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Home My WebLink AboutGardiner, Mike 08042010 l Secretary of State Elections Division 1255 Capitol St. NE. Suite 501, Salem, OR 97310 I p. 503.986.15181 f. 503.373.74141 www.oregon)/Otes.org Filing of Candidacy for Nonpartisan Nomination ~ This information is a matter of public record and may be published or reproduced. SEL 120 rev 01/10: ORS 249.031 o Incumbent for Office of Judge I Candid_ate Nam I How Na e Should Appear on Ballot ... . I Ml ',~ I Resi:31qdd&~Route Av~ ~ iCltylbhw '-!A~ I ~ I HO;yi/7"~' _ db () ;J I Work Phone I Fax · ~ Em.;' Add.... I W.bma I ItJ m fLet12b I N€t<@ CAAc2Td:. lJer I Mailing Address where all correspondence will be sent, Street/Route I ~e, I City I State I Zip Code I Fil~ for Office of . r.~S dcrl1t ml S >1 t{1e.fO ~ ~5 District or Position Number Zip Code Q75t30 County of Residence ::T~Qr1 Cellular Phone oyt/ 8ft) -J$LR 7 , o Filing of Candidacy by Declaration, with the Required Filing Fee (GRS 249.056) Filing Fees: Filing of Candidacy by Declaration (ORS 249.056) 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 fORS 257.005J Filing Fee State Voters' Pamphlet (ORS 251.095) $3000 or $600 or $600 or $600 or $600 or $600 or $600 or $600. or $600 Petition Signatures Required ~ling of candidacy by prospective petition, with the required proposed signature sheet (SEL 121) and t circulators will or will not be paid (SEL 300) (GRS 249.020) Primary Election General Election Filing for Candidacy First Day September 10, 2009 June 2, 2010 Filing for State Voters' Pamphlet First Day September 10, 2009 June 2, 2010 Primary Election General Election last Day March 9, 2010 August 24, 2010 last Day March 11,2010 August 24, 2010 Withdrawing Candidacy last Day March 12,2010 August 27, 2010 continued on the reverse side of this form SEL 120 Occupation present employment - paid or unpaid -r~~khm ~~qZ- Occupational Background previous employmen - paid or unpaid 'fRee, ~~ -1~&.fe7IL~ ~ f1~t'1I~ ~tlyi(S5{~ Educational Background schools attended, use attachment if needed Complete Name of School no acronyms . Last Grade Level Completed OO\ZlItIZ;J1 o+- GlIiAt<;utlk Diploma/Degree/Certificate 1M, BA, BS, MA, PhD, etc) t3S Course of Study optiona I 8ust M~ Ad,.,,, n Other: I PriO'~~~~E~~~k~= I ~~.3a;'m..~;r~~~;i',ne~::...._~~~il!mffigr~3mtE5=~lgr~~~~~;gg:~..5f~2ir'EmfUi!~~~~ih'1fLgf"ar:mEffig::g1iffi:~i~~t~7;fut'€iiiffiiE-:iillg*~j!Eif~.$gii~~~~1i~~-*,~'lgEl51gE-:t.!f;1um;r,s;ga;L:;.~,.$.~ ,1;f~~JEi=_'H-mm By signing this document, I hereby state: -7 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): ~ 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. o By marking this box, I certify that I have already tiled or will soon file a Statement of Organization for Candidate Committee (SEL 220). For detailed instructions, see the Campaign Finance Manual. ?ti~~ ..:~idate's ignat re .L!:>. _ g>~;'lO ~ =~t~gne~~,,""~_____, ~ This information is a matter of public record and may be published or reproduced. Statement One or More Petition Circulators Will be Paid SEL 301 rev 01/10: QRS 250.045. ORS 250.165. ORS 255.135 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 -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 255.165 ORS 255.135 o 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. 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. vV . bCU'~ . . .lh.~ Signed . , . #. Date Signed ................. ............. Signed Signed Date Signed ~ ~~~~ -'-"~--~~:l~~~~~..~~~~g~1t~'!!h.~~..g~.. -7 Statement must be signed by the candidate for nomination, the chief sponsor for certificate of nomination, the chief spon- sor for Minor political party formation petition, or all chief petitioners for an initiative or referendum petition. . CERTIFICATE FOR VOLUNTARY CONTRIBUTION & SPENDING LIMITS CITY OF ASHLAND AMC 2.41 PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK ~andidate 0 Political Committee Candidate or Political Committee Name (e., (2.d (Yt .e.(2. Treasurer's Full Name o Primary 20 ~General 2010 o other Election Date Committee Identification Number T:lyje NUmr;")~(.~ Address (street or route, city, state, zip code ~(l. ~/ ~lS.S(oY\ OL C(15;;-D ~5 .'" 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 suppo not make attributable expenditures In this election in excess of $3,213.25. Date Signed fJ/cf/IO [NOTE: If the candidate or committee treasurer elects NOT to be bound by the expenditure limitations, the following line should be signed Instead of the line above.] I elect not to be limited to the attributable expenditures specified in this certificate and city ordinance. Candidate or treasurer's signature Date Signed The City Recorder is authorized to publish a statement in the City, indicating whether or not the candidate has agreed to limit expenditures. (]AhOriZed Use) ~~@~J1VP . . AU6 '1J::j 8 Y: ...f:.~~:~..~ If the City Recorder or the City Attorney finds that a candidate filing a declaration of limitation on expenditures has exceeded the applicable expenditure limit, at the next election at which the candidate is a candidate for election to public office, the City Recorder shall publish a statement, in the City, indicating that the candidate violated a previous declaration- of limitation. Petition for Nonpartisan Nomination Signature Sheet Petition 10 ~/D-OI o One or More No Petition circulators will be paid (mark one) This is a candidate nominating petition. Signers of this page must be active registered voters In the following county: Note to Candidate: Petition signatures must be verified before the petition can be filed with the filing officer-. Submit the petition in ample time for the process to be completed before Spm on the filing deadline day. Jacts ~ ~'.n~\~ 2 Candidate' Name /..... _ J _ ... I\." ~ I A'" J Dist~~O! puitin ~~~b.~r i! a~plicable ~ GUA'\..e.r 0 f n~ IV'-- r tlJt.I-. lAJYrtIfUt5$i{ IYJ . To the Secretary of State of OregonlCounty Elections Official/City Recorder, We, t e undersigned voters, request the candidate's name printed above, for nomination to the office indicated, be placed upon the appropriate ballot at the next .;)<)1 () election following the filing of this petition. ~ Signers must initial any changes that they or the circulator makes to their printed name, residence address or date they ~gned the petition Date Signed mm/dd/yy Print Name Residence or Mailing Address street, city, zip code Precinct # optional ~/'f(IO ~i~~Q-;().ai/~eL ~3t1q f)~8Pk ~/D~ q~ ~5 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. Warning! Falsely signing this statement may result in conviction of a felony with a fine of up to $125,000 andlor prison for up to 5 years. (ORS 260.715) . Circulator Signature Date Signed mm/dd/vy Printed Name of Circulator I hereby certify signatures on this petition are those of active registered voters in County, Oregon. I Signature of County Elections Official Date Certified mm/dd/vy Sheet Number . ... IIIIII"""/:' J "" '" "11""".: "'-"U!1m,,", lIIIll.llI= 11' """'11' : .",1/1'''' "r..I:1"'" . .",..m.. "'" "...".......'......,...' lo11ffltumllnu..,,,,. ,.. mllm.. <n'" ........'IlIl..II...1U ,",,101 Itt." "..,....."', 'II "".."......' ....... IUO .. ',It n. SEL 121 r..OIl100RS24..072 Secretary of State Elections Division 1255 Capitol St. NE, Suite 501, Salem, OR 97310 I p. 503.986.15181 1. 503.373.74141 www.oregonvotes.org CITY Of ASHLAND August 4, 201 0 Mike Gardiner 349 Orange Ashland OR 97520 A prospective petition has been completed and filed with the City Recorder's Office for Parks Commissioner Position #5 as 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 r~'