HomeMy WebLinkAboutRecall Petition - Councilor Chapman
Petition for Recall
SEL 350
rev 6/015: ORS 249.865
p/~ase print or type legibly In bleck Ink
J. petition for recall of:
name of pUblic officer
"
\) A..J \ ,)
/"
title of public officer
C \..\ A-,p_~~,J
date prospective petition filed m/d/y
1"'-
C I'~ C o~.......e \L~>'"t JUl-'1 2'-\-
Use this space for statement of reasons for demanding recall. The statement may not exceed 200 words.
Mf1-. c.t\frP^"'-"rJ "icu..:o<;, DI~<;'''-''''',>\j)N IrJ 1'-'-'LC."l''-( C~~""'~ft..) ~
R. 'l:. <; <3 I- -..s \'i... L 1 POL A "- I C 'c:.. ~ I -r.. H'L I; A '5 jr- i\ 'i.S. tP A: ~ liP A 1"' 0-\ '7
I" 0 v::. Jt. ^ l> .3 A;, "\. IV^- ,> 'L >'L.~ <:>;-.. '1..\ 1... C c... w )..1 c.:... ,,- \ '2l c... No S ,'li. :- \:.. ~ \" '- 'j
i (L. \. ~ S '\ C) W l-S. 0 <\.... t1...-'""- '~'L "\ '^ ~ \ V\.. ~ If- J=. c ~ ~ ~ O,..J c>-"> '"" ~ " 1. .J L >'L.
I .> ~ ~ <i,;5 . ~ "1- l..... /tr..5 fl- c. L'L A- 01"\-. C. Co ,... \" "i... -""" .p r- ~ 0 '^- ..,.. V'\ 'L. ('$ <t... IAA 0 _
C VL /r T \ ~ ~ r'L 0 c.. ~$.5) u- ~ ~....Lt '\.. v1..- ~'T vI f tv c.. cW .-..J.c:..1.~ J 6 V"L ,p...JV\- <> /Vc.
(vl<L f> u ~ L \, c. H"i- ""' (\-<;,. \& 'i..f,J ~ ~ q, l '- '- '1 Quo 7"L ~ )..-S
/- II
S--rfr'lI~G- \1 ~~......,()c..JL4.C'j Q(.)'i..$N"1 u-Jo.l1...vc"
20D+
.&. name oftreasurer of chief petitioner committee (from SEL 222)
t f\. I t\ It- t'\.. c:nJ C i:> R.. ~ Z-- ;;
address of treasu rer of chief petitioner committee (from SEL ~22)
streetlroute, city, state, zip code L\ 1-? N.}...r....J.) ,.J
~t::>~ \~Io{ ~'Sr'I(..-XN~ OK.
.&. name and signature of clllef petitioner
^. 1\,., A.C>~
printed name of chief petitioner, and -+
-R'L
~'.\--{2..C>
Instructions for Circulators ('(?'\
-+Only active registered voters of the public official's electoral district may sign a petition. ('(? c::?~ ~
-+AII signers on anyone signature sheet must be active registered voters of the same county:. c;t? @ ~ ~
-+ It is advisable to have signers use a pen for signing petitions or for certifying petitions. t~ ~.~~l
-+Only one circulator may collect signatures on anyone sheet of a petition. ~\)\.. '2.
-+Each circulator must personally witness all signatures the circulator collects. _------
-+Circulators shall not cause to be circulated a petition knowing it to contain a false signature. _--------
-+Circulators shall not knowingly make any false statement to any person who signs it or request&'iorni;tion about it.
-+Circulators shall not attempt to obtain the signature of a person knowing that the person is not qualified to sign it.
-+Circulators shall not offer money or any thing of value to another person to sign or not sign a petition.
-+Circulators shall not sell or offer to sell signature sheets.
Instructions for Signers
-+Only active registered voters of the public official's electoral district may sign a petition. Sign your full name, as you did when
you registered to vote.
-+ Please fill in the date on which you signed the petition, your printed name and your residence address in the spaces provided.
-+It is advisable to use a pen for signing petitions.
-+It is unlawful to sign any person's name other than your own. Do not sign another person's name under any circumstances.
-+It is unlawful to sign a petition more than once.
-+It is unlawful for a person to knowingly sign a petition when the person is not qualified to sign it.
Q
-
c
o
13
13
GI
Cl.
....
G)
G)
.c
en
G)
..
= "
.... 0
ca g
c c:
mill
.- i:
en!
_0
-e
~ c:
G)~ c.
a:;: 0
.. t.g-
o.!!
... i: f
C c: 0
0,2)==
.- II ..
.... to 0
.- 0 G)
.... c: =
G) 0 0
D.ao
~
'b
CD
E
'"
c
...
CD
c
:~
CD
Co
.....
CD
:c
<J
~
c
o
>
j k
,~ ,~
ij
c
III
~
Q)
.....
o
>
"0
Q)
~
Q)
.....
,!!!
Cl
Q)
~
Q)
>
'0:;
u
CI:I
,Q)
.0
.....
III
::l
E
Q)
Cl
CI:I
0.
,!!!
.r::.
.....
-
o
III
~
Q)
c
,21
(f)
....
c 0
o _
~ Ci
-0:; U
Q) CD
0.=
CI:I ..
U 0
Q) ....
~ c
CI:I 0
.!!! ;;
.!!! i
~ ~
~
t
<:)
Q)
:;; ~
....:: 0
- <)
~ ,It
.0 ~
€ ...
.q: 'u
..:
~ c: III
~ 0 ~
e 1::: ..
.2 fIl
il 1::: fIl
iE ~ f
~ <3 :g
.~ c: II
Co 0 CD
~ ~ Uc
';: l;;,
~ e .;
~ ..; ';
f! CD CD
Q. CD ..
.c:
III
~
.2
CD
c:
.tb
a'i
.1Il
.s
....
a
~
CI:I
.Q
CD
;:;
c:
a
"0
~
c:
-t: ..
Q. c
'C
~ Dr
IQ
o
~
CD
;:;
Ol
,c:
'ti
c: :..
CI:I ~
E E
CD
~ 'C
-E !
CIl CD
c: ';
5l CIl
CI:I ...
~ II
CD 'C
;:;
;:;
...
-E
Ol
c:
E
CD
III
c:
,~
.~
... CD
8 Q.
~ CD
o ;:;
.2 .......
j5 a
'" ~
.e Q.
o a
~ 0 f
+:: q; .e
~ S ~
~ ~ ,~
\
~
~
\S
-
~
CD
E
II
C
"'"
N
M
lilt
II)
CD
,...
00
en
~
..; CI:I
,~ ~,
"'It)
.!!!
"OS
~g.
S ...
o-E
~ c:
CD a
,Ill III
...... -t:
.CI:I Q.
U ...
lE~
a"ti
o c:
:::: CtJ
.Qo
~o
Q.o
CDLr)
;:;~
.c: ~
~.s
CD
... Q.
g ~
"O~
~ III
::;:~
CI:I
~ CI:I
l:T;:;
CI:I ,_
,Ill ~
~ ~
a c:
~.Q
CD~
Q.CI:I
.c:....
o a
CI:I c:
CD a
~t;
.! .S
- c:
.8 a
..._0
~ "0 .S:
...c:~
11:1 CI:I ~
:i q) CIl
U 0 ~
,~ ~ ~
o III CI:I
CD ~ E
.c: Cl...
~2~
.Q C E
'tl .S: ~
CD a .lll
C III CIl
,~~ .!!!
OI"O.c:
CD ... ...
.Q CD Ol
'to ~ .S:
~ III 6,
e 1Il._
:c: CIl
C ... ~
o"OQi
~~.!!l
11:1 tl) I~
0'- -
lI::CIl...
'.. a tn
t ~ ,S
~ c: E
'!! ~ ~
t:CD--.
ClO
c ;:... t")
o ... "t
'+; ~ gj
III CD ....
~]~
t ~Q
CD:!;:iOii}
0...(0....
..~tIO"
S ~~ g
1lI.QC\jC\i
=e(f)(f)
o e CD Ik: Ik:
"",'o.c:ee
~
::!:!
E
'l:l
CD
c:
Ol
'w
~
'"
'l:l
{l
o
<)
,It
c
'u
a;
II?
..
..
..
..
~
'l:l
'l:l
to
..
'..
S
to
'5
e
'0
CD
...
'"
....
to
c:
Ol
'w
...
S
to
'5
e
'0
c
o
;;
III
o
q:
'f
CD
o
'i
'0
!E
() 0
1;; III
:i C
e 0
.u aD
..... 0
o CD
~ "i
to >-
c: ...
'l:l C
~ :I
';: 0
Q. 0
c:
o
tl)
~
Q
....
a
...
.g
...
.1Il
~
;:.;,
....
(3
s.
...
c:
~
<3
<
:!:!
E
'l:l
ell
.:
tll
'in
~
'l:l
.!:
e?
~
~
'l:l
f?
~
.CIl
~
f?
~
'-
....
o
CI:I
....
a
CD
III
o
-S
f?
CI:I
c:
o
1:::
1:::
CD
Q.
.CIl
.s
c:
a
III
~
.2
CI:I
c:
.~
III
.c
t:
CD
o
~
.Q
~
CD
.c:
tii
'u
q::
'0
.,
c
o
+::
<J
CD
Gi .
~ ~
5 ~
o
<J
.....
o ...
~ III
a M
'" ...I
5,W
'w CIl
Statement No Petition Circulators Will Be Paid
SEL 300
rev 1/06: ORS 248.008,
ORS 249.061. ORS 249.078.
ORS 249.740. ORS 249.865
I/We hereby declare no petition circulators will be paid money or other valuable consideration for obtaining sign~tures 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
circulators will be paid for obtaining signatures.
C''''i. Cc.WN(..,(..Ui^-.
olitical party on prospective petition; or name of officeholder on recall petition
c) 1- /).. LI /61-
date signed
date signed
signed*
date signed
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
J~@~
JUl ~~~
8 'r;.....'/}IjOOl II
....
....
....
....
....
......
CITY OF
ASHLAND
July 24, 2007
Dr. Aaron Corbet
PO 1365
Ashland OR 97520
A prospective petition has been completed and filed with the City Recorder's Office for Recall of City
Councilor David Chapman Position #6.
A petition has been approved for circulation.
Barbara Christensen
City Recorder
)
CITY RECORDERlTREASURER
20 E Main Street
Ashland, Oregon 97520
www.ashland.or.us
Tel: 541-488-5307
Fax: 541-552-2059
TTY: 800-735-2900
~~,
1
Statement of Organization for Chief Petitioner Committee
SEL 222
rev 11/05: OAS 260.118
Filing a New Committee: This form is used by chief petitioners of a state initiative, referendum or any recall petition.
For a state initiative or referendum petition, it must be filed within 3 business days of first receiving a contribution or mak-
ing an expenditure and no later than the date the petition is approved for circulation. For a recall petition, it must be filed
with the prospective petition. The "Original" box should be marked. A date stamped copy of this form, which includes the
committee's identification number, will be returned to the treasurer as an acknowledgment of the filing.
Chief Petitioners: A chief petitioner committee must list all chief petitioners of the petition.
Amending Information on this Form: Any change in the information on this form must be filed within 10 days of the
change. To notify the filing officer of a change in information, submit this form, completed in its entirety, and mark the
"Amendment" box.
Discontinuing: A final contribution and expenditure report that shows a zero balance must be filed, along with a
completed SEL 222 with the "Discontinuation" box marked. Discontinuation of a state initiative or referendum chief
petitioner committee prior to the deadline for submitting signatures for verification can occur only if the petition is
withdrawn. Otherwise, the final report may be filed at any time.
please type or print legibly in black ink
J~@
J& ~c!(~c-.
~ <2 W~~
s >:.....lC3fl? 1
"
"
"
"
"
"
o Primary 20_
o General 20_
~ Other election date:
o Amendment
This filing is an:
A.Original
o Discontinuation
J, name of committee If changing committee name, please include former name.
l~ 'L c... A- I... L- C t-' ~ f M- .... .rJ C 0 .No.. JoA., " 2-- 'i-
committee address street/route, city, state, zip code; no post office box numbers
abbreviation or acronym
1... Po r, c ~ LJ '^ 1--' iJ 1'\.. d. (:, iftG- )
campaign phone
A..AAL)"...J
name of treasurer
Co ~'L ~ 'i...t'
l.-\'L ~ N.
~~-?J l~6~
mailing address for committee correspondence
,"^-. J-. '- ..J Ll 1..-
I
Aj~L.-+ND
(/Mr 0 Ms
9:t- :;- 2 Gl
NOJ-SL
N c' AJ L
home phone
work phone
fax
-< 1\ ';b c. €l- u K H LJ I'L. tJ - 0 (2, Cr ,>
email address
type of chief petitioner committee select only one
o State Initiative
o State Referendum
R"Recall
J, subject or ballot title of petitionlname of public official for recall
1\ 'i... c... A.- L- \. \,J c-
C,7', C C>,J ,)Vc.\I.-c>'''-
1) 1>..'-.1 l U C ~\ ,.. -/"u...I\ ,..,
continued on the reverse side of this form
SEL 222
PC 1 Summary Statement of Contributions and Expenditures
page 1 of 2
please type or print legibly in black ink rev 1/06
.j. name of committee use full name committee id number
~'--'- C.....\J+}"^/'-:~. C<:..:>.J--...v-.,::. ~'\....
mailing aCldress as It appears on Statement of Organization po box or street, City, state, Zip code
1l-A-. A .ft~O~ CDll~L 1__---1-[ D ~ "2...." <. ^- ~ Co e LI t< HuRd. a R0-~
name of treasurer day phone number
f2.. 'L c.. .J>- L '-
commitee type, measure number or office
This filing is an:
OPrimary 20__
ilAst pre-election
~Original
o General 20_
A Totals for this
Accounting Period
cash contributions accounting period total from PC 2
o 2nd pre-election
o Amendment
-~
!J<other:
o Post-election 0 20_Sept. Suppl.
o Report of Initial Assets
B Cumulative Totals
for this Election
--
-
8
8
-
loans received (non-exempt) accounting period total from PC 2 +
C 'L "'- \)
+
tC- 2.. \. '- i)
~1.-'^- 0
..c -L ,^--u
total cash contributions lines 1+2
+
in-kind accounting period total from PC 2
+
e
8
o
8
I)
-
e
-
e
-
41
e
8
41)
e
total contributions lines 3+4
cash expenditures accounting period total from PC 3
loan payments (non-exempt) accounting period totalfrom PC 3 +
total cash expenditures lines 6+7
in-kind accounting period total from PC 2
+
total expenditures lines 8+9
beginning cash balance line 20 of previous report
~.~O
total contributions line 5
!:;"l--tLO
+
other receipts accounting period total from PC 4A
:t. 1..-,;L ()
-:C"i-ioiL<.>
:[;-1,-rLO
:t:?-IL i)
l. 1-11... v
::t '2- r1.-=
+
loans received (exempt) accounting period total from PC 4A +
contribution subtotal lines 11+12+13+14
total expenditures line 10
other disbursements accounting period total from PC 48 +
loan payments (exempt) accounting period total from PC 48 +
expenditure subtotal lines 16+17+18
.1; 1--,Lo
.,f i- vL.:>
ending cash balance line 15 minus line 19
PC 1
:t: "2-. .'\...-0
+
~ 'L 1/\.0
1::-~u
+
~ ~ ,^-O
:c LIL-
for office use only
I~
./tf @>~.&'
S>: ~-f} ~ ~~
...... ?t7t7? ~
..,......,....... ~
PC 1 Summary Statement of Contributions and Expenditures
please type or print legibly in black ink
J. name of committee use full name
(2 'L C .c,,- \... '- C. fA p.. r .v... x- ~
This filing is an: !I(original
o Primary 20_ 0 General 20__
1st pre-election
C.-e .M..,..J.J- \ '" ~ "l::...
o Amendment
~other:
*'
*I
#I
e
-
8
fa
8
fa
beginning outstanding loans line 29 of previous report
41- Yl.... '>
loans received (non-exempt) line2
+
1::7^- b
'f "i.- ilL 0
1:; '2 u't.. 1>
:t 2.. vLQ
b vLb
k.JLD
~ 1..-gl.... 0
:t~Vlo
loans received (exempt) line 14
+
loans received subtotal lines 21+22+23
loan payments (non-exempt) line 7
loan payments (exempt) line 18
+
forgiven loans total loans forgiven during this acctg. period
+
loan payment subtotal lines 25+26+27
total outstanding loans line 24 minus line 28
e
G
8
8
e
e
8
beginning outstanding personal expenditures
line 36 of previous report
+
t~ c,Ll>
1=-L(\....u
~ 'i..-vL-u
personal expenditures accounting period total from PC 3A
+
personal expenditure subtotal lines 30+31
personal expenditure reimbursements
total expenditures on PC 3 with purpose code R
lVfLo
~~
C Lr'L.l)
~~ (L 1>
forgiven personal expenditures total forgiven this acctg. period
+
reimbursement subtotal lines 33+34
outstanding personal expenditures
_ ending cash balance Iine20
e accounts receivable accounting period total from PC 5
e subtotal lines 37+38
e total outstanding loans line29
_ outstanding personal expenditures line 36
e accounts payable accounting period total from PC 6
e subtotal lines 40+41+42
e balance/deficit line 39 minus line 43: indicate + or - balance
.:c'LfLO
1= L II\-. C
~S-QC
4:;.2-...,1....0
~L-I\....D
-i.~v'l..()
f 1.. I/-lJ
+
+
+
~<L. t\....J
~ (2., 0 jJ
t> ./L.. ~ L ,....
. hereby certify that the above
signature of ca
PC 1
page 2 of 2
rev 1'06
committee id number
o Report of Initial Assets
for office use only
I~@
./(h ~ ~fj)"
~ <2 W~j)
SI-:_/Jf::-1lUU1 1
'.
'.
'.
'.
".