HomeMy WebLinkAboutElection Info: Jud HolteyFILING 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
NAME OF CANDIDATE
NAME SttOULD APPEAR ON BALLOT AS FOLLO/WS
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TELEPHONE (HOME)
WEBSITE
TELEPHONE (WORK)
'~ SECRETARY OF STATE OF OREGON I ~] COUNTY ELECTIONS OFFICIAL OF
FILING FORJ~)FFICE OF ~ ~.~n---~' ~
DISTmCT,'¢~ARTM~ OR POSInON ~;~BE~
RESI ~F SS (s ET/ OUTE, CI~,STATE, ZIP CODE)
COUNTY OF RESIDENCE
MAILING ADDRESS WHERE ALL CORRESPONDENCE WILL BE SENT
COUNTY [~/CITY RECORDER (AUDITOR), CITY OF
OFFICE
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)
STATEWIDE OFFICES $100
CIRCUIT COURT JUDGE $ 50
DISTRICT ATFORNEY $ 50
M_SD EXECUTIVE OFFICER, MSD AUDITOR $100
MSD COUNCILOR $ 25
COUNTY OFFICE $ 50
CITY OFFICE *
JUSTICE OF THE PEACE
· Set By Charter or Ordinance ** For Cities With
[~ Filing of candidacy by PROSPECTIVE petition,
one or more circulators will or will not be paid
i '
[~Filing of candidacy by COMPLETED
officials (ORS 249.020, 249.064).
Primary Election
200;
Filing For Candidacy: First Day April 1, 2001
Filing For Candidacy: Last Day March 12, 2002
Deadline to Withdraw Candidacy: March 15, 2002
Filing For State Voters' Pamphlet: March 14, 2002
of 50,000 or More (ORS 25
$1000
$300
by the
;eneral Election
Candidacy: First Day September 17, 2001
g For Candidacy: Last Day A~agust 27, 2002
adline to Withdraw Candidacy: August 30, 2002
Filing For State Voters' Pamphlet: August 27, 2002
INITIALS
RECEIPT NUMBER
OFFICE NUMBER
FOR OFFICE USE ONLY
CASH OR CHECK NUMBER
CANDIDATE ID NUMBER
PRINCIPAL CAMPAIGN COMMITTEE ID #
SEL 120 REV. 11/01 ORS 249.031
REQUIRED INFORMATION
OCCUPATION (PRESENT EMPLOYMENT - PAID OR UNPAID)
OCCUPATIONAL BACKGROUND (PREVIOUS EMPLOYMENT,- PAID OR UNPAID)
EDUCATIONAL BACKGROUND (SCHOOLS ATTENDED, use attachment if needed)
Complete name of school - no acronyms
Other:
Last grade level I Dipl,0~l~Degree/Certificate ] Course of study (optional)
completed ] (AA( BA,J~S, MA, PhD, etc.)
"-.fL;
I
PRIOR GOVERNMENTAL EXPERIENCE (ELECTED OR APPOINTED) --
~~O'rE: This inf~ ' · '"" "'
~ter of pubhc rec~i~ ~may be published or reproduced.
By si~~document, I hereby state~
THAT I shah accept the nom~ation fo~ ~'$:~iFa K::::~>~D."~-
INAT I shall quali~ for said office if ele~
THAT all ~formation provided by me on ~pation,
governmental experience, is true to the best
Candidate's si na
indicated above:
educational and occupational background, and prior
Date sig~
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 five
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, unless
the person first files a written withdrawal with the officer who accepted the filing (ORS 249.013(2)).
SEL 120 REV. 11/01 ORS 249.031
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 conside~tation 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 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, Re.ferendum 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 signed ~)/,,~/~'~,~
J ~i~ed
*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 30O 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
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SEL 220
Candidate's Statement of Organization
Please type or print legibly in black ink.
1 Primary 20__ General 20
2 This filing is an: ~Ofiginal
Amendment
3 Name of principal campai~ co~i~ee
Co~i~ee address (streeffroute, ci~, state, zip cod~- no post office box numbers
Name of treasurer
Mailing address to which all co~ee co~espondence will be sent
~orkphone number ~me p~one number ~ number E-mail address
4 Name of candidate
Residence address (streeffroute, ci~, state, zip code) - no post office box numbers
Mailing addr~o which all candidate co~espondence will beaut
Work.hone number Home ohone number Fax number E-mail address
Occupation of candidate
Name of omce sought O~lude counW, positio~panment or zone numar, if applicable)
~.. . .
5 Aa~iaaress that may ~sed on polmcal publications (post o~ce box or streegroute, ciW,
~ Pacific Green
~ Repu~' ~ Not a member of a pa~y ~ Other
7 ~o~i.ee intends to solic~nds by (mark all tha2~
~irect mail ~nal contact ~Radio ~on
~nts ~paper ~te ~ Other
Please complete and sign the back side of this form.
ORS 260.037
ORS 260.039
ORS 260.041
exist for more than one year
[-'-] Discontinuation
te., zip code)
8 Committee Directors (if any)
Name Address (including zip code) Occupation Phone Number
If two or more &[rectors of this political co~ittee affe als0 directors of another political co~ittee, list the names of those
directors and the name and address of the other political co~fittee.
By si~ing this document I ac~owledge that I am personally liable for any penalties imposed under ORS chapter 260.
Treasurer's si~atur; 6f differ~~andidate)
Candidate~namre7
Date signed Date signed
Important: Both the candidate and treasurer of a principal campaign committee must sign the Statement of Organization.
Instructions
Filin~ an original Statement of Organization
The completed btm must be filed within three businoss days of first rocoivin~ a contribution or makia~ an expenditure. A date
stamped copy, which includes your identification number, will be returned to you as an acknowledgment of your filin~. NOTE: A
candidate may have only one principal campaign committee.
~ candidate who so~os as the treasurer
A candidate may either seine as the candidate's own treasurer or may appoint a separate treasurer. A candidate who seines as
their own treasurer arid who does not expect to receive or spend more than $300 for the entire election
Statement of Organization or contribution and expenditure repo~s. However, if at any time they exceed $300 in either contributions
or expenditures, they must then file a Statement of Organization and contribution and expenditure mpo~s.
~mendin~ information on this form
Any chan~e in the ink)rmation on this form must be filed within ten (10) days of the chan~e. To ~ti~ tho filin~ officer of a chan~e
information, submit this form, completed in its entirety, and mark tho "Amendment" box.
IIUI _.
You must file a final contribution and expenditure repo~ that shows a zero balance, along ~~mpl~he
"Discontinuation" box marked. The final repo~ may be filed at any time.
Initials Co~ee ID Number
Office Nmber Candi~te ID Nmber
,
....
Certificate of Limited Contributions and ExpenClitures
PC 7
Rex'. 12,"01
Candidate or Political Committee Name:
Treasurer's Name (if different than candidate):
Con~nittee ID Number:
~ Telephone Number:
Mailing Address as it Appears on Statemen, t of Organization (street, route or box number, city, state, zip code):
Ofrice:
Election: [ [--] Primary 20 [~eneral 20 O ~ [--] Other
I, 'X, ff--'~ ~ /~O /./~e~ (name of candidate or treasurer), hereby certify I expect neither
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the aggregate contributions received nor the aggrega~ expenditures made by or on behalf of my candidacy or committee ,+bt this
election to exceed $2,000. I understand that if the committee exceeds $2.000 in total contributions or expenditures during the
election, subsequent detailed reports must be filed.
Signature of
If a candidate or political committee EXPECTS to neither receive a total of more than $2,000 nor spend a total of more than
$2.000 for the entire election, a Certificate of Limited Contributions and Expenditures may be filed. Committees may file this
certificate when they originally file their Statement of Organization or during the first pre-election reporting period. A committee
may not file this certificate tbr a second pre-election, post-election or any supplemental reporting period.
A separate certificate must be filed for each election.
This form cannot be used by chief petitioners of an initiative, referendum or recall petition.
When either the total contributions or total expenditures tbr the election exceed $2.000, detailed contribution and expenditure
repons must be filed. The first detailed report must be tiled for the accounting period in which the committee exceeds $2,000 in
either contributions or expenditures and must reflect all contributions and expenditures to date. Refe:r to the Campaign Finance
Manual for further information.
Deadline dates for filing a Certificate of Limited Contributions and Expenditures or detailed contribution and expenditure reports
MUST BE strictly observed. Under ORS 260.232, the Secretary of State may impose a civil penalty against a candidate or
treasurer for filing a late or insufficient detailed contribution and expenditure report or Certificate of Limited Contributions and
Expenditures.
FOR OFFICE USE ONLY