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HomeMy WebLinkAboutDebra Neisewander Completed Candidate Filing SEL 101 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 All information must be completed or the form will be rejected. This filing is an 6410- ❑ Amendment Filing Officer ❑ Secretary of State ❑ County Elections Official City Recorder (Auditor) Office Information Filing for Office of: G 1 District, Position or County: Party Affiliation: ❑ Democratic Party ❑ Republican Party ❑ Independent Party Nonpartisan Incumbent Judge: ❑ Yes ❑ No 1-1 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 P~Prospective Petition Petition circulators will be paid ❑ Yes IQ, No Candidate Information Name of Candidate First MI Last Suffix Title How you would like your name to appear on the ballot 'be ~r01~1 e.~5 e w~ ~d Candidate Residence/Route Address Street Address City State I Zip County W\0~ c~ 7k-,~ Iowkd 0r 9 Zn ac,ICSavti Candidate Mailing Address Street Address or PO Box City State Zip gY: Continued on the reversed side of this form Contact Information: Only one phone number is required. Work Phone, Home Phone Cell Phone Fax L~ 1) z(0- t2-ft; Email Address Web Site, if applicable v\e M_VJO,r6P.cr ~ qff-" l..Com Occupation (present employment) If no relevant experience, None or NA must be entered. Occupational Background (previous employment) If no relevant experience, None or NA must be entered. q11 -bi5paJc lic?V' Cha,rte-r' Aircr&+~ 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 K. (InIkQe-, c~ c~cc~ eooa~ (fin 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. O IA 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, 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 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) hLL~O, I k~~LQM'lC~l , f ZC, I (r Candidate's Signature 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 Committee Name Email address ]fib r~k- /v 21 Semi "L4e,-- Treasurer's Full Name Telephone Number (day) C 41/0 - C~ ?S Address (street or route, city, state, zip code) ` r O CrK Office of Filing W P05 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 p ' a comma rganized exclusively to support or to oppose a candidate, I certify that the committee will not make attributable expenditures in this election in exc s of $3,581.00. Candidate or treasurer's signature Date Signed O E~-7 [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 D g 5?~ the applicable expenditure limit, at the next election at which the candidate is a candidate for election to public office, the City u Recorder shall publish a statement, in the City, indicating that the candidate violated a previous declaration of limitation. QIJ~ 5 2016 I B . CITY OF ASHLAND August 5, 2016 Debra Neisewander 1159 Tolman Creek 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 12016-04 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 RECORDERRREASURER 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 tl~ ya Signatures for this petition are being gathered by ❑PAID Circulators CRIVILUNTEER 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 .//!{lL1CC~ Candidate Information 4e-(5e- Name Deb ra w ~/f Office Election Ao F ~ / District or Position Number n ` -ne4j~ Os 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 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).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 ORS 249.072 County Elections Officials provide a separate certification to attach to the petition. CITY OF -ASHLAND August 23, 2016 Debra Neisewander 1159 Tolman Creek Rd 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. ~ 4 ~ Barbara Christensen City Recorder/Treasurer CITY RECORDER/rREASURER Tel: 541488-5307 20 E Main street Fax: 541552-2059 Ashland, Oregon 97520 TTY: 800-735-2900 `r www.ashland.orms Jackson County, Oregon CLERK COUNTY Christine D. Walker COUNTY CLERK (541) 774-6147 ELECTIONS (541) 774-6148 August 18, 2016 Barbara Christensen City of Ashland Re: Petition: Ashcitycouncil I deb; Ashland City Council Pos. 1, Debra Neisewander 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 28 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 : 8/17/2016 10:56:04 AM User Name : Temp, Naiobi Number :Ashcitycouncilideb Title :Ashland City Council Pos 1 Debra Neisewander COUNTY : JACKSON SUBMITTAL : Submittal 1 SAMPLE : 1 Page Line Voter Id Name Current Residence Current Precinct Status Verification Reason 1 1 18162622 NEISEWANDER, DEBRA 1159 TOLMAN CREEK RD 013 Accepted Valid Signature MARIE 1 2 18219349 CATRANIDES, LISA M 424 HELMAN ST 004 Accepted Valid Signature 1 4 18149177 MORSE, BOB 122 7TH ST 004 Accepted Valid Signature 1 5 300364499 HARDING,CHRISTOPHER 375 HOLLY ST 002 Rejected Signatures Do Not Match LYNN 1 6 18145629 MOTLEY-TSCHINKEL,HELGA 124 LANI WAY 082 Rejected Out of District LOTTE 1 7 200115621 SOPHIA, MIRA 686 HELMAN ST 004 Accepted Valid Signature 1 8 18173544 HOUK, JASON RICHARD 137 5TH ST 004 Accepted Valid Signature 1 9 10603017 EHLERS, KEVYN WOVEN 45 WIMER ST 002 Accepted Valid Signature 1 10 100622573 MCKIBLIN, CATHERINE 1145 TOLMAN CREEK RD 013 Accepted Valid Signature NORRIS nowive Other or Reason Not 2 1 18151964 TAPP,KOMAC ALEXANDER 274 S MOUNTAIN AVE 007 Rejected Inact 2 2 18190037 WIRTH,HANNAH J 945 KENYON ST 056 Rejected Out of District 2 5 18173545 HOUK, VANESSA LEE 137 5TH ST 004 Accepted Valid Signature 2 6 300394912 WENZELL, KATHERINE MARIE 725 TERRA AVE 2C 013 Accepted Valid Signature 2 7 200118265 GORCEY, LEO BERNARD JR 441 PARKSIDE DR 004 Accepted Valid Signature 2 8 300293852 REID, RUTH ALEXANDRA 573 SCENIC DR 002 Accepted Valid Signature 2 9 100355586 CARTER, LAURIE KNOWLES 390 IOWA ST 002 Accepted Valid Signature 2 10 100253604 CODY, MARY 1251 MUNSON DR 007 Accepted Valid Signature 3 1 300308089 STEWART, AMY KATHERINE 835 TWIN PINES CIR 013 Accepted Valid Signature 3 2 18149149 WIECZOREK, JOHN L 165 ORANGE AVE 004 Accepted Valid Signature 3 3 300292415 BUECHELE, JEAN RIDGLEY 829 BOULDER CREEK LN 004 Accepted Valid Signature SAMPEL 3 4 300287948 LOGAN, KAREN 261 OTIS ST 004 Accepted Valid Signature Page : 1 Oregon Centralized Voter Registration County: JACKSON Date : 8/17/2016 10:56:04 AM User Name : Temp, Naiobi Petition Signers Report Number :Ashcitycouncilldeb Title :Ashland City Council Pos 1 Debra Neisewander COUNTY : JACKSON SUBMITTAL : Submittal 1 SAMPLE : 1 Page Line Voter Id Name Current Residence Current Precinct Status Verification Reason 3 5 300475550 POTTHOFF, JOSHUA ALLEN 1159 TOLMAN CREEK RD 013 Accepted Valid Signature 3 6 200091053 WITT, DAVID RUSSELL 480 POPLAR PL 004 Accepted Valid Signature 3 7 18220824 BRICK,KATHERINE A 745 REITEN DR 018 Rejected Out of District 3 8 200115535 GIBBS,JENNIFER S 475 BRISCOE PL 004 Rejected Printed Signature 3 9 300079996 GILMAN, PATRICK DEAN 418 LIT WAY 007 Accepted Valid Signature 3 10 300389127 TOMLIN,JOSEPH MARK 2299 POPLAR DR 4 064 Rejected Out of District 4 1 200186653 SANDERS, BLAKE JEFFERY 665 LEONARD ST 007 Accepted Valid Signature 4 2 200012147 LABOUNTY, LISA ANNE 1128 TOLMAN CREEK RD 013 Accepted Valid Signature 4 3 300421158 GRAHAM, MORGAN 1288 ROSE LN 007 Accepted Valid Signature DAYDREANA 4 4 300421197 CONTE, ABIGAIL 531 MAPLE WAY 002 Accepted Valid Signature 4 5 18138196 SPEARMAN, WILL TERRY 166 HARGADINE ST 002 Accepted Valid Signature 4 6 18138131 NAVICKAS, JOANNE E 711 FAITH AVE 013 Accepted Valid Signature 4 7 300044914 BAKER,RUTH CLAIRE 648 PARK ST 013 Rejected Printed Signature 4 8 18184871 SMITH, RUTH S 623 NORMAL AVE 007 Accepted Valid Signature 4 9 18126016 WOOD, SCOTT HOOVER 2535 SPRING HILL DR 013 Accepted Valid Signature Oregon Centralized Voter Registration Page : 2 County: JACKSON Date : 8/17/2016 10:56:04 AM User Name : Temp, Naiobi Petition Signers Report Number :Ashcitycouncilldeb Title :Ashland City Council Pos 1 Debra Neisewander Summary Results For Petition Ashcitycouncilld Petition Title Ashland City Council Pos 1 Debra Neisewander Circulation Start Date : 08/05/2016 Circulation End Date 08/17/2016 Signature Count Required 25 ACCEPTED 28 REJECTED 12 Total 40 Oregon Centralized Voter Registration Page : 3 ~rry eAjAA1 l SEL 338 4V rev 01/14 OAR 165-010-0005, 165-014-0005 ubmittal of signatures. ty for both county and district petitions City Year ecial Election E32014 2016 12018 J~,teV - Number of Signatures Submitted Acandiclate 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 ~eblfam L 1nX~~lOI 5 2, 10 ►Z~S me(' s,eq -xrl d~.r v► Signature Date Signed 2'/ 1 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 l n~l3a i --tll • Ott e y ~ 9 tt -?I ltd S ! fi 9 { n v ~?Jn 'AiNn0O N0SY3'V; ya Candidate Signature Sheet I Nonpartisan Petition ID ~~✓l~ /lip 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. JW,1<5WI- Candidate Candidates should allow ample time for the verification process to be completed before 5pm on the filing deadline day. County Information Name Deb rQ ~e c 5 e ~ er- Office Election 010 District or Position Number o 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 listed above for nomination to the office indicated. e 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 z l c~ 97>?0 4 f 12 Z k" CA-9 , I~ 7 JQJI //Z/f L~xl~ F 67 c t,v 8 7M c> i 9 2 U CVA lU - is L l~ Zf y of cir ~ Ad ,As 114 LO G~ "N , )ne c 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, ned 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 etition (ORS 249.061 . I also hereby certify that compensation I received, if any, was not based on the number of signatures obtained for this petition. Ci culator Signature Date Signed mm/dd/yy Sheet Number Sheet will be numbered by ~n ~ f~I group submitting the S _ I" 1 C I 1 t(~l 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~ ua 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. /►/1 Candidates should allow ample time for the verification process to be completed before 5pm on the filing deadline day. County (A Candidate Information Name Office Election District or Position Number n "nu or O~ ,7h To the Secretary of State of Oregon/County Elections Official/City Recorder, We the undersigned voters, request the candidate's name bel 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' 'tcL., in, .2, 0 A L c&uj A7A~ s &,J-, (3 1, 5 o- (ilf- 13 S 4-15-,>6 ^Y V I 6 &KWXC <aAU(`pte. t l cno ~ l-e.rM AVE 2C° f~ sh(a►~I d I~ `(q52-0 ~F_ p ~6/zC' 2 36 i45k ~l ~c~ ~7~ Z~ ~}s G `17,5~ 8g 'JgLt ~o~ ra l~e~~( ~73 P ~c SL, I wig ?c 9 A_ 1G ~t u~~ Cn 3go l ococ` 164-o,7A 9-zszb 10 C7 -z D Circulator Ce iCation T s ertification 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. L 12b~ " F 112-11 (0 0~ Circulator Signature Date Signed mm/dd/yy Sheet Number Sheet will be numbered by group submitting the 'v V1 V I petition. Printed Name of Circulator Circulator's Address street, city, zip code SEL 121 rev 01/14 ORS 249.07 County Elections officials provide a separate certification to attach to the petition. Candidate Signature Sheet I Nonpartisan Petition ID ~ r -0 Signatures for this petition are being gathered by ❑PAID Circulators CRI'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 5pm on the filing deadline day. County llpp W Candidate Information Name D,Jo f ~ 4e-(:5 a Office D C ur-,~ District or Position Number /n "nu o O~ r Election A010 bopkl" To the Secretary of State of Oregon/County Elections Official/City Recorder, We the undersigned voters, request the candidate's name bei 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 N q3 S- -1 W t b- ti..47-, Ct r<<e U i2ri & V62 ~eczJ~-e 50 4 u ho Lpr~g&) LZ6AAJ ( 0 :faS- a ItnVesoff &blmld A 5 -6 - /0 - .2 01 1P go ID 6 g 11 ~l T)A L) l oG L, ~TS~~w 0~ t-T r r~ l / c I-) I 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 Signature Date Signed mm/dd/yy Sheet Number Sheet will be numbered by D; ~ I group submitting the "C. 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 «I~ D I Cv y~ 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. ~C~~,/~ KJ /~►/1 / Candidates should allow ample time for the verification process to be completed before 5pm on the filing deadline day. County r Candidate Information Name I)eb Ka- 4e (:5 2 W-der Office Election AO t ~ / G x7h Jry~ District or Position Number n ` nulo7 Os To the Secretary of State of Oregon/County Elections Officia/CiittyReccorderr, 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 ~ii G2G~c S l Z A 5~1 Vt. C 2 Pit-L4 3 / f G~ Cj / Z/~(Jl V `/C•6:iI -YJ .Ni,)A 1-&L "I? O„ 4 C1 r 5 A 7 Z A - A4'L (L- ~ s AS t L~~, L AS 4(-1-1 1~ f? C l'~ (Z (~D C L- I I rtt r, 1 G t . VL j IIA I II f \ L - J l J C,~ Y`vL ~j : L /~J 9 h~ ?f /4_ Vt~ o ~~C ` 323 S !l e~ C~~ 14 1 ~ I L6 W Circulator Certification This certification must be completed by the circulator and additional signatures should not be collected on this sheet once the certification has en 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. -ilk-) U / 1'2- Circulator Sheet Number Signature Date Signed mm/dd/yy Sheet will be numbered by fa lkb.-~A _ group submitting the 1'~VVD~ LJ 'i I 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.