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
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residence address street, city, state, zip code
filing for office of
C~ tj ((ivl\(',' :t:t:,
district or position number
J~L~5()V\
As~r;""J}(jR.
home phone work phone
5 4 \- ) ~Jt-l~~7. ..........5Yt30l-H~117
fax
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. mailing address where all correspondence will be sent
16]\J()Q\~",\J~~all.A5"1~f\)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
... ... .. .....
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