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Home My WebLink AboutJoaquin Saloma 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. o INCUMBENT FOR OFFICE OF JUDGE FILING FOR OFFICE OF U 0+ M~ ~ {J(" DISTRICT, DEPARTMENT OR POSITION NUMBER RESIDENCE ADDRESS (STREET/ROUTE, CITY. STATE, ZIP CODE) c;Y' $aJ~ JtZ ~rk ,Sl A,sklG\J\d Or '7 0 TELEPHONE (HOME) Lf' - LI1J) -8(0, TELEPHONE (WORK) COUNTY OF RESIDENCE FAX 0/ EMAIL MAILING ADDRESS WHERE ALL CORRESPONDENCE WILL BE SENT WEBSITE (jt6 )fort A;~\~ Or 6'0 o SECRETARY OF STATE OF OREGON o COUNTY ELECTIONS OFFICIAL OF COUNTY Ilf CITY RECORDER (AUDITOR), CITY OF ~ D FILING OF CANDIDACY BY DECLARA nON, WITH THE REQUIRED FILING FEE (ORS 249.056). FILING FEES flUNG OF CANDIDACY BY DECLARATION (ORS 249.056) STATE VOTERS' PAMPHLET (ORS 251095) OFFICE ST A"I EWlDE OFfICES CIRCUIT COURT JUDGE DISTRICT ATTORNEY COUNTY JUDGE MSD EXECUTIVE OFFICER, MSD AUDITOR MSD COUNCILOR COUNTY OFFICE CITY OFFICE JUSTICE OF THE PEACE * Set By Charter or Ordinance elf Filing of candidacy by PROSPECTIVE petition, with the required proposed signature sheet signed by the candidate (SEL 121) and statement one or more circulators will or will not be paid (SEL 300) (ORS 249.020). $100 $ 50 $ 50 $ 50 $100 $ 25 $ 50 D Filing of candidacy by COMPLETED petition, with the required signature sheets properly certified by the appropriate county elections officials (ORS 249.020, 249.064). Primary Election 2004 FILING DATES General Election Filing For Candidacy: First Day March 31,2003 Filing For Candidacy: Last Day March 9, 2004 Deadline to Withdraw Candidacy: March 12,2004 Filing For State Voters' Pamphlet: March 11, 2004 Filing For Candidacy: First Day September 15, 2003 filing For Candidacy: Last Day August 24, 2004 Deadline to Withdraw Candidacy: August 27,2004 Filing For State Voters' Pamphlet: August 24,2004 FOR OFFICE USE ONLY INITIALS CASH OR CHECK NUMBER RECEIPT NUMBER CANDIDA TE ID NUMBER OFFICE NUMBER PRINCIPAL CAMPAIGN COMMITIEE ID # SEL ]20 REV. 12/03 ORS 249.031 REQUIRED INFORMATION OCCUP A TlON (PRESENT EMPLOYMENT - PAID OR UNPAID) OCCUP A TlONAL BACKGROUND (PREVIOUS EMPLOYMENT _ PAID OR UNPAID) EDUCA TlONAL BACKGROUND (SCHOOLS ATTENDED, use attachment if needed) Complete name of school - no acronyms Last grade level com leted If l ( Di P lorna/Degree/Certificate (AA, BA, BS. MA, PhD, etc.) Course of study (optional) Other: PRIOR GOVERNMENTAL EXPERIENCE (ELECTED OR APPOINTED) J0C Cl'_~C(~v\.\-~~ ~a,3,'~-\--~<3~CS I ~\U-L~~ I ~U~ jV't.~c~~ ~"'t ~ \ ~ (I\. r \ '~I (.,0 f ~ '^ \\--. ~ G$ u v\. ~ \ \ i .' NOTE: This information is a matter of public record and may be published or reproduced. By signing this document, I hereby state: THAT I accept the nomination for the office indicated above; THA T I shall qualify for said office if elected; and THA T all information provides! by n;Ms form, including my occupation, educational and occupational background, and prior governmental experie_nce, is tr to the ;;st of m'y knowledge. ---... /" -4~ Candidate:sslgnature '7- 26~ + 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 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. 12/03 ORS 249.031 0.:0 ro ::;; =-i g:og:::;; 0 1>>...... 0 \~lj - 0 )> -i 0 IS:l roc x...... 3::r ro e-Z '0.> '~.~ 3; 0. ..... 0.> Vi' 3. ro 0.> 0.> ro (") 0'"(") ::r ;::::;.:(0 :J ro 00 :J (") 0. 0.> :J Qj"=roro O:::;;ro(") 0. <-i C),(") ..... ..... 0. roO (") o15'~ ro ro Vl .....(")ro -.:J 0.> 0. ...... !OITI Vl c 0. ~O~Q. x;:+: ~~ ~:J 0.> :J -..".. 3~-<' 0 Vl ..... 0.> 0 lj'< - ~ 0.> O' 3; 0.-< ro::::o :::;;CDro9: ...... S- ::;: 3 ...... ......... CD :J _. 0. ro ~~~ .,., ~ Vl- :J~g:::::o ~ro hl3 ~o.> ...... - 0 0. 0 0 ::T ..... 0- roro _.(") ......CroCD ..... C'D f3~ :J ro .,., ..... 0. -...... (") ......0 ...... 0'" '. . .ljl- to ~ s.. -0 0.> =::ro.>o c..... ro Vl ~- ..... ro (') ro \ :~(o.>; - Q. 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(") 0 lj -. ......... ~ :J e- 0:J ~~ 0 C'D Vlto 0 VI roro :J 0.> to" !l.lX ....., CD lj Z ::::J (")ro c l!) 0.>:J 3 c. :Jo.. 0.;::;.: 0'" ::::J -'C ro VI 0...... ..... - o.>ro C'D CDVl I>> 0 C. -- 0 (")3 - ~'< - ...... ::T ~ C'D ::::J g: C'D ~ 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 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 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; · 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. Jatt4,U'U'\ 5 oJ 0Vlta... -- VV1n naY. -V _. Identify ~~t:~~ I (Na.me of C.andidate or Minor Political Party on Prospective Petition; or // /' /. />/ " ;"-'~TYle of Officeholder on Recall Petition) / / .// "'~~ I ~.// _./.:;> ) S. d~..//. ~ -- Igne ';;~/~ Ny ork~ Date signed C)~7~2;)'.-()LI ,/ (~\ !~ate~igt1?~\' ......'.c. .......... i ;/11 r':.:~~ L,.;, U \<i i r.""; i'" I ~c~leslgnett--l~1 -/Y- _~, 1_ *Statement must be signed by one of the following: · candidate for nomination; · chief petitioner for recall petition; · chief sponsor for certificate of nomination; or · chief sponsor for minor political party formation petition. I -- SEL 300 REV 12/03 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 City of Ashland City Recorder's Office 20 E. Main St. Barbara Christensen. City Recorder Ashland. Oregon 97520 (541) 488-5307 (phone)(541) 552-3059 (fax) Joaquin Saloma 368 York Street Ashland OR 97520 City Hall July 26, 2004 A prospective petition has been completed and filed with the City Recorder's Office for Mayor of Ashland. A petition has been approved for circulation. ~~ Barbara Christensen City Recorder/Treasurer 'Z o -l lTl -l o (') > "Z o a > -l !'!1 "'" ~. o' ::l '" ciQ' ::l .S>> c:- . .. t'D '" , 3 s:: ~ "r:r .t'D < t'D 2.: ;" Q. r:r t'D '0 :il ~ -"0 . go : o' ::l , I"l S>> ::l lif ~~ ~ Q. ~. !T o !T t'D ~::n ~S- (lQ . 0 .... .... n' : t'D .:< n ~ :r ~~ j "C! @ () GJ 3-. ~~ ~ tTJ l' tTJ () >-l 6 z o 'Tl 'Tl Pi :; Vl l' ~. l>> ..,. C .... ro Vl o ~ a: Vl '"Cl ro ::t. ::t. o ~ l>> .... ro =r o Vl ro o ...., l>> ,.., ..,. :;:. ro .... ro Qq Ui' ..,. ro .... ro 0.. <: o ..,. ro .... Vl S' tl >- >-l tTJ () tTJ ::0 >-l ...... 'Tl ...... tTJ tl () o s:: ~ sr o .... ro Qq o ~ CFJ :I: rrl rrl Ioooj Z <::: ~ O:l rrl ~ Ul - ... ./l) /l) ,- n ~ Il.l ::I Q. tool .... 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Main St. Barbara Christensen, City Recorder Ashland, Oregon 97520 (541) 488-5307 (phone)(541) 552-3059 (fax) August 2, 2004 Joaquin Saloma 368 York Street Ashland OR 97520 A completed petition, with the required signature sheets properly certified by the county elections office has been received and is filed with the City Recorder's Office for City Council Position #3. Please let me know if I can be of any further assistance during this upcoming election time. Barbara Christensen City Recorder/Treasurer