HomeMy WebLinkAboutChapman, David filing candidacy
Secretary of State Elections Division 1255 Capitol St. NE. Suite 501, Salem. OR 97310 I p. 503.986.151811.503.373.74141 www.oregonvotes.org
Filing of Candidacy for Nonpartisan Nomination
SEL 120
~ This information is a matter of public record and may be published or reproduced.
rev 01/10: ORS 249.031
o Incumbent for Office of Judge
Candidate Name
1J
I Filing for Office of
~~~l#J!) C,rt- COJ'UQl, -#- to
I District or Position Numbe
1*"~
".
'ft.
OR-
Work Phone
County of Residence
~
Cellular Phone
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Zip Code
97<::;2.0
o Filing of Candidacy by Declaration, with the Required Filing Fee (ORS 249.056)
Filing Fees: Filing of Candidacy by Declaration
tORS 249.056)
Filing Fee State
Voters' Pamphlet
tORS 251.095)
$3000 or
$600 or
$600 or
$600 or
$600 or
$600 or
$600 or
$600. or
$600 or
Statewide Offices $100
Circuit Court Judge $50
District Attorney $50
County Judge $50
MSD Executive Officer, MSD Auditor $100
MSD Councilor $25
County Office $50
City Office set by charter or ordinance
Justice of the Peace nla
"for cities with a population of 50.000 or mom (ORS 251.005)
Petition Signatures
Required
500
300
300
300
300
300
I~@~/j'
~Filing of candidacy by prospective petition, with the required proposed signature sheet (SEL 121) and the statmrlent one ~e ~j
circulators will or will not be paid tSEL 300) (ORS 249.020) . <..J r: ". lOl(} I!/
o Filing of candidacy by completed petition, with the required signature sheets certified by the appropriate county
elections officials (ORS 249.020, 249.064)
Primary Election
General Election
Filing for Candidacy
First Day
September 10, 2009
June 2, 2010
Withdrawing Candidacy
Filing for State Voters' Pamphlet
First Day
September 10, 2009
June 2, 2010
Primary Election
General Election
Last Day
March 9, 2010
August 24, 2010
Last Day
March 12,2010
August 27, 2010
Last Day
March 11,2010
August 24, 2010
continued on the reverse side of this form
SEL 120
II I
COfY)f\J~R- ek-~~ 1- W~~JtR- -r'f:QJNOtA6'1
Educational Background schools attended, use attachment if needed
Complete Name of School no acronyms . Last Grade level
Completed
~t:g~rry' r::F MUUs.rrrA
\NIVE'R.,s:rry ~' I~A~
Diploma/Degree/Certificate
1M, BA, BS, MA, PhD, etc)
1$14
Course of Study
optiona I
~~ ~NC!"
t\lf.,(S"'fFr<.
Other:
Prior Govemmental Experience elected or appointed
~cs.~ Lb~ G..,-y(PUNG( L-
As,,\.::j \,.ANt:) IS u~G{"T"' CoMntffi&
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AS~~ND ~Cy~ ~ -=FF-P~S~,j U> ~~
By signing this document, I hereby state:
-7 that I will accept the nomination for office indicated
-7 that I will qualify for said office if elected
-7 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
~;==---*-- -
Check the applicable box (not applicable to candidates for federal office - US Senate and US Representative):
By marking this box, I certify I do not have an existing candidate's committee and I do not expect to spend more than $350
or receive more than $350 during each calendar year. I understand I must still keep records of all campaign transactions and
if total contributions or total expenditures exceed $350 during a calendar year, I must follow the requirements detailed in the
Campaign Finance Manual. I-'J'&
o By marking this box, I certify that I have already filed or will soon file a Statement of Organization for Candidate Co ,fttffi~
(SEL 220). For detailed instructions, see the Campaign Finance Manual. ./Cf~~c:!{
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"
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-> This information is a matter of public record and may be published or reproduced.
Ir I
Statement One or More Petition Circulators Will be Paid
SEL 301
rev 01/10: ORS 260.045.
ORS 250.165. ORS 266,135
o Prospective Petition initial filing with filing officer
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. 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 compensated for obtaining signatures. 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.
o Completed Petition signatures submitted to filing officer
By signing this document, I hereby state that no circulators have been compensated on this petition based on the number of
signatures obtained by the circulator.
Signed
Date Signed
Signed
Date Signed
,
Signed
Date Signed
-7 Statement must be signed by the candidate for nomination, the chief sponsor for certificate of nomination, chief sponsor
for Minor political party formation petition or all chief petitioners for an initiative or referendum petition.
Statement No Petition Circulators Will be Paid
SEL 301
rev 01/10: ORS 250.046.
ORS 250.165. ORS 255.166
ORS 255.135
~ Prospective Petition Initial Filing with Filing Officer
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. l/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 any petition circulator will be compensated for obtaining signatures. By
signing this document, I hereby state that no circulators will be compensated on this petition.
o Completed Petition Signatures Submitted to filing officer
By signing this document, I hereby state that no circulators were compensated for obtaining signatures on the attached petition.
Signed
Date Signed
Signed
Date Signed
-7 Statement must be signed by the candidate for nomination, the chief sponsor for certificate of nomination, the chief span.
sor for Minor political party formation petition, or all chief petitioners for an initiative or referendum petition.
IIi I
,CERTIFICATE FOR VOLUNTARY CONTRIBUTION & SPENDING LIMITS
CITY OF ASHLAND AMC 2.41
Candidate
PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK
o Primary 20 ~ General20lQ
o other Election Date
Committee Identification Number
..,
I certify that if I am signing as a candidate, I witl not make attributable expenditures for this election in excess of $3,213.25 (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
ke attribut ble expenditures in this election in excess of $3,213.25.
"-
Candidate or treasurer's signature
Date Signed -.J \- \ 'a-- r 2- I 20 I D
[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 limited to the attributable expenditures specified in this certificate and city ordinance.
Candidate or treasurer's signature
Date Signed
The City Recorder is authorized to publish a statement in the City, indicating whether or not the candidate has agreed to limit
expenditures.
(Authorized Use)
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.
J~@~ll
,JUL 12 ~~1
8 )':. 2010 '1//
. .
...
.......................
-.
CITY Of
ASHLAND
July 12,2010
David Chapman
390 Orchard Street
Ashland OR 97520
A prospective petition has been completed and filed with the City Recorder's Office for City Council
Position #6
has been approved for circulation.
Barbara Christensen
City Recorder
CITY RECORDERITREASURER Tel: 541-488-5307
20 E Main Street Fax: 541-552-2059
Ashland, Oregon 97520 TTY: 800-735-2900
www.ashland.or.us
rj.1
II I
Petition for Nonpartisan Nomination Signature Sheet
o One or More ~ No Petition circulators will be paid (mark one)
This is a candidate nominating petition. Signers of this 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.
C..d;d.t.p,w~ D effMtn A/J Olfi~ ~ u.J. aIL DP6S.' ~t1rUmb.,;f ppn~".{; ~J
To the Secretary of State of Oregon/County Elections Official/City RecoWlr, We, the und~rsigned voters, request the candidate's name printed above, for nomination
to the office indicated, be placed upon the appropriate ballot at the next ~~ election following the filing of this petition. .
7 Signers must initial any changes that they or th~ circulator makes to their printed name, residence address or date they signed the petition
Petition 10
~{O - 0 J
JacK~
~~ I~ ~ DateSlgnedmm/dd/yy
: "Q'~ ~ ?\Ill,UlIO
Print Name Residence or Mailing Address street, city, zip code Precinct # optional
bAv~~ .~~'VlA~f ~() ~~~ As~r~ oe 9l~)..U
3
4
5
6
7
8
9
10
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 qualified
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
I hereby certify .
signatures on this petition are those of active registered voters in
County, Oregon.
O(
Signature of County Elections Official
Date Certified mm/dd/yy
Sheet Number
SEL 121 r.vOl/l00RS249.072
Secretary of State Elections Division 1255 Capitol St. NE, Suite 501, Salem, OR 97310 I p. 503.986.15181 f. 503.373.74141 www.oregonvotes.org