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HomeMy WebLinkAboutJohn Greene Completed Candidate Filing SEL v01 rev 09/15 Major Political Party or Nonpartisan 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. This filing is an tk~Original ❑ Amendment Filing officer ❑ Secretary of State ❑ County Elections Official City Recorder (Auditor) Office Information Q / Filing for Office of: d District, Position or County: vl/~ Party Affiliation: ❑ Democratic Party ❑ Republican Party ❑ Independent Party Nonpartisan Incumbent Judge: ❑ Yes ❑ No F! 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 Prospective Petition Petition circulators will be paid ❑ Yes 4~t No Candidate Information Name of Candidate First MI Last Suffix Title Jo~r Ro ~r ~ree~ How you would like your name to appear on the ballot J Gr eeyl.e. Candidate Residence/Route Address Street Address City State Zip County 7H4 1-6rm&J qve OR q t5a() Jixcksa1,\ Candidate Mailing Address Street Address or PO Box City State Zip Gw,e Continued on the reversed side of this form 6~ Contact Information: Only one phone number is required. Work Phone Home Phone Cell Phone Fax Email Address Web Site, if applicable Occupation (present employment) If no relevant experience, None or NA must be entered. I Ji"CJ Occupational Background (previous employment) If no relevant experience, None or NA must be entered. 1S rs ~h ~G\r- mk'h9 `t r{ yea Y-11 , Ln ofNd o-4ce lfc6s 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 t crs i 4'a r- CC-0 t4 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. -Z,;5 eu,es ac eve o) '^~`1 ar,c) e~~s cvtcX - j I vt du ~y Ln ~I,e f~v-h ,y Campaign Finance Information (not applicable to candidates for federal office) Candidate Committee ❑ Yes, I have a candidate committee. K'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, l hereby state that: rPA I will accept the nomination for the office indicated above I will qualify for said office if elected 2016 all information provided by me on this form is true to the best of my knowledge and #efore no circulators will be compensated based on the number of signatures obtained by the circulator on a For Major Political Party Candidates R if not nominated, I will not accept the nomination or endorsement of any political party other than the onAa '6a---- I have been a member of said political party, subject to the exceptions stated in ORS 249.046, for at least 180 days 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 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) 7 /z / , Candidate's S' nature Date Signed Office Use Only: Initials Batch Sheet/CC Approval Code/Receipt Number 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) C•o~mmittee Name Email address ..JUV~1 br~A -e-, Treasurer's Full Name Teleph ne Num er (day) 6w -3S Address (street or route, city, state, zip code) Arlorn~t.~,l AV& OPf" 12- ~arta~ ( all &;?o 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 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 $3,581.00. Candi ate 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. 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 ~UL 2 2016 Recorder shall publish a statement, in the City, indicating that the candidate violated a previous declaration of limitation. BY:__ CITY OF ASHLAND July 12, 2016 John Greene 744 Normal Avenue Apt 12 Ashland OR 97520 A prospective petition has been completed and filed with the City Recorder's Office for Mayor. Petition ID M2016-04 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 ewuw.ashland.or.us Candidate Signature Sheet I Nonpartisan Petition ID M A0110- O 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 Candidate Information n n/ Name ` Office ~ t)f J r Election AO' ~ District or Position Number n n To the Secretary of State of OreC/goons/CCo/unttyy'E_ll_eJc(t`ions 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. 8 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 i Z 14 Job G r ee>^ ~ 7-9 H !gym 1 v e- A!p:t- t 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 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 August 15, 2016 John Greene 744 Normal Avenue # 12 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 Mayor. Please let me know if I can be of any further assistance during this upcoming election time. Barbara Christensen City Recorder/Treasurer CITY REC TREASURER Tel: 541-488-5307 20 E Main Street Street Fax: 54152-2059 VAN, Ashland, Oregon 97520 TTY: 800-735-2900 www.ashland.orms Jackson County, Oregon COUNTY CLERK MIZ K Christine Walker (541) 774-61 6147 COUNTY CLER ELECTIONS (541) 774-6148 August 11, 2016 Barbara Christensen City of Ashland Re: Petition: AshMayor-13; John Greene, Ashland Mayor 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 25 signatures of active registered voters in the City of Ashland. Art C. Harvey, C.E.A. Date Elections Program anager Jackson County Fax (541) 774-6140 Elections 1101 W. Main St., Suite 201 Medford, Oregon 97501 County: JACKSON Petition Signers Report Date : 8/11/2016 8:19:05 AM User Name : Harvey, Art C Number :AshMayor-13 Title :John Greene Ashland Mayor COUNTY JACKSON SIRMITTAL . gubmi al 1 SAMPLE Page Line Voter Id Name Current Residence Current Precinct Status Verification Reason 1 1 18209401 GREENE, JOHN R 744 NORMAL AVE 12 013 Accepted Valid Signature 1 2 100408907 SUTER, GARY RAY 1835 FREMONT ST 013 Accepted Valid Signature 1 3 100405141 MATfHEWS, JONATHAN 795 PARK ST 33 013 Accepted Valid Signature TAYLOR 1 4 100028342 BRAJE,ANNA M 1 CORRAL LN 70 018 Rejected Out of District 1 5 18127840 MCMILLAN, WILLIAM SAM 99 EMERICK ST 6 004 Accepted Valid Signature 1 6 18170524 YOUNG, MICHAEL DENNIS 1565 SISKIYOU BLVD 43 007 Accepted Valid Signature 1 7 300173616 DAVIS DAUGHERTY, RUSSELL 801 ASHLAND ST 4 007 Rejected Signatures Do Not Match JAMES 1 8 300315197 BARTMAN,TAI TAN SHASTA 433 HOLLY ST 7 002 Rejected Inactive Other or Reason Not Known 1 9 18181429 MICKEY, NATALIE ANN 361 GLENN ST 004 Accepted Valid Signature 1 10 300047558 JOHNSTON,APRIL-MARIE 430 TIMBERLAKE DR 018 Rejected Out of District EMMALYN 2 1 300180853 DAVIDS-MARKS, THAD 1808 SISKIYOU BLVD 013 Accepted Valid Signature WINSLOW 2 2 300288665 SPAIN, KAIYA CRUZITA 479 WILLOW ST 004 Accepted Valid Signature 2 3 100266847 GOODMAN, NICOLE MARIE 69 CROCKER ST 013 Accepted Valid Signature Rejected Not Registered 2 4 2 5 18212985 TERNAN,SCOTT GRANT 375 WIGHTMAN ST 4 007 Rejected KInactiv nowne Other or Reason Not 2 6 18221320 DOLAN,WILL EMMETT 1258 MUNSON DR 007 Rejected KInactiv nowne Other or Reason Not 2 7 18125029 MCALASTER, ROBERT DAVID 725 TERRA AVE 5D 013 Accepted Valid Signature 2 8 300403468 HANSON, KYLE 721 PARK ST 013 Accepted Valid Signature 2 9 200016369 HOWELL, MARYBETH 650 LIT WAY 007 Accepted Valid Signature 2 10 300400194 WISBEY, ROY ALLEN 1565 OREGON ST 203 007 Accepted Valid Signature Page Oregon Centralized Voter Registration County: JACKSON Petition Signers Report Date : 8/11/2016 8:19:05 AM User Name :Harvey, Art C Number :AshMayor-13 Title :John Greene Ashland Mayor COUNTY a JACKSON c1 BMMITTAL *Submittal i SAMPLE Page Line Voter Id Name Current Residence Current Precinct Status Verification Reason 3 1 18186353 HAGERTY, MARGARET C 612 NORMAL AVE 013 Accepted Valid Signature 3 2 18202496 DUNN SCHUBERT, JESSICA 170 S MOUNTAIN AVE B 007 Accepted Valid Signature SUE 3 3 18096047 AUFDERHEIDE, SUSAN M 321 N MOUNTAIN AVE A 004 Accepted Valid Signature 3 4 300337578 CHALAKEE, SINJIN HAWK 1176 BESWICK WAY 013 Accepted Valid Signature Rejected Not Registered 3 5 3 6 18150733 BURT, JON DAVID 304 W HERSEY ST 004 Accepted Valid Signature 3 7 18220574 TAKACS, KELLY ANN 625 BEACH ST 007 Accepted Valid Signature 3 8 404737 ALLEN,MICHAEL ELLIOTT 207 BAIN ST 082 Rejected Out of District 3 9 18205409 RAPP, FREDERICK M 1822 SISKIYOU BLVD 013 Accepted Valid Signature 3 10 18207829 EMERY,SAMUEL LLOYD 595 CROWSON RD 018 Rejected Out of District 4 1 18141669 FULLER, RONALD K 1565 SISKIYOU BLVD it 007 Accepted Valid Signature 4 2 18203536 DEMELLO, ANTOINETTE 46 GRANITE ST 002 Accepted Valid Signature MARIE 4 3 17246895 WHISLER, REBECCA NADINE 855 PARK ST 7 013 Accepted Valid Signature Rejected Not Registered 4 4 4 5 300199902 MACHALA, MARK EVAN 605 TERRACE ST 002 Accepted Valid Signature 4 6 100266296 MACHALA, MARGARET 201 GRESHAM ST 002 Accepted Valid Signature GOLDEN Page : 2 Oregon Centralized Voter Registration : County: JACKSON Petition Signers Report Date 8/11/2016 8:19:05 AM User Name :Harvey, Art C Number :AshMayor-13 Title :John Greene Ashland Mayor Summary Results For Petition AshMayor-13 Petition Title John Greene Ashland Mayor Circulation Start Date : 07/10/2016 Circulation End Date 08/10/2016 Signature Count Required 25 ACCEPTED 25 REJECTED 11 Total 36 Page : 3 Oregon Centralized Voter Registration d0/!~- Candidate Signature Sheet I Nonpartisan Petition ID A Signatures for this petition are being gathered by ❑PAID Circulators VOLUNTEER Circulators PIq 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 Candidate Information Name Office /y Election District or Position Number D n 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 79 H m 1 i' i';L- i i z 6 Job Gree~~ 7 - ~Zy 3 , ° (5 - ~j I $ Rev k. 5~' ` j!3 s dom. .a I-sap Ala 6 ~Lo ~S3~0p - col :4 -16 T - Aa n cc✓' a ~ S~~ s.rr~~ 6/Jd 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). 1 also hereby certify that compensation I received, if any, was not based on the number of signatures obtained for this petition. Circulator ignature Date Signed mm/dd/yy Sheet Number Sheet will be numbered by group submitting the j a r C rt jyY ,fuo U"mu / Arwe 2V7 12 Rs h l~ a ©14 `l ~S~© 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. ,r Candidate Signature Sheet I Nonpartisan Petition ID Signatures for this petition are being gathered by ❑PAID Circulators AVIVOLUNTEER 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 Spm on the filing deadline day. County Candidate Information Name Office Election District or Position Number To the Secretary of State of OreC/goon(//CCo/untyyEElle_Jc(t`ions 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 ZZ/ -7 2 KG( O~ 5 ,I (1 1 I~ \ 3 (R 1 Co ' l vV,V-"- G, P,~ Z2 4~c- 7 X "ae,1 ck0)-f4~ amil -71(`,1I(e UL3C]C.r1 4Vi'A ty'ldS-(t.4- 72Sr TcC -Ayt 4'- S - -7/ f' 6 V-' L F N f~N 3J /~I 7 Z ( VAC-I- S T r . 5~c rr~ il d g 9 c~ r 4 ~ e, iu 0-. d f W a gl4 2~-l 6 b -p s C~ c`sn 10 Circulator Certification This certification must be completed by the circulator and additio I 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). 1 also hereby certify that compensation I received, if any, was not based on the number of signatures obtained for this petition. 96A ~-,.~6--~-- 7/2o J14 -Cl~ Circulat Signature Date Signed mm/dd/yy Sheet Number Sheet will be numbered by jokin R- Grs>`v~C 7y~ Ncrr►+ct~ffVQ 12 ASL-Ie ] 66z- 7r5~p group submitting the d 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 ID Q~la - Q 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 Candidate Information Name ` 6 r~ Office Election /i O Q N l l~ „1 District or Position Number D n 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 ate Signed mm/dd/yy Print Name Residence or Mailing Address street, city, zip code 1,17 61 2 r 7~ZD i lv I? G ~ i't r z2 to I v- A) 4 41 6 Ova=( to I 7~ * l G . 9 If A 11 7 2 ~O "d~12, S G5 ~~y LOA at S >r'c~Q , 97 Vclrr--Iatodr iflcation This certification m st be comp) ted 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. Q4 A 712-/ Circulator nature Date Signed mm/dd/yy Sheet Number Sheet will be numbered by a h in v° P Y1 P 7 Nora a ) 5h h k 1 2 group submitting the >a ve Z Q 7 O 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 ID „l {Qlli - 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. 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 ~y• Candidate Information Name \ c i o 6 Office o f- Election O' knazl( ~e~ District or Position Number D 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 U, 2\, , G pv axv 1 12 -1 LIZV 2 I/u 7 L_ f ~CIl~t~iJ~~t1~ t~~vUtZ~L O t SY' /J av Z t2 lx~ 5 1~qGtV IV C C a CI 2~ 1 CrreS w1 S 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). 1 also hereby certify that compensation I received, if any, was not based on the number of signatures obta.ined for this petition. -FA Circulator Sign ure Date Signed mm/dd/yy Sheet Number Sheet will be numbered by group submitting the Johv. (sv-t ev~L 74/'-l J`10ir "a,I Ave #/Z A5~% 1a id I oR 9757.20 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. 1 Petit'i'on 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 t _ State ID County for both county and district petitions City 5 n R 7g ,Z Election Type Year n Primary 0 General Special Election F02014 2016 12018 Petition Information Candidate Name or Measure Number J o n G rep-ne Type of Filing Number of Signatures Submitted Candidate Nominating Petition 6 ❑ 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 john Gr ee V1 N e- ~1 - 988 - 3811 ~4 A Signature Date Signed Measure A ument 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 pUG g~: