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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 A<;~LP~ A<;~~ A~NP c. \1'"Y ()JVN~\L -neAFt=,C ';;S It'fCL,~ ( -AP~J tJi"'E ~ ~~ GcYV\W)\53ID~ (APfDIt"n~ ANP ~.DE~Te.JAN' COYYWVW;S}1))-J CAr~/~ 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 ;;U::T~ CDCD~ 811l~ a.:g Q CD=:r-+ ""0'< rnl1l;:o :::TO-CD !!!.roO ';CDQ CXa. 0-"0 CD _CD..., _.~ rna.o ";:j _...., [UC:T ~mCD I1l=O CD3;::;: 3 ;::;:'< CD~;e ~~~ ~ 0 - ~..., -.:::T ~ ~CDCD ~~'< ~CD::::!l X ~ O~a. ;::;:~rn ':<CD::T S.gl1l a.O~ o' ~ I1l I1l I1l 0 ~~11l S' :E ~ <O:::T9: r-+ -. 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CD rn x CD Q.ro c 0 C/J~ <'0 CD ~ -<~ OCD rn x c 0 "0 CD "Orn o ..... ~ W 00 o~ o o ....... ~ I1l 0 o 11la. ~ _. a.~ _.<0 a.m ~x CD "0 - CD -~ oa. CD;:::;: ;::1.C -. ..... -<,CD rn ::To I1l ..... ::::3 :::T'< CD "0 () ~. o ~ 3 Q. 3"0 ;:::;:~ CD CD o =I:: o' CD -l 0 ..... I1l ~ ~ ~ c:::::l~: 0 m ~ I1l ....... CD ~ rn 0 a. "TI ..... a: !;. I1l CD o o ::T o CD 3 ..... 3 IT! ~ g CD 0 a. ~ m 0 ;;t I1l 3i ro o ~ o' ~ z c 3 0- CD ..., ~ o \J Q. ;::;: o' !!!. o o 3 3 ;::;: CD CD ~ t'!'j ~ ~ ~ ~ ~ -a ~ r-. >- ~> ~ ~ ~ t'!'j -tt"'i ~> 0 m:z ~ o C ....LJ_:;0 -a()~ ~> ~ ~:z ~ rC ~ m i-oI .....J G) C 1"""'1 ffi > t'!'j r~ ~ -< t.'!'j '-' Z 00 t'!'j ~O ~ ~~ ~ ~ ~ t'!'j ~ "-' ~ ~ ~ ~ (j ~ rJ1 o \J ~. 3 I1l -< N 10 ~ G) CD ~ CD ..... !!!. N ~ o 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--~___ ~' ."" P""". ..m,.1 ",.d,d"", mmm p."""" POI""" PI~ p""""' m ..m,.f .ff,",h.ldm"" ,,",II p""'o. --- ~~ '\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 r:.1 [~~: .;i~X. ~ ~.. ~~ ~I ~. ~ i>> ,'V,\ I~ lQ C") .. , .... Cll ~ I ~ ~, C'l 1" -- -+. CD I I~~::l ' (' ~ ~ 3i " ,II)... 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III m 2- .g 0 CD .. en CD -U:l - 0 :::T~ ~ n :J 0 , o.C o:a ~< CD. m en - ~ ~ 3 o' , CDCD~~ I iD-g1II ~I !H~I o ~ n ~I ~ ~ ~ ~ ~rl :::T :J III ~ 0;' CDont\:; ~ 3 0 ~" :;' :;' ~ ~~ ~ g.:o ~:r g. ~ .::J! en 0 a.i~ "0 g. .gjo~ CD CD WI S_: 0 ~ i '.iL_ 0::;; CD I 't"" :J ~ i\~ l il 0" ~! CD ~I i II 0. 0"1 C ib '0 o :J o :;; (') CD - :::T CD Q) '0 '0 (3 '0 .., Q) Cii (j Q) o - Q) ..... ..... :::T CD E- o O"a ~ CD CD r+ o _. .. r+ :s:: -. o 0 ; = ..... 20 o "'I 2 -g 0 s. = 0'''C ~ m -. "'I n r+ ~ Cir ~ m ~ = ~2 0:0 ~ 3 Q) -. 0:= . m 3 r+ III _. *0 g = Cb en -, (Q = m r+ C "'I CD CIl ::: CD CD r+ .... 3' Cb 0' .., 3- Cb ~ .., o C'l Cb, III , Ill, ....1 o 0- Cb . ~ . 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~'