2014 Filed electronically using ORESTAR First Day to File September 12, 2013 January 20, 2014 Last Day to File March 11, 2014 March 13, 2014 March 14, 2014 General Election November 4, 2014 First Day to File June 4, 2014 July 7, 2014 Last Day to File August 26, 2014 August 26, 2014 August 29, 2014 8 All information must be completed or the form will be rejected. This filing is an ® Original ❑ Amendment l Filing Officer ❑ Secretary of State ❑ County Elections Official ® City Recorder (Auditor) Candidate Information Name of Candidate First MI Last Suffix Title Stefani C Seffinger How you would like your name to appear on the ballot First MI Last Suffix Stefani C Seffinger Candidate Residence/Route Address Street Address City State Zip County 448 Taylor Street Ashland Oregon 97520 Jackson Candidate Mailing Address Street Address or PO Box City Stacie Zip 448 Taylor Street Ashland Oregon 97520 Contact Information: Only one phone number is required. Work Phone Home Phone Cell Phone Fax (541)324-6414 Email Address Web Site, if applicable stefseffinger@yahoo.com www.seffingerfc,rcitycouncil.com Paying by Declaration or Petition: ❑ Declaration, with the required fee Office Filing Fee Office Filing Fee United States President n/a District Attorney $50 United States Vice President n/a County Judge $50 United States Senator $150 MSD Executive Officer, MAD Director $100 United States Representative $100 MSD Councilor $25 Statewide Offices $100 County Office $50 State senator or Representative $25 City Office Set by charter or ordinance Circuit Court Jude $50 Justice of the Peace n/a KProspective Petition Petition circulators will be paid ❑ Yes 0No Office Information Filing for Office of:Ashland city Council Position #4 District, Position or County: 4A Party Affiliation: ❑ Democratic Party ❑ Republican Party IM Nonpartisan Incumbent Judge: (3 Yes (3 No ® Nondisclosure on file Occupation (present employment) If no relevant experience, None or NA must: be entered. Retired School Psychologist who works part time as a glass artist making items for the home and garden. Occupational Bac round (previous em to ment If no relevant ex rience, None or NA must be entered. School Psychologist/program Specialist ( Pajaro Valley Unified School District) lecturer /Teacher Trainer ( Southern Oregon State College} Ashland High School Counselor/Ashland Child Development Specialist/ Kindergarten teacher Occupational Counselor, Park and Recreation Specialist Educational Background (schools attended) If no relevant experience, None or NA must be entered. Complete name of School no acronyms) Last Grade completed Diploma/Degree/Certificate Course of Stud California university a Northridge ESA syc o ogy a i ornia University a Northridge- NIX- School Psychology Educational Background (other) Attach a separate sheet if necessary. Vance raining in leadership, Professional Response raining, mergency Response raining Prior Governmental Experience elected or appointed) If no relevant ex rience, None or NA must be entered. Ashland Parks and Recreation Commission elected 2010 Vice Chair 2012 hair 2013-present Forest lands Commissioner, Parks Liasion 2011 to present /Senior Advisory Board 2012 to present Council/parks Ad Hoc Committee/ signs and plaques, golf and dog subcommittees for Parks Pajaro Valley Teachers Union Vice president 2003-2006 Santa Cruz, Montessori board president Campaign Finance Information (not applicable to candidates for federal office) Candidate Committee ❑ Yes, I have a candidate committee. ❑ No, 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 Campaign Finance Manual. ® No, but will be filing a Statement of Organization for Candidate Committee (SEL 220). By signing this document, f hereby state that: I will accept the nomination for the office indicated above I will qualify for said office if elected 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 For Major Political Party Candidates 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) 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 years. (ORS 260.715). A person may only file for one lucrative ce or not more than one precinct committee person at the same election. Unless the person has withdrawn from th~ 1 filings are invalid.(ORS 249.013 and ORS 249.170) 0 U1`' Lt ~z ~ I Candidate's gnat Date Si ed For Office Use Only Initials g~tti She BCC 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_ Ck-General 20LI-I ❑ Other Election Date Candidate or Political Committee Name Committee Identification Number C~ Ste' f~ I h ~r Treasurer's Full Name Telephone Number (day) Address (street or route, city, state, zip code) ~}t{ ~"o. \~,r S~reL~ R S1r.,c.na Or rlffira of Filinn 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 tr surer's sl at~k 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 D U~ 0~4 expenditures. 2 J 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 Recorder shall publish a statement, in the City, indicating that the candidate violated a previous declaration of limitation. gam(: Certificate of Limited Contributions and Expenditures PC 7 rev 1114 ORS 260.112 Committee Information Name of Committ a Committee ID Number seffinger for G~ity Council Treasurer's Name if different than candidate First Last Mailing Address as it appears on the Statement of Organization Street r PO Bo 448 Saylor btreet Ashland Oregon ~T5~20 Committee Type Candidate Political Action Committee Petition Committee ❑ Miscellaneous ❑ Initiative ❑ Measure ❑ Recall ❑ Recall ❑ Referendum ❑ Caucus ❑ Political Party Year Balance on January 1 Notes a If a committee does not expect to receive a total of more than $3,500 or spend a total of more than $3,500 in a calendar year, a Certificate of Limited Contributions and Expenditures may be filed. A certificate must be! filed no later than seven calendar days after receiving the first contribution or making the first expenditure in a calendar year. A committee must continuously maintain detailed records of all contributions received and expenditures made even if it files a certificate. If at anytime during the calendar year the total contributions or total expenditures exceed $3,500 the committee must file all transactions electronically using ORESTAR. All transactions occurring in the calendar year must be filed no later than seven calendar days after exceeding the $3,500 threshold. Refer to the Campaign Finance Manual for further information. r hereby certify I expect neither the aggregate contributions received nor the aggrega expenditure ad or on behalf of my candidacy or committee for this calendar year to exceed $3,500.1 understand that this form must be filed no later than seven calendar days after receiving a contribution or making an expenditure in the calendar year. I also understand that if the committee exceeds $3,500 in total contributions or total expenditures during the calendar year, detailed transaction information must be filed electronically using ORESTAR for the calendar year not later than seven calendar days after exceeding the $3,500 threshold. Candidate Attestation By signing this document I acknowledge that I am personally liable for any penalties imposed under ORS Ch information on the form is true and correct. D ' SUN 4 Candidate's Si ature 'j U Dat ned Treasurer's Attestation if different than Candidate By signing this document, I attest that the information on the form is true and correct and i acknowledge that if I am a treasurer for a political action or petition committee I am personally liable for any penalties imposed under Chapter.260. Treasurer's Signature Date Signed CITY OF ASHLAND June 4, 2014 Stefan Seffinger 448 Taylor Street Ashland OR 97520 A prospective petition has been completed and filed with the City Recorder's Office for City Council Position #4. Petition ID CC-4 has been approved for circulation to obtain the required 25 signatures for this position. Deadline to submit petitions to the Election Officer is August 21, 2014. f,. 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 www.ashland.or.us Candidate Signature Sheet I Nonpartisan Petition ID CC4 Signatures for this petition are being gathered by ❑PAID Circulators QVOLUNTEER Circulators This is a candidate nominating petition. Signers of this page must be active registered voters in the county listed. X11 Signatures must be verified by the appropriate county elections official before the petition can be filed with the filing officer. aCkSQlI J Candidates should allow ample time for the verification process to be completed before 5pm on the filing deadline day. County Candidate Information Name Office Stefani Seffinger City Council Election District or Position Number 2014 General Election Position #4 To the Secretary of State of Oregon/County Elections Official/City Recorder, We the undersigned voters, request the candidate's name be placed on the ballot at the election listed above for nomination to the office indicated. tai Signers must initial any changes 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 L« I c~f~ S~~ G «1t 1 lAY`3 1 2 1 fa t i C A~ F, 1; u 2 3 4 5 6 7 8 9 10 Circulator Certification This certification must be completed by the circulator and additional signatures should not be collected on this sheet once the certification has been signed and datedI 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 person is a voter qualified to sign the petition (085 249.061). 1 also hereby certify that compensation I received, if any, was not based on the number of signatures obtained for this petition. Circulator Signature Date Signed mm/dd/yy Sheet Number Sheet will be numbered by group submitting the petition. Printed Name of Circulator Circulator's Address street, city, zip code SEL 121 rev 01/14 085 249.072 County Elections Officials provide a separate certification to attach to the petition.