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HomeMy WebLinkAboutBen Chew Filing of Candidacy for Nonpartisa'n Nomination SEL12() rev 1/08: ORS 249;1)31 (- This information is a matter of public record and may be published or reproduced, please type or print legibly in black ink o Incumbent for Office of Judge J, candidate name B e.'\\ti\t\l^, R( C~~\J tiow name should appear on ballot ..(3...~..V'............n.......Ch~.~..n.n................................ residence address street, city, state, zip code filing for office of C~ tj ((ivl\(',' :t:t:, district or position number J~L~5()V\ As~r;""J}(jR. home phone work phone 5 4 \- ) ~Jt-l~~7. ..........5Yt30l-H~117 fax v & ~ ~oU ' (()t'\ . mailing address where all correspondence will be sent 16]\J()Q\~",\J~~all.A5"1~f\)ORI ...~IS .1..{) I osecretarYOfStateofOregOn~. OCou ty Elections Official of . ~City Recorder (Auditor), City of ~_...._.._..____.__.__._..__m..m........._......_....m.......mm.m..........mmnm.m......m..mm...............u__.........____.__.__...........................____._mm................m.................. .._____h...__...._._m..........................___.__.._.._.............___...____..............._.m........ o Filing of Candidacy by Declaration, with the Required Filing Fee (ORS 249,056) County Statewide Offices Circuit Court Judge District Attorney County Judge MSD Executive Officer, MSD Auditor MSD Councilor County Office City Office Justice of the Peace Filing of Candidacy by Declaration (ORS 249.056) $ 100 $ 50 $ 50 $ 50 $ 100 $ 25 $ 50 State Voters' Pamphlet (ORS 251.095) $1000 $ 300 $ 300 $ 300 $ 300 $ 300 $ $ $ * *set by charter or ordinance **for cities with a population of 50,000 or more (ORS 251.005) n/a f'ling of candidacy by ~rospective petition, with the required proposed signature sheet (SEL 121) or more circulators wittor Will norbe paid (SEL 300) (ORS 249.020) o Filing of candidacy by completed petition, with the required signature sheets properly certified by the appropriate county elections officials (ORS 249.020, 249.064) Filing for Candidacy First Day September 13, 2007 June 4,2008 Last Day March 11,2008 August 26, 2008 Filing for State Voters' Pamphlet First Day September 13, 2007 June 4, 2008 Last Day March 13,2008 August 26,2008 Last Day March 14,2008 August 29, 2008 Primary Election: General Election: Primary Election: General Election: Withdrawing Candidacy SEL120 continued on the reverse side of this form · "........"... ....". ...aa..".. I" ,.u . "..,VA.... ....U'. "'0&'''.', ...... ...,..G , ! oCifahen wesen' employment - paid 0' unpaid I1r '~On~nvntm\J~l\~~.nmm(Pil\nmmJ.e~\~n occupatioi!al background prevfJus employment - paid or unpaid"} BY'l;gn~hQ~~ \p r J, ed ucational background schools attended, use attachment if needed As~ l"'(\nt\'I~~. 5L~l)c)J .... t1:nm other ..l. prior governmental experience elected or appointed By signing this document, I hereby state: ~ that I will accept the nomination for the office indicated ~ that I will qualify for said office if elected ~ that all information provided by me on this form, including my occLJpation, educational and occupational background, and prior governmental experience, is true to the best of my knowledge Check the appropriate box (not applicable to candidates for federal office - US Senate and US Representative): o By marking this box, I certify I do not have an existing candidate's committee and I do not expect to spend more than $300 or receive more than $300 during each calendar year. I understand I must still keep records of all campaign transactions and if total contributions or total expenditures exceed $300 during a calendar year, I must follow the requirements detailed in the 2008 Campaign Finance Manual. o By marking this box, I certify that I have already filed or will soon file a Statement of Organization for Candidate Committee (SEL 220). For detailed instructions, see the 2008 Campaign Finance Manual. I, ~na~ Q<(=Q~=Q~ da~ signed This information is a matter of public record and may be published or reproduced. forofflceuseonhi .. initials candidaie;.iOnnumber .. rec'eTptnl;mber candidate committee ID number office number CERTIFICATE OF LIMITED EXPENDITURES (ASHLAND CANDIDATES ONLY) PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK Candidate D Political Committee D Primary 20_ t>n GeneraI20-'l.8' D Other Election Date Committee Identification Number Telephone Number 5~r\- ?.. 4-q R.. 5 "2,0 I certify that if I am signing as a candidate, I will not make attributable expenditures for this election in excess of $3,176.00 (including expenditures of my principal campaign committee), or, if I am signing as a treasurer of a political committee organized exclusively to support or to oppose a candidate, I certify that the committee will not make attributable expenditures in this election in excess of $3,176.00 Candidate or treasurer's signature Date Signed [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 lim~ the attributable expenditures specified in this certificate and city ordinance. ~reas~ers~~re Date Signed o~-oq"O~ The City Recorder is authorized to publish a statement in the City, indicating whether or not the candidate has agreed to limit expenditures. J~@~ 41/6 :z?~~JiJ) 8 y: '" 12009 1/ --- If the City Recorder or the City Attorney finds that a candidate filing a declaration of limitation on expenditures has exceeded the applicable expenditure limit, at the next election at which the candidate is a candidate for election to public office, the City Recorder shall publish a statement, in the City, indicating that the candidate violated a previous declaration of limitation. Statement One or More Petition Circulators Will Be Paid SEL 300 rev 1/08: ORS 248.008. ORS 249.061. ORS 249.078. ORS 249.740, ORS 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 10th day after I/we first have knowledge or should have had knowledge that no petition circulator will be paid for obtaining signatures. Additionally, unless this is for a recall petition or a minor political party formation petition, by signing this document, I hereby state that no circulators will be compensated on this petition based on the number of signatures obtained by the circulator. ideniifyUp.eti.ikiilm name of candidate or minor political party on prospectivepetiilon:.o-,nameof officeholdin on recall petition signed* date signed signed* date signed * 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 Statement No Petition Circulators Will Be Paid SEL 300 rl'V 1/08: ORS 248.008. OAS 249.061. OAS 249.078. GAS 249.740. GRS 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 10th day after IIwe first have knowledge or should have had knowledge that one or more petition circulators will be compensated for obtaining signatures. Additionally, unless this is for a recall petition or a minor political party formation petition, by signing this document, I hereby state that no circulators will be compensated on this petition. iiiicalpai,,, on p,osPec/;vepeii';on:o,name 01 OiilcehOld(rt..::'P~iiion_o date signed signed* date signed * 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 .":\ , 11:@11:1!Wl11:1iiI AU?t::.- 2008 j By: . .... ............--...... CITY OF ASHLAND August 4, 2008 Ben Chew 67 Woolen Way #1 Ashland OR 97520 A prospective petition has been completed and filed with the City Recorder's Office for Council Position #5. A petition has been approved for circulation. Barbara Christensen City Recorder CITY RECORDERlTREASURER Tel: 541-488-5307 20 E Main Street Fax: 541-552-2059 Ashland, Oregon 97520 TTY: 800-735-2900 www.ashland.or.us I'.i' Petition for Nonpartisan Nomination Signature Sheet o One or More~o petition circulators will be paid. mark one This is a candidate nominating petition. Signers ofthis page must be active registered voters in the following county: Note to Candidate: Petition signatures must be verified before the petition can be filed with the filing officer. Submit the petition in ample time for the process to be completed before 5pm on the filing deadline day. J, candidate's name petition 10__ 2.lJC)t-~ JacK~._---_._-----------_..._.__... office next signature* , request the andidate's name printed above, for nomination to the office indicated, be placed upon the appropriate ballot at the election following the filing of this petition. date signed* mm/dd/yy print name* residence or mailing address* street, city, zip code precinct # (optional) 1 ~ 2 3 4 5 6 7 8 9 10 * Signature must only be completed by the signer. Circulators may not complete, change or obscure the signer's signature, date signed, printed name or address information, unless the signer initials the change. An exception is allowedz for a circulatorto complete or change information (other than the signature) if requested to do so by a disabled signer. circulator certification This certification must be signed by the circulatorl 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 individual is an elector qua/fied to sign the petition. (ORS 249.061) I also certify that compensation I received, if any, was not based on the number of signatures obtained for this petition. Warningl Falsely signing this statement 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) circulator signature date signed mm/dd/yy printed name of circulator circulator's address street, city, zip code county elections official certification I hereby certify signatures on this petition are those of active registered voters in County, Oregon. date certified mm/dd/yy signature of county elections official ... ... .. ..... cthcua'" nllrnhAr