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HomeMy WebLinkAboutElection Info: Corky Gardner FILING OF CANDIDACY FOR NONPARTISAN NOMINATION PLEASE TYPE OR LEGIBLY PRINT IN BLACK INK. NOTE: This information is a matter of public record and may be published or reproduced. [~ INCUMBENT FOR OFFICE OF JUDGE FILIN(~, FOR OFFICE OF ,......ou,"', r....; g NAME OF CANDIDATE DISTRICT, DEPARTMENFP OR POSITION NUMBER NAME SHOULD APPEAR ON BALLOT AS FOLLOWS RESIDENCE ADDRESS (STREET/ROUTE, CITY, STATE, ZIP CODE) TELEPHONE (HOME) TELEPHONE (WORK) COUNTY OF RESIDENCE FAX EMAIL MAILING ADDRESS WHERE ALL CORRESPONDENCE WILL BE SENT · .__ WEBSITE F--] FILING OF CANDIDACY BY DECLARATION, WITH THE REQUIRED FILING FEE (ORS 249.056). FILING FEES FILING OF CANDIDACY BY DECLARATION STATE VOTERS' PAMPHLET (ORS 249.056) (ORS 251.095) OFFICE STATEWIDE OFFICES $100 $1.000 CIRCUIT COURT JUDGE $ 50 MSD EXECUTWE OFFICER, MSD AUDITOR *100 /]' ~l~.~ll~~~~1111~ ~'~-- MSD COUNCILOR $ 25 JUSTICE OF THE PEACE NONE / Tt By Charter or Ordinance ** Por Cities With a Population of S0,000 or More (OaS 251.0~J~lll~~ -~' ~ y.~l t [~t Filing of candidacy by PROSPECTIVE petition, with the required proposed signature shee~~L 1~~ qemen one or more circulators will or will not be paid (SEL 300)(ORS 249.020). //b~l~ ~~~--~1~ [~Filing of candidacy by COMPLETED petition, with the required signature sheets prOpeofficials (oRS 249.02o 249.0~4). l~jH]~e~,~~~ed by the appr 't~c~1 'ns ,00 Filing For Candidacy: First Day April 1, 2001 Filing For C~~ First Filing For Candidacy: Last Day March 12, 2002 Filing For Candidacy:'~/~v~Augus[27,20~2 Deadline to Withdraw Candidacy: March 15, 2002 Deadline to Withdraw Candida~ ~,2OO2 Filing For State Voters' Pamphlet: March 14, 2002 Filing For Stat~s rnp~et.' August-"2g, 2002 FOR OFFICE USE ONLY INITIALS CASH OR CHECK NUMBER RECEIPT NUMBER CANDIDATE ID NUMBER OFFICE NUMBER PRINCIPAL CAMPAIGN COMMITrEE ID # SEL 120 REV. 11/01 ORS 249.031 .. REQUIRED INFORMATION OCCUPATION (PRESENT EMPLOYMENT - PAID OR UNPAID) C.~x(\(~c~ ?co~{ft~f o-'k ~20 ~Ce%c~W~o~- OCCUPATIONAL BACKGROUND (PREVIOUS EMPLOYMENT-- PAID OR UNPAID) EDUCATIONAL BACKGROUND (SCHOOLS ATTENDED, use attachment if needed) Complete name of school - no acronjmas Last grade level I Diploma/Degree/Certificate Course of study (optional) completed (AA, BA, BS, MA, PhD, etc.) I Othen ..... PRIOR GOVERNMENTAL EXPERIENCE (ELECTED OR APPOINTED) inl~,o~r~.' ~tion is a matter of public record and may be published or reproduced. thik 'd'6cument, I hereby state: "}, shall accept the nomination fo'¢*tl~:~ ~fice indicated above; ualify for said ,o,~a,4f elected .informatio_n..~v'Fcled by rne including my occupation, educational and occupational background, and prior of my knowledge. signature Date signed WARNING: Supplying false information on this form may result in conviction of a felony with a fine of up to $100,000 and/or prison for up to fi~ years. (ORS 260.715). No person shall file a nominating petition or declaration of candidacy for more than one lucrative office before the date of the primary election, t' the person first files a written withdrawal with the officer who accepted the filing (ORS 249.013(2)). SEL 120REV. 11/01 OI STATEMENT ONE OR MORE PETITION CIRCULATORS WILL BE PAID 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 tenth day after I/we first have ~mowledge or should have had knowledge that no petition circulator will be paid for obtaining signatures. Identify Petition (Name of Candidate or Minor Political Party on Prospective Petition; or Subject of Initiative, Referendum Petition or Name of Officeholder on Recall Petition) Signed* Date signed Date signed Date signed *Statement must be signed by one of the following: · candidate for nomination; · all chief petitioners for initiative or referendum petition; · chief petitioner for recall petition; · chief sponsor for certificate of nomination; or · chief sponsor for minor political party formation petition. STATEMENT NO PETITION CIRCULATORS WILL BE PAID I/We hereby declare no petition circulator 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 tenth day after I/we first have knowledge or should have had knowledge that one or more petition circulators will be paid for obtaining signatures. Identify Petition (Name of Candidate or Minor Political Party on Prospective Petition; or Subject of Initiative, Referendum Petition or Name of Officeholder on Recall Petition) Signed* Date ~a~ ~e~ *Statement must be signed by one of the following:· candidate for nomination; · all chief petitioners for initiative or referendum petition; · chief petitioner for recall petition; · chief sponsor for certificate of nomination; or · chief sponsor for minor political party formation petition. SEL 300 REV 11/01 ORS 248.008, ORS 249.061, ORS 249.078, ORS 249.740, ORS 249.865, ORS 250.045, ORS 250.165, ORS 250.265, ORS 255.135 · © > > 0 Z 0 Z Z Z 0 Z Z 0 Z 0 Z o o z . C) Z C) ~< < ~' >c~ © > > > '-']Z 0 Z 0 Z z c~n · ~ Z © Z '%, 'i