HomeMy WebLinkAboutNavickas, Eric 08042010
I ~~;S:;~:;~:::;;:;;~:~:~~::I~::;:;t::""'_O~'~0<9 SEL 120
l rev 01/10: ORS 249.031
~ This information is a matter of public record and may be published or reproduced.
I 0 Incumbent for Office of Judge
[Candidate Name
I fc.
IHow Name Should Appear on Ballot
I Ute N4ViC t:.A S
IResidence Address, Street/Route
I 3&13 Y2.- (oNA ST.
ICity
I A~HL-4N.D.
iHome Phone
I Sill- 'fB Z- 2<7 (p 1 . Sf /. 32 i ' e:r 1)3"
I Fax I Email Address ~ Website
I !if/A ~"'IC@C(){)/tc//' ~5j~cI. "r. tlS
I Mailing Address where all correspondence will be sent, Street/Route
I 3CQ3 k IONA 5r,
iCity A 51-1 LI1-N D I State I Zip Code
Filing for Office of
~
District or Position Number
:If 2-
State
tft-
Zip Code
71720
Work Phone
County of Residence
,-
o Filing of Candidacy by Declaration, with the Required Filing Fee (ORS 249.056)
Filing Fees: Filing of Candidacy by Declaration
(ORS 249.056)
Filing Fee State
Voters' Pamphlet
(ORS 251.095)
$3000 or
$600 or
$600 or
$600 or
$600 or
$600 or
$600 or
$600. or
$600 or
Petition Signatures
Required
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 more (ORS 257.005J
~~iling of candidacy by prospective petition, with the required proposed signature sheet (SEL 121) and the stat~t 0
circulators will or will not be paid (SEL 300) (ORS 249.020) . S J _ ~
r; ,
10 Filing of candidacy by completed petition, with the required signature sheets certified by the appropriate co'bQ!y
elections officials (ORS 249.020, 249.064) "
.' ,
,
Primary Election
General Election
Filing for Candidacy
First Day
September 10, 2009
June 2, 2010
Filing for State Voters' Pamphlet
Rrst Day
September 10, 2009
June 2, 2010
Primary Election
General Election
last Day
March 9, 2010
August 24, 2010
last Day
March 11,2010
August 24, 2010
Withdrawing Candidacy
'"
,
,
Last Day
March 12,2010
August 27, 2010
continued on the reverse side of this form
SEL 120
I ~. I
Occupation present employment - paid or unpaid
t?L.~A"'fC F/fI!JVl~. c;Al-{; EI!-'-f
Occupational Background previous emploYment - paid or unpaid
#lNE,e
I
P6sf6"N~
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Educational Background schools attended, use attachment if needed
Complete Name of School no acronyms ' Last Grade Level
Completed
Diploma/Degree/Certificate
(M, BA, BS, MA, PhD, etc)
Course of Study
optiona I
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GLAPtJA TE. [)
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A Pel! / Tee l'V,Ge
Other:
I Prio, Govemmenta' Exporieo.. elect'" .. .ppo;nt'"
A5IltA-/JP CIT'I C'()f)NCIt--
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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
Check the applicable 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 $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.
fPBY marking this box, f certify that I have already filed or will soon file a Statement of Organization for Candidate Committee
(SEL 220). For detailed instructi see the Campaign Finance Manual.
-~~~~~
D
-7 This information is a matter of public record and may be published or reproduced.
~tatement One or More Petition Circulators Will be Paid
SEL 301
rev 01/10: ORS 260.045.
ORS 250.165. OAS 256.135
o Prospective Pe~ition 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
~ 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 260.166. ORS 266.166
ORS 266.136
~P"^spective Petition Initial Filing with Filing Officer
~~e hereby declare no 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 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
t)
/~
Date Signed -stU ~ A
<9 J.: 'S~
Signed . . Date Signed' ~
:~-:;:==::;;~-:==;::;;;;';;~=~:;:':::;:::::~:::;==;n~t~~;~'" ..
sor for Minor political party formation petition, or all chief petitioners for an initiative or referendum petition.
.
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CITY OF
ASHLAND
August 4,2010
Eric Navickas
363 ~ Iowa Street
Ashland OR 97520
A prospective petition has been completed and filed with the City Recorder's Office for City Council
Position #2.
s 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 ffi: 800-735-2900
www.ashland.or.us
~~,
CERTIFICATE FOR VOLUNTARY CONTRIBUTION & SPENDING LIMITS
CITY OF ASHLAND AMC 2.41
PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK
~ Candidate 0 Political Committee
Candidate or Political Committee Name
o Primary 20
.Il!- General 20,42
o other Election Date
Committee Identification Number
Treasurer's Full Name
( (
Address (street or route, city, state, zip code)
)t ~ 5 .
Office of Filing
Telephone Number (day)
( -
I certify that if I am signing as a candidate, I wit! not make attributable expenditures for this election in excess
campaign committee), or, If I am signing as a treasurer of a political committee organized exclusively to supp
not make attributable expenditures in this election in excess of $3,213.25.
D.:~1.jtO
[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!g@!gl(I?f>
4U6 WIJ;/ii)
8 r.. ____ -- '1 2010 /I!J
Petition for Nonpartisan Nomination Signature Sheet
o One or More r5l No Petition circulators will be paid (mark one)
This is a candidate nominating petition. Signers o.f 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.
Petition iO ?-OI 0 - 0 I
J~d'S-c)/l
c.ndl~~l~m. ()CW[tkas o,fih-eJMd o;st'lctD&1tIDnp;~Z:bl'
To the Secretary of State of OregonlCounty Elections Official City Rec9fper, We,_ t!2.e lfdersigned voters, request the candidate's name printed above, for nomination
to the office indicated, be placed upon the appropriate ballot at the next ~~ z.o 1 0 election following the filing of this petition. .
-7 Signers must initial any changes that they or the circulator makes to their printed name, residence address or date they signed the petition
Date Signed mm/dd/yy
Print Name
Residence or Mailing Address street, city, zip code Precinct # optional
~"20
1
2
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
Circulator's Address street, city, zip code
I hereby certify
signatures on this petition are those of active registered voters in
County, Oregon.
01
Signature of County Elections Official
Date Certified mm/dd/yy
Sheet Number
SEL 121 ,.... 01110 ORS 249.072
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