Loading...
HomeMy WebLinkAboutMike Gardiner - Completed Petition Submission SEL 338 01,14 Candidate, Voters' Pamphlet e~ OAR 165-010-0005, 165-014-0005 This form must be completed and filed with each submittal of signatures. Filing officer State County for both county and district petitions city Election Type Year FE] Primary General ❑ Special Election ILE 2014 [ 2016 2018 Petition Information Candidate Name or Measure Number Mike Gardiner Type of Filing Number of Signatures Submitted Candidate Nominating Petition ❑ Voters' Pamphlet, Candidate ❑ Voters' Pamphlet, Measure Candidate 4 By signing this document, I hereby state that all information on the form is true and correct to the best of my knowledge. Name Contact Phone Email Address Signature Date Si ne Measure Argument Filer 4 By signing this document, I hereby state that all information on the form is true and correct to the best of my knowledge. Name Contact Phone Email Address Signature Date Signed ~ 0 D , 20 g~: County: JACKSON Petition Processing Statistics Report Date : 8/4/2014 9:58:38 AM User Name : Hvall, Marty W Number :2014Ash-07 Title :City of Ashland Parks Commision Pos 3 Mike Gardiner Petition Information Petition Name : City of Ashland Parks Commision Pos 3 Mike Gardiner Petition Date : 07/02/2014 Date Filed : 07/02/2014 End Circulation Date : 08/01/2014 Minimum Signatures Required : 25 Accepted Of Minimum 144.00% ) Total Signatures Processed : 36 Processing Summary Sample: All Total Accepted Signatures : 36 (100%) Of Those Processed Total Rejected Signatures 0 (0%) Of Those Processed Accepted Reason Total Rejected) Valid Signature 36 (100%) Rejected Reason Total Rejected) Oregon Centralized Voter Registration Page : 1 Candidate Signature Sheet I Nonpartisan Petition ID PC-5 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. Signatures must be verified by the appropriate county elections official before the petition can be filed with the filing officer. Jackson ~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 Mike Gardiner Citv of Ashland - Park Commissioner Election District or Position Number 2014 General Election Position #3 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. a 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 1 7 a `1 o Ar/6 100 Z (1 tl ",Q- Me 4 -Z s ` / 1# W of t r A A--. 14 e_lv r 2 - ~1 .~'CCrc czo (L I - z P.1d I-, 4~8 tfe-~11-11V L~(r;n~ ~ " ~ l7~tvcEL- G. t'1-f~~~ ~lo~ Gram~c.l't . ~s~► l~~« S LO ✓9 7~N -1q f 10 12) j72-,Ks 7 yi A'e/,k~, s (L,,1 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 datedl 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 (ORS 249.061). 1 also hereby certify that compensation I received, if any, was not based on the number of signatures obtained for this petition. It - lhwl~) -7/ ffl/ 141 Circu for Sin ure D to S gned mm/dd/yy Sheet Number Sheet will be numbered by ` e d D ~Q It group submitting the , 7/1 CIA ( petition. Printed Name of Circulator Circulator's Addr reet, city, zip code SEL 121 rev 01/14 oas 249.072 County Elections Officials provide a separate certification to attach to the petition. Candidate Signature Sheet i Nonpartisan Petition ID PC-5 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. U Signatures must be verified by the appropriate county elections official before the petition can be filed with the filing officer. Jackson Candidates should allow ample time for the verification process to be completed before 5pm on the filing deadline day. County Candidate Information Name Office Mike Gardiner City of Achlnnri _ Park rnmmiccinnar Election District or Position Number 2014 General Election Position #3 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. a Signers must initial any changes the circulator makes to their printed name, residence address or date they signed the petition. Signat re Date Signed mm/dd/yy Print Name 1 I ` C~ Residence or Mailing Address street, city, zip code f\ .111 '1 \,,k 0, b~rlltZV%S l~ 'L1`MT NC, .CstT i 2 7191YI21 ~C 61p, 117S Zo ,,6 7P /,q 7 / ALL q7 i~t&- W-60 C s dC z:D 7 i 1 ins s . F~-f a gZSzd .00 9 1► Ti c~ ~ -Ta fors~~«~ ~7~Zo -T-V r7 'A SCM&6,,!5 .00, 10 rt I S kS,Kn o Q `r Circulator Certification Thi ertific tion must be completed by the circulator and additional signature should not be collected on this sheet once the certification has been signed and Z v 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 (O S 249.061). 1 also hereby certify that compensation I received, if any, was not based on the number of signatures obtained for this petition. V AAWA~~-~ ll A Circulator gnatu a ate igned mm/dd/yy Sheet Number Sheet will be numbered by , ,~1 Z Ave group submitting the ,n V Vt.~-~ c/ petition. Printed Name of Circulator Circulator's Ad Qs street, city, zip code SEL 121 rev 01/14 ORS 249.072 County Elections Officials provide a separate certification to attach to the petition. Candidate Signature Sheet I Nonpartisan Petition ID PC-5 Signatures for this petition are being gathered by ❑PAID Circulators NVOLUNTEER Circulators This is a candidate nominating petition. Signers of this page must be active registered voters in the county listed. Signatures must be verified by the appropriate county elections official before the petition can be filed with the filing officer. ~aCkSOi'1 Candidates should allow ample time for the verification process to be completed before Spm on the filing deadline day. County Candidate Information Name Office Mike Gardiner Citv of Ashland - Park Cnrnmi.sinnPr Election District or Position Number 2014 General Election Position #3 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. a Signers must initial any changes the circulator makes to their printed name, residence address or date they signed the petition. Signatur Date Signed mm/dd/yy Print Name Residence or Mailing Address street, city, zip code Lac ,.o-2 1 L ( ixk I-, k C7 R( eA Z-a CD 0 /hry a,✓ ~C ~U~ cLZrZc to, -74 //`ir/t ~lS~ .llou s~ 4 a 5 t~vl ~I 1 Itih qss- U.-ii. s~ IVj, 1 7 6 r 7- Ae'j A,--, S-~7 0 C4:!~4 Amz4ov e~ 1010 7 h CcC- ffP-- 1)4 # 2e3o 7 7.5Z<5 •r 9 A < VIA44A K t c> O Gt YZt A 7r7 z d V L r to Circ"tIor Certification This certific to must be completed by the circulator and additional signatures should not be collected on this sheet once the certifica ' n has been signed and dated! 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 ( RS 249.061). I also hereby certify that compensation I received, if any, was not based on the number of signatures obtained for this petition. 7, x I - - i - z ~2 7 LX -Circu a or g nat re Date Signed mm/dd/yy Sheet Number Sheet will be numbered by group submitting the Q O Avi c7pL l.J petition. Printed Name o Circ lator Circulator's Addr street, city, zip code SEL 121 rev 01/14 ORS .072 County Elections officials provide a separate certification to attach to the petition. Candidate Signature Sheet I Nonpartisan Petition ID PC-5 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. • Signatures must be verified by the appropriate county elections official before the petition can be filed with the filing officer. JaCkSOtI Candidates should allow ample time for the verification process to be completed before 5pm on the filing deadline day. County Candidate Information Name Office Mike Gardiner City of Ashland - Park rnmmiccinnar Election District or Position Number 2014 General Election Position #3 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. a 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 A EA; ,1 a Zoe % ZQ5 :~t- "k~~ 9 s ,-2 AIL no fjo . (4 lo, Z-A ~fj i ~4 7 9L- 4#16 - - i - d 62733 elet Aed p/qv. 44ah7 ~v &j,(j9j g 14+ kla.MaA, A ~O ij- U 8 9 30 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 dated! 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 person is a voter qualified to sign the petition (OR 249.061). I also htMy certify that compensation I received, if any wa not based on the number of signatures obtained for this petition. Circulator ig ature Date Signed mm/dd/yy She it Number 4,tol Sheet will be numbered by 1 (J d1 group submitting the `1 l.J petition. Printed Name of Circulator Circulator's Ad 4S street, city, zip code SEL 121 rev 01114 ORS 249.072 County Elections Officials provide a separate certification to attach to the petition.