HomeMy WebLinkAboutSEL 370 Agent Authorization
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Agent Authorization SEL 307
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rev 01/16
w MAY J1 ORS 250.052
Filing Information B Y•
4 This form maybe used by chief petitioners of an initiative or referendum, the chief pe VurTerefa.Etpil or the chief sponsor of a
political party formation. It will allow anyone named by all current chief petitioners or the chief sponsor to act on their behalf in
matters regarding the petition process.
4 Once listed an agent will remain authorized until the petition is withdrawn or expires or their authorization is terminated.
4 To notify the filing officer of additional or terminated authorized agents, submit this form, completed in its entirety and signed by
all current chief petitioners or the chief sponsor.
This filing is an: 0 Original ❑ Amendment List agents below ❑ Termination Identify Agent below
Petition information Type
CITY OF ASHLAND TO PRODUCE 10 Q Initiative El Recall
PERCENT OF THE ELECTRICITY USED IN THE CITY FROM NEW, LOCAL AND
Tr;r<,,,, , 11 THE YEAR 20?, ❑ Referendum ❑ Political Party Formation
Authorized Agent Information
Name Contact Phone Email Address
James Stephens james.stephens@soheva.net
Name Contact Phone Email Address
Tom Fink 408/386-8907 tom fink2l@yahoo.com
Name Contact Phone Email Address
Name Contact Phone Email Address
Name Contact Phone Email Address
Terminations
Name Name
Name Name
Chief Petitioner/ Sponsor Information All chief petitioners must sign the same form.
4 By signing this document, I hereby state that the above named individuals are authorized to act on my behalf.
Name Contact Phone Email Address
David Helmich 510/435-3545 sos@d-pminc.com
Signature -'4
Date Signe
Name Contact Phone Email Address
Carol Wilder 541/488-5475 cewilder@yahoo.com
Signature - Date Sin d
Name Contact Phone Email Address
Ron Boutwell 541/488-5833 Ronboutwel1@97520.net
Si Date Signed