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Home My WebLink AboutDennis Slattery Completed Candidate Filing SEL 101 Major Political Party or Nonpartisan rev 09/15 ORS 249.031 Filing Dates Candidate Filing State Voters' Pamphlet Candidate Withdrawal Primary Election May 17, 2016 Filed electronically using ORESTAR First Day to File September 10, 2015 January 18, 2016 Last Day to File March 08, 2016 March 10, 2016 March 11, 2016 General Election November 8, 2016 First Day to File June 1, 2016 July 11, 2016 Last Day to File August 30, 2016 August 30, 2016 September 2, 2016 0 All information must be completed or the form will be rejected. .41 Original ❑ Amendment This filing is an GJ Filing Officer ❑ Secretary of State ❑ County Elections Official J4 City Recorder (Auditor) Office Information Filing for Office of: cz4tl 0U C~A District, Position or County: osL-h'o-e1 Party Affiliation: ❑ Democratic Party ❑ Republican Party ❑ Independent Party tFZNonpartisan Incumbent Judge: ❑ Yes ❑ No r Nondisclosure on file 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 Judge $50 Justice of the Peace n/a Wrospective Petition Petition circulators will be paid ❑ Yes pK~No Candidate Information Name of Candidate First MI Last Suffix Title How you would like your name to appear on the ballot ;s S~~rr Candidate Residence/Route Address Street Address City State Zip County Candidate Mailing Address Street Address or PO Box City State Zip Continued on the reversed side of this form Contact Information: Only one phone number is required. Work Phr5ne Home Phone Cell Phone Fax 6Z11 N9 Email Address Web Site, if applicable Occupation (present employment) If no relevant experience, None or NA must be entered. &oc Occupational Background (previous employment) If no relevant experience, None or NA must be entered. C'A . X44 n 6W 7 Educational Background (schools attended) If no relevant experience, None or NA must be entered. Complete name of School no acronyms) Last Grade completed Di loma/De ree/Certificate Course of Stud 1 Si.~/F15 rl ~.JG p S C , ~,✓E8 i/liiv Co :.-J Educational Background (other) Attach a separate sheet if necessary. Prior Governmental Experience elected or appointed) If no relevant experience, None or NA must be entered. p. Qo j LO f T",5 7-66-5 C Co1)/J e~ jd'~ ~f ev 'n o-~= 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. o, but will be filing a Statement of Organization for Candidate Committee (SEL 220). By signing this document, 1 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). Does not apply to candidates filing for the office of US President. A Warning Su I in false inform rrq may result in conviction of a felon w 000 and/or prison for up i=V to 5 years.' ORS . A person m y only file for one lucrative o an one p inct committee person at the e elect n. ss the p son h ithdrawn from the first filing, a ngs are iVICI S 2 013 and ORS 249.170) Can s Signa re - Date Signed Office Use Only: Initials B ch Sheet/CC Approval Code/Receipt Number t 2016 CERTIFICATE FOR VOLUNTARY CONTRIBUTION & SPENDING LIMITS CITY OF ASHLAND AMC 2.41 PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK General Election November 8, 2016 Candidate or Political Committee Name Email address ~~.n I s S [a.~} ~ Treasurer's Full Name Telephone Number (day) S~/ o og'o Address (street or route, city, state, zip code) 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 $3,581.00 (including expenditures of m campaign c ittee), 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 %te ttributa le e e d' in this election in excess of $3,581.00. Caneasu is i tur e 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. p ~c If the City Recorder or the City Attorney finds that a candidate filing a declaration of limitation on expenditures has exceeded ,J V~~~ 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. gY: CITY OF ASHLAND June 1, 2016 Dennis Slattery 1405 Pinecrest Terrace Ashland OR 97520 A prospective petition has been completed and filed with the City Recorder's Office for City Councilor Position #1. Petition ID CC 12016-01 has been approved for circulation to obtain the required 25 signatures for this position. Deadline to submit petitions to the Election Officer is August 12, 2016. 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 PetitionlD C61100119-0 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. 4 Signatures must be verified by the appropriate county elections official before the petition can be filed with the filing officer. n^~ CC Candidates should allow-ample time for the verification process to be completed before 5pm on the filing deadline day. County Candidate Information Name 1 Office 06ur)6 Election Nov F, ~L/ie Wl District or Po osL -n v I J 4- I 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. Sign Date Signed mm/dd/yy Print Name Residence or Mailing Address street, city, zip code q7_L z 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 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).l 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 ORS 249.072 County Elections Officials provide a separate certification to attach to the petition. CITY OF ASHLAND July 14, 2016 Dennis Slattery 1405 Pinecrest 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 of Ashland Councilor 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 _A, Ashland, Oregon 97520 TTY: 800-735-2900 , www.ashland.orms Jackson County, Oregon COUNTY CLERK COUNTY CLERK Christine D. Walker (541) 774-6147 ELECTIONS (541) 774-6148 July 11, 2016 Barbara Christensen City of Ashland Re: Petition Ash-Council Pos 1-1, Dennis Slattery City Council # 1 Dear Ms. Christensen, We have completed the signature verification for the above named petition. I hereby certify that the above named petition contains no less than 30 signatures of active registered voters in the City of Ashland. 2 - Art C. Harvey, C.E.A. Date Elections Progra anager Jackson County Fax (541) 774-6140 Elections 1101 W. Main St., Suite 201 Medford, Oregon 97501 County: JACKSON Petition Processing Statistics Report Date : 7/12/2016 2:35:17 PM User Name : Harvey, Art C Number :Ash-Council Pos1-1 Title :Dennis Slattery City Council #1 Petition Information Petition Name : Dennis Slattery City Council #1 Petition Date : 06/01/2016 Date Filed : 06/01/2016 End Circulation Date : 07/07/2016 Minimum Signatures Required : 35 Accepted Of Minimum: (85.71%) Total Signatures Processed : 35 Processing Summary Sample: All Total Accepted Signatures : 30 (86%) Of Those Processed Total Rejected Signatures 5 (14%) Of Those Processed Accepted Reason Total Rejected) Valid Signature 30 (100%) Rejected Reason Total Rejected) Not Registered 3 (60%) Signatures Do Not Match 1 (20%) Illegible Signer Information 1 (20%) Oregon Centralized Voter Registration Page : 1 Candidate Signature Sheet I Nonpartisan PetitionlD CG101014?-0 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. cc Candidates should allow-ample time for the verification process to be completed before 5pm on the filing deadline day. County) Candidate information Name Office Election Nov F' AO J ~Q M Q r~ District or Po egn Number Kos [ 11 To the Secretary of State of Oregon/County Elections Official/City Recorder, We the undersigned voters, request thecandidate's name be placed on the ballot at the t. on Iis d ab v 111, nomination to the office indicated. Q a Signers must initial any changes the circulator makes to their printed name, residence address or date they signed the petition. Sign Date Signed mm/dd/yy Print Name Residence or Mailing Address street, city, zip code 1 114.S 2, w. 619 / !0 ~I l gofe e, t l (c ~ C'1~a~1 a ~s ~ Q 1 9 7szv 3 a ! til~/N C~ w/ S / 2 /v c i S 07) 5 ce /o /A2 Rrtrn MGcrs S .ski --1t h 77132 6 (cj ) c) 7 8 V✓ , 10 ik 2 y r~ U w,j Circul for 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 G~ date . G I he certi that witness t sig ' g 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 pe tion ( 249. 1 al r that rnmpensation I received, if any, was not based on the number of signatures obtained for this petition. l✓ Circulator Signature Efate Signed mm/dd/yy Sheet Number Sheet will be numbered by /_JfATi,/ 4776 0 group submitting the / /`l`~(r(j/C J 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. Candidate Signature Sheet I Nonpartisan Petition lD C61VDI ee_ 0 j 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. O 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 S Candidate Information Name 'D n ` Office 06-Un ) J~4 ,OPM 15 Election Ike O V f District or Posi4ig Kos n Numkyer 'T^ ' / AO ff U t TI _,7 > ft% 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 elect oq listed ove fd~J6, 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. Sign Date Signed mm/dd/yy Print Name Residence or Mailing Address street, city, zip code F 41 1 ! g7SZv 3 ` l/lG dG~ , t~ a 6 Ti rt ' ,o s tie ~ I 5 S- S 7S1.o 7 07V L lkri-e I-e o 6rx~ealll W Aft-d A,4) 97rZ,0 9 "b-'r I 54 M .4,vti W Q~~ ao ~!6 10 Z l(o OV~~ 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! I e ce 'fy tha itn sed 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 peti ' (0 2 .061 al Hereby certify that compensation I received, if any, was not based on the number of signatures obtained for this petition. Circulator Si ature Date Signed mm/dd/yy Sheet Number Sheet will be numbered by 6/_O_s group submitting the _ A, petition. Printed Name of Circulator Circulator's Address street, city, zip code SEL 121 rev of/ta oas 249.072 County Elections Officials provide a separate certification to attach to the petition. Candidate Signature Sheet I Nonpartisan Petition 'D 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. 4`) Signatures must be verified by the appropriate county elections official before the petition can be filed with the filing officer. c ~J Candidates should allow-ample time for the verification process to be completed before 5pm on the filing deadline day. County "J Candidate Information Name Office CM)6 c~ 17~. vt ~ s Sla.~f~ Y/"' Election District or Po n Number 1 ~nV a,0 I - 6en,er'aj osci a~ 1 e . 1 j 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'l*s a e r 6 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. Sign Date Signed mm/dd/yy Print Name Residence or Mailing Address street, city, zip code 1 ~S g7Sl~ 1114, WIJI LA 47 3 G 6 L l6 -.lctSo,v fZ z3 a ciASAL.d 97520 4 Alto 5 (o I Xj Cu T27t yo ~ 1-2 S75- CLAY 5%1- 6-9 -%71-lo L ~6 ~en~ Gl 6 ~1v1h 'SS Ashy L N ~3n~ 4 8 1 61!6A i 6-1 -oz7 V. v s fl R "io 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 dated! I eby c ify th t I witn sed 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 petiti RS 24 a ere ertify that compensation I received, if any, was not based on a number of signatures obtained for this petition. Circulator Signature Date Signe mm/dd/yy Sheet Number / Sheet will be numbered by c ~S group submitting the G oo petition. Prm ed 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. Candidate Signature Sheet I Nonpartisan PetitionlD Cc1a01&_0 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. n 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 J a&KS im Candidate Information Name ~~rA n, s ~L Office ost Election No V F, AO I 6eN Q r~ District or Po 11 C.I i•C.~ v 1r J V s 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 el etiQn,listed ov 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. Sign Date Signed mm/dd/yy Print Name Residence or Mailing Address street, city, zip code qti 2 6A 0 Vabirl n xj.1A&. 5' 56 \j - r i~k 6 0 /4:~_ A 2 WE J Asi4lANS L,-L-bW.0 le-11 o 2",p f q7 2,0 to ra fl ~Ivt~ c ~'-ID ~aK 14,all 4~ J / / Q 6 - L(/ 0, 6 `cam _37 2 -Ti, 15, 6• lo • 1(a &AZ) -76t) (/J, 9 1`0 - iG 9; ~ P" o U),: P, 6&c ?>om~ Rty~ of 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 dated! I h y e Ify that I witne ed t si ni g 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 etitio RS 24 6 . I Iso r that compensation I received, if any, was not base n the umber of signatures obtained for this petition. Circulator Signature Date Si ned 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 ORS 249.072 County Elections officials provide a separate certification to attach to the petition. Petition Submission SEL 338 rev 01/14 Candidate, Voters' Pamphlet OAR 165-010-0005,165-014-0005 This form must be completed and filed with each submittal of signatures. Filing Officer IL_IState it ] County for both county and district petitions city Election Type Year [7] Primary General [j Special Election 2014 2016 10 2018 Petition Information Candidate Name or Measure Number JDe ntl 15 S f a A" - C~, a~ os Type of Filing Number of Signatures Submitted Candidate Nominating Petition a-7 ❑ 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 a44~~ S , JTl a 6'd oS o ~i /i/ 49 . ll Signat a Date Signed 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 er 14 'D CITY OF ASHLAND Memo DATE. , TO: County Elections Office FROM: City of Ashland Recorder's Office RE: Verification of Petitions Please find attached nominating petitions for verification of signatures for the following: Dennis Slattery- City of Ashland - Council Position #1 - 4 sheets. Please call my office at (541) 488-5307 once the petitions have been processed and I will pick them up. Thank You. City Hall City Recorder's Office Tel: 541-488-5307 20 E Main Fax: 541-552-2059 Ashland, Oregon 97520 TTY: 800-735-2900 www.ashland.orms