HomeMy WebLinkAboutDavid Chapman
Filing of Candidacy for Nonpartisan Nomination
SEL120
rev 1/06: ORS 249.031
This information is a matter of public record and may be published or reproduced.
please type or print legibly in black ink
(1 Incumbent for Office of Judge
-I. candidate name filing for office of
DAV\b ~Q:\~ _C~~N__ _C~~L. ~(S:~T ~{p
how name should appear on ballot district, department or position number
~\JU> -~~rJ
residence address street/route, city, state, zip code
3CJ o. OX:?C.~AR.b
county of residence
0~~~_y.J
fax
~.
4B~ -.OlSL-
home phone
work phone
email address website
. - ~\lu::f2~~AP~l..] ~t\~~J~~t'D~O~, l<brr
mailing address where all correspondence will be sent
o Secretary of State of Oregon
o County Elections Official of_
~~~bJb-
County
_City Recorder (Auditor), City of
() Filing of Candidacy by Declaration, with the Required Filing Fee (ORS 249,056)
Statlit Voters' Pamphlet
(ORS 251.095)
$1000
$ 300
$ 300
$ 300
$ 300
ftiC€'IV!""D
$ 300 C j
p----~
.Filing of candidacy by prospective petition, with the required proposed signature sheet signed on Line 1 by the
candidate (SEL 121) and statement one or more circulators will or will not be paid (SEL 300) (ORS 249.020)
~~..- --- ---- - -- --- -...-- -,---~ ---- --- -~~- ---- --- -
o Filing of candidacy by completed petition, with the required signature sheets properlycei'tifie4..,by the-appropriate county
-.
elections officials (ORS 249.020, 249.064) _. .'_
Statewide Offices
Circuit Court Judge
District Attorney
County Judge
MSD Executive Officer, MSD Auditor
MSD Councilor
County Office
City Office
Justice of the Peace
*set by charter or ordinance
**for cities with a population of 50,000 or more (ORS 251.005)
Filing of Candidacy
by Declaration (ORS 249.056)
$ 100
$ 50
$ 50
$ 50
$ 100
$ 25
$ 50
*
n/a
Filing for Candidacy
First Day
September 8,2005
May 31, 2006
Last Day
March 7, 2006
August 29,2006
Filing for State
Voters' Pamphlet
First Day
September 8,2005
May 31,2006
Last Day
March 9, 2006
August 29, 2006
Last Day
March 10,2006
September 1, 2006
Primary Election:
General Election:
Primary Election:
General Election:
Withdrawing Candidacy
SEL120
continued on the reverse side of this form
required informatioll!
J. occupation present employment - paid or unpaid
~~~~O <2IT'1_CoUN<;J10
occupational background previous employment - paid or unpaid
CoMP~Se-, gt:r<s~AJ2.G~
~~~ 'l\S:~tv\("~N
J. educational background schools attended, use attachment if needed
complete name of school no acronyms
last grade level
completed
dip I 0 ma / deg re e / ce rt ifi c ate
(AA, BA, BS, MA, Ph D,etc)
course of study
optional
V MVlS'es.nyC) f l'v\1NN& S-~
_VNJVK-~rry'OE ~._
BPi
c..OVv)PlJ1l1;IC,. ~LlftfGE
'111 rr~n: 1<-
other
J. prior governmental experience elected or appointed
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By signing this document, I hereby state:
--+ that I will accept the nomination for office indicated
--+ that I will qualify for said office if elected
--+ that all information provided by me on this form, including my occupation, educational and occupational background, and
prior governmental experience, is true to the best of my knowledge
gg~~ Q .~~~
"'"
~E. \:?. . 20010_
date signed T
This information is a matter of public record and may be published or reproduced.
for office use only
initials
cash or check number
candidate ID number
receipt number
office number
candidate committee ID number
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Statement One or More Petition Circulators Will Be Paid
SEL 300
rev 1/06: GRS 248.008,
GRS 249.061. GRS 249.078,
GRS 249.740, QAS 249.865
I/We hereby declare one or more petition circulators will be paid money or other valuable consideration for obtaining
signatures of active registered voters on the attached petition or certificate. I/We understand the filing officer
must be notified not later than the tenth day after I/we first have knowledge or should have had knowledge that no
petition circulator will be paid for obtaining signatures.
- -------.-
identify petition name of candidate or minor political party on prospective petition; or name of officeholder on recall petition
signed*
date signed
signed*
date signed
signed*
date signed
* Statement must be signed by one of the following:
--+candidate for nomination
--+ chief petitioner for recall petition
--+ chief sponsor for certificate of nomination
--+ chief sponsor for minor political party formation petition
Statement No Petition Circulators Will Be Paid
SEL 300
rev 1/06: GRS 248.008.
OAS 249.061, OAS 249.078,
OAS 249.740, OAS 249.865
I/We hereby declare no petition circulators will be paid money or other valuable consideration for obtaining signatures of
active registered voters on the attached petition or certificate. I/We understand the filing officer must be notified
not later than the tenth day after I/we first have knowledge or should have had knowledge that one or more petition
0;73;;4"b&;;;;;:;;;9n3,",0' _ . 0+ WtuJ ~~4l--~___
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--- ~~ '\2..<;:j\-.~~ - j\)\"'l7 ---1<-+ ~k__
signe \ ~ned
signed*
signed*
dRi~ ~
del, ';900d caVED.
* Statement must be signed by one ofthe following:
--+candidate for nomination
--+ chief petitioner for recall petition
--+ chief sponsor for certificate of nomination
--+ chief sponsor for minor political party formation petition
2-
fi
--~-..,.--.
... ..~,..., .....~~--i.:.. r
June 12, 2006
David Chapman
390 Orchard Street
Ashland OR 97520
CITY OF
ASH I...AN D
A prospective petition has been completed and filed with the City Recorder's Office for City Council
Position #6.
A petition has been approved for circulation.
Barbara Christensen
City Recorder
CITY RECORDERfTREASURER
20 E Main Street
Ashland, Oregon 97520
www.ashland.or.us
Tel: 541-488-5307
Fax: 541-552-2059
TTY: 800-735-2900
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CIT1i Of
ASHIJAND
June 23, 2006
David Chapman
390 Orchard Street
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 Council Position #6.
Please let p}e know if I can be of any further assistance during this upcoming election time.
/./.'
"
4t/ac ~~
Barbara Christensen
City Recorder/Treasurer
CITY RECORDERlTREASURER
20 E Main Street
Ashland. Oregon 97520
www.ashland.oLus
Tel: 541-488-5307
Fax: 541-552-2059
ffi: 800-735-2900
r~'