HomeMy WebLinkAboutBiome Completed Filing
Petition Submission SEL 338
Candidate, Voters' Pamphlet rev 014
OAR 165-030-0005, 1fi5-014-,005
This form must be completed and filed with each submittal of signatures.
Filing Officer
State {I f County for both county and district petitions city
Election Type Year
F0 Primary IF General [Special Election IL 2014 [ 2016 02018
Petition Information
Candidate Name or Measure Number
Biome Michael Erickson
Type of Filing Number of Signatures Submitted
Q 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
lit? k, ool-
Signature Date Signed
/3
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
J 3
-91
~ 1 3 2014
A
BY:
County: JACKSON Petition Processing Statistics Report Date : 8/12/20:14 11:55:24 AM
User Name : Hvall, Marty W
Number :2014Ash-08 Title :Ashland City Council, Pos 4 - Biome Michael Erickson
Petition Information
Petition Name : Ashland City Council, Pos 4 - Biome Michael Erickson
Petition Date : 08/05/2014 Date Filed : 08/05/2014
End Circulation Date : 08/12/2014
Minimum Signatures Required : 25 Accepted Of Minimum 116.00% )
Total Signatures Processed : 38
Processing Summary Sample: All
Total Accepted Signatures : 29 (76%) Of Those Processed
Total Rejected Signatures 9 (24% ) Of Those Processed
Accepted Reason Total Rejected)
Valid Signature 29 (100%)
Rejected Reason Total Rejected) ]
Out of District 2 (22.2%)
Not Registered Canceled 2 (22.2%)
Signatures Do Not Match 2 (22.2%)
Inactive Challenged Signature 2 (22.2%)
Inactive Undeliverable Ballot 1 (11.1%)
Oregon Centralized Voter Registration Page : 1
Candidate Signature Sheet I Nonpartisan
` Petition ID
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.
Candidates should allow ample time for the verification process to be completed before 5pm on the filing deadline day. County Jackson
Candidate Information
Name Office
Rimm~ flAinh~cl Crin4~~n ^.-A.. _c A -LI_ _J
vwnly I.nvlluvl ._.Ilvnwll lilt U1 /1JIIIdIIU
Election District or Position Number
2014 General Elections Council 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.
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
10.5-XIL, kS
Zorn
/1 O
56-1
3 0~
4 g~ ll C
S
N-j
6 LA
c?7 ~ ~ LL
"o Lf
0-11g z
9 'Q P,-- r- tr- Lq -7 wood eve y
10
Circulat irtification 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
1 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 person is a voter qualified
to sign the
petition (ORS 249.061). 1 also hereby certify that compensation I received, if any, was not bas d on the number of signatures obtained for this petition.
Circulat ' nature Date Signed mm/dd/yy Sheet Number
Sheet will be numbered by
r7 , group submitting the
_ r ' c 1 ~lca " ~r / Its `zT ! K Z~ petition.
Printed Name of Circulator Circulator's Address street, city, zip code
SEL 121 rev 01/14 ORS 249.072 County Elections Officials provide a separate certification to attach to the petition.
i
Candidate Signature Sheet Nonpartisan Petition ID C
Signatures for this petition are being gathered by ❑PAID Circulators VOLUNTEER Circulators
This is a candidate nominating petition. Signers of this page must be active registered voters in the county listed.
~J Signatures must be verified by the appropriate county elections official before the petition can be filed with the filing officer.
Candidates should allow ample time for the verification process to be completed before 5pm on the filing deadline day. County JaCl(S011
Candidate Information
Name office
Q ice. w.~ RA;i.k--i CMI-1/L n t i;+- -f Anihl--A
aJw~ is IVIIVI Iacr a_r wnvv~ viLy yr l10l uaI nI
Election District or Position Number
2014 General Elections Council 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.
a Signers must initial any changes the circulator makes to their printed name, residence address or date they signed the petition.
Si ure Date Signed mm/dd/yy Print Name Residence or Mailing Address street, city, zip code
W e 0- L; ~ ~ C~/ / I . ~_,L -
OF1 - Z~ / 5 Ar~p k- ~ " ~~A,
Z ~1 j1 h1i ( 65 c
3 it, ~6(t ~4~, wq&,~
,e s ~ U' `350 ei'If st. /~5~t1akd ojq
`~7Sa
t VV, 6 V./
All l - ~73V
g < <
9 as
10 e .L\ 1 C/~ 4,7YQ ~
CirCUlatO Ard"ti is c rtification must be completed by the circulator and additional signatures should not be collected on this sheet once the certification has been sigkd
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 (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.
~
Circul or gnature Date Signed mm/dd/yy Sheet Number
Sheet will be numbered by
Am, L group submitting the
A,6', 46r(c k)pcl petition.
P nted Name of Circulator Circulator's Addres ~ treet, 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 ( Nonpartisan Petition ID
Signatures for this petition are being gathered by ❑PAID Circulators ❑ VOLUNTEER 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.
Candidates should allow ample time for the verification process to be completed before Spm on the filing deadline day. County Jackson
Candidate Information
Name Office
Rinma Mirthnal Friekenn of AChl'anel
Election District or Position Number
2014 General Elections Council 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.
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
UCoCe
H it'd
I!
0)5 1711 1 I.~ I`s i trr ir~1 ~~o 45 ti o1~
6 r S S U 5 G-~ , vi c~ a_ w , '1 ~k lsL ca C1 R ~
L ~
G$ 8
24 -~M ~~L-cl kya(0'&-T a
L4 r . L
D
C'
X10 G'
Z `'~L+
-LL
Circulator Certiflea ion is certification must be completed by the circulator and additional signatures should no be collected on this sheet once the certification 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 (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.
12 Circulator ig ture Date Signed mm/dd/yy Sheet Number
Sheet will be numbered by
y _ group submitting the dnt AAcAaJ Ori r1 y petition.
Printed Name of Circulator Circulator's Address s et, city, zip code
SEL 121 rev 01114 ORS 249.072 County Elections Officials provide a separate certification to attach to the petition.
Candidate Signature Sheet I Nonpartisan Petition ID
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. Jackson
Candidates should allow ample time for the verification process to be completed before 5pm on the filing deadline day. County Jackson
Candidate Information
Name Office
o:........ ILA-&- -l C~GnLc.~n r`ity of Ashland
Uwf I IV rvua.f IGIUr s_r wn cur 1 - - -
Election District or Position Number
2014 General Elections Council Position #4
To the Secretary of State of Oregon/County Elections Offldal/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.
0 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 Mai-ling Address street, city, zip code
9- ;7
/3 Vl C Lam.- r2"
io CU
~em-MLz /X"o
~ "t- 215CG~ iVL
6
71 C, Liz I z
!7 let
9 i
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 (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.
La
Circ for Signature Date Signed mm/dd/yy Sheet Number
Sheet will be numbered by
group submitting the
'T'G~+ti.~ ~~/(,~j~-~' ~ lY2 lO.n ~ •f'~' ~ ! T-a-~~ c~! !cv J / ~r 2C1 petition.
Prated Name of Circulator Circulator's Address L reet, city, zip code
SEL 121 rev 01/14 Offs 249.071 County Elections Officials provide a separate certification to attach to the petition.