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Home My WebLink AboutGary Smith FILING OF CANDIDACY FOR NONPARTISAN NOMINATION PLEASE TYPE OR LEGIBLY PRINT IN BLACK INK. NOTE: This information is a matterof public record and may be published or reproduced. o INCUMBENT FOR OFFICE OF JUDGE NAME OF CANDIDATE FILING FOi);,OFFICE Grjp l rr U.!J~AJc..1 ( DISTRICT, DEPARTMENT OR POSITION \lUMBER NAME SHOULD APPEA Iff/ .tl:r CU4~1 SV'117 PI RESIDENCE ADDRESS (STREET /ROUTE, CITY. STATE, ZII' CODE) 6'3,,:>~ C./oo..raL.. L#..J A':>~L,,""'-I 0 0 (L.. C; 7';)-z.e TELEPHONE (HOME) TELEPHONE (WORK) '188" ~Z.B"Z.. COUNTY OF RESIDENCE J ~ c..J;.s Q .-...J FAX EMAIL MAILING ADDRESS WHERE ALL CORRESPONDENCE WILL BE SENT 7e>."i30)( 3\"'tJ A~H C.,......C oR.. <17':f"Z-J:; WEBSITE o SECRETARY OF STATE OF OREGON o COUNTY ELECTIONS OFFICIAL OF COUNTY ~ITY RECORDER (AUDITOR). CITY OF o FILING OF CANDIDACY BY DECLARA nON, WITH THE REQUIRED FILING FEE (ORS 249.056). FILING FEES fIUNC OF CANDIDACY BY DECL\RA TION (ORS 249.056) STATE VOTERS' PAMPHLET (ORS 251.095) OFFICE ST A THVIDE OFFICES CIRCUIT COURT JUOCE DISTRICT ATTORNEY COUNTY JUDGE MSD EXECUTIVE OFFICER, MSD AUDITOR MSD COUNCILOR COUNTY OFFICE CITY OFFICE JUSTICE OF THE PEACE * Set By Charter or Ordinance Primary Election $100 $ 50 $ 50 $ 50 $100 $ 25 $ 50 NONE ~ Filing of candidacy by PROSPECTIVE petition, with the required proposed signature she one or more circulators will or will not be paid (SEL 300) (ORS 249.020). ~ Filing of candidacy by COMPLETED petition, with the required signature sheets pro officials (ORS 249.020. 249064). 2004 FILING DATES Filing For Candidacv: First Dav 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 FOR OFFICE USE ONLY INITIALS CASH OR CHECK NUMBER RECEIPT NUMBER CANDIDATE ID NUMBER OFFICE NUMBER PRINCIPAL CAMPAIGN COMMITTEE ID # SEL 120 REV. 12/03 ORS 249.031 REQUIRED INFORMATION OCCUP A nON (PRESENT EMPLOYMENT - PAID OR UNPAID) (!.k~Jt.. .f (L<.....l~1t.6 AeJUU'T'SIl""? CUr-' S c.J.. -r~"'"'-'(: OCCUP A TIONAL BACKGROUND (PREVIOUS EMPLOYMENT _ PAID OR UNPAID) <::; iN .ci~." l. M -1- 1'V+'i /'U.... ~Ii\<- Lv"'" J .sA~ '1 c~ I'1...v '--~ EDUCA nONAL BACKGROUND (SCHOOLS ATTENDED, use attachment if needed) Complete name of school - no acronyms Last grade level Oi ploma/Oegree/Certificate Course of study (optional) completed (A~S, MA, PhD, etc.) CAL. 57 ~/e,(..7oN "BA- ft A4: (. rr...., Other: I PRIOR GOVERNMENTAL EXPERIENCE (ELECTED OR APPOINTED) LA) A-~I V-No 11(.8. z yJ!- J (.<.. V J ct 1'i(.7. 1'1 Co <r , i l ! "".,.+ -,...""....... "" ..... ~~,'~, ...... j --4, , NOTE: This info~ation 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 officeindicated above; THAt I shall qualify for said office if elect:d; and ), THA T'all information provided by me on thJ,~, including my occupation, educational and occupational background, and prior governmental experiei"\ce, is true to th.~si of my knowledge. . .' ."'.....".... " 6\...'.. 5:-r,L-(J l1J'1 7" 0,/ Candidate's Sig~t::J 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 CD :::;:; =-1 s:os::::;:; 0 Ill...... 0 ......"0 - 0 ::t> -1 ~~ CD C X...... 3::r (ii' ~ CD Ol Ol CD c-Z Ol ~::::l.O ~ 0. .... OCTO ::r ;:+:([) ::J 00 ::J ::JCD 0. CD ti}=CDCD OS;CDO 0. CD <-1 0. ()(');:+ 0 ro Ol 0. CDO 0 CD C/l ....OCD -.::J Ol ...... z'!:I 0-'-' ~O?rQ X;::+: ~Q~:J 0. 0. 3 -g -<' C/l C 0. 0 "0'< OJ ::J *G\ 0 C/l .... OJ o'~o..z :::::;';CDCD9., ...... ~ ::;: 3-...... - CD ...... Ol CDAl CD TI ..--.. .... CD ::J ::J::6S:Al -. 0. - _.0 ~ ~0 C/l- 5, CD g3~~ ...... 0. 0 0 ::T 0 ::::+Cl)........ _. 0 0- CD CD -.0 ......C CD CD .... C1l .... CD 3-. ::J ~ffi-t TI .... 0. -...... 0 ......0 ...... CT ...... CD "0 - to C Ol =::rOlO c.... CD C/l~- .... n .... -0 CD 3 CD "0 .... ....0. ::E ......o.S. CD CD III CD ::E ~.; Q. CD CD . \;j ~ ;:+ 0 -g, ?r ~.... ::rCT::Jo Ol ~ OJ -.to Z 2: CD CD- C- C/l 3 c.. =::J3 Ol ~~g~ C c: C ::JOC/l ....c;j3 0 C/l :J-h........c.. .... ~ .... ng CD G\ ~ gAlS!:.... Ol ........ =.;::::r _. 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"0 ~ ~ f' 3 C/l lC "Ola ~ ...c::::r 0 "000 2: 000 ...... 00 ...... s: ::s .... . t> l>>iil CD ......0 CD CD ~ C1l 00 \Iii z .... III ........~ ('l C 0. [T1 rJl ::T ......::J 0 3 CD 0 00 )Q (XJ ~ CD CT 0 l: oc- ('I CD ~ ~ c:: "00. .... 0 0 "0 -. 0'0: Ol ::J c- 0::J -..J ~ C1l C/lto ~ Ol 0 0 !!!, CD CD V, -1\-0 ::J Ol lC OlX N Z CD "0 0 -t ~ OCD c C1l Ol:J ()) 3 c.. ::Jo. 0..;:::;: Cf, CT ~ o.:c . CD .... III Ol.... '" - ......CD C1l CDC/l ...c. III 0 ~ c.. -- 0 03 - ~'< - ...... ::T ~ C1l ...... ~ ::r C1l Ol ...... STATEMENT ONE OR MORE PETITION CIRCULATORS WILL BE PAID IjWe 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. JJa, ~ ~~i~ p~eJ ~010rL)4-5 Signed * (Name of Candidate or Minor Political Party on Prospective Petition; or Name of Officeholder on Recall Petition) 6 ~ )_'.-LP Date signed G'-Af ~, "L/ ><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. 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 AsWand. Oregon 97520 (541) 488-5307 (phone)(541) 552-3059 (fax) Gary Smith 535 Clover Lane Ashland OR 97520 City Hall July 9, 2004 A prospective petition has been completed and filed with the City Recorder's Office: for Council Position #5. A petition has been approved for circulation. 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Main St. Barbara Christensen, City Recorder AsWand, Oregon 97520 (541) 488-5307 (phone)(541) 552-3059 (fax) July 23, 2004 Gary Smith 535 Clover Lane 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 #5. Please let me know if I can be of any further assistance during this upcoming election time. Barbara Christensen City Recorder/Treasurer SEL 220 OkS 260'<L17 , kev. 11/03 Candidate's Statement of Organization ORS 260039 i OkS 260.041 I Please type or print legibly in black ink. I Primary 20 General 20~ Other election datc o Will exist for more than one ycar I 2 This filing is an: ~ Original o Amendment o Discontinuation I , 3 Name of principal campaign committee GA-tty SJA-t I 711 M t2C~<'1 L Committee address (streetlroute, city, state, zip code) - no post office box numbers .~.3 :,- C lo \.J EX- LN A5h)~,.., ~ a {2.. 9 7S~ Name of treasurer IS4 Mr. D eNN I.J :>//.1 "97~~ '1 CP~ OMs. Mailing address to which all committee correspondence will be sent 9 '-I 1\/. 77.J.; I< D ST f)5hlJlf-f'.-JO OK.- 17 .)-z-.c Work phone number Home phone number Fax number E-mail address j 'y.z.. /-:'-;2./ 4 Name of candidate []I Mr. 6A/Vi ~rr)J OMs. Residence address (streetlroute, city, state, zip code) - no post office box numbers 535- C/UVUL CN /).5h/~(J Oil. 97S7AJ Mailing address to which all candidate correspondence will be sent p 6 . VC:;X 3/'1 J A 5"'" } f1.N Cl ~tt.. ~7~~ Work phone number Home phone number Fax number E-mail address ~) S"t..{1 VI Be . Z -17 J l../ 88- 31..8'L Occupation of candidate _ CJ..... e e>eo sr ~ I....J.A. ><. cJ ~l^>.a /9dU(K..-r /.$,....., t!o"1..rcJ..7.t4....{ ,./ YG4ke~ Name of office sought (include county, position, department or zone number, if applicable) Vcs 17 lev- #S- C 17'-1 Cou "'-<-I L AS~J~c (It!.. q7~-'Z.4 5 Additional ad.dress that may be used on pblitical publications (PO box or street/route, city, state, zip) Campaign phone number (p, ~. BoxJJCJJ AshJra.~() OY2.. ~7Sz..0 j1..{/ \ <<f~'3'la"L ~ 6 Party affiliation (complete o.nly if filing for partisan office) o Constitution o Democratic o Libertarian o Pacific Green , o Republican ~Not a member of a party o Other .' 7 Political committee intends to solicit funds by (mark all that apply); o Direct mail ~ Personal contact ~ Radio ~Television ~ Events ~ Newspaper o Website o Other Please complete and sign the reverse side of this form. 8 Name Committee Directors (if any) Address (including zip code) Occupation Phone Number _eeJ J ~~ 70 J< L II eVt/2'cJ. C0J15J7A~7 l.J S B '3lfZe b D-JNIf q If 11./. ~ ~ S 5 t, Jc.. ...tJ C P fj- syz. -/ sz../ BII/- WI/ 11II1'-\ .5t)~!J 12~-r(..<..eJ Y8l... ':::,-781 I f two or more directors of this political committee are also directors of another political committee, list the names of those directors and the name and address of the other political committee. By signing this document I acknowledge that I am personally liable for any penalties imposed under ORS chapter 260. fA Treasurer's signature (if different than candidate) J~ lit ~'7 Date si~ned 7 Date signed Important: Both the candidate and treasurer of a principal campaign committee must sign the Statement of Organization. Instructions Filing an original Statement of Or _ The completed form must be fil d within three business days of first receiving a contribution or makin an expendit~A date stamped copy, which includes your Identification number, will be returne 0 you as an acknowledgment 0 your ling. NOTE: A candidate may have only one principal campaign committee. A candidate who serves as the treasurer A candidate may either serve as the candidate's own treasurer or may appoint a separate treasurer. A candidate who serves as their own treasurer and who does not expect to receive or spend more than $300 for the entire election is not required to file a Statement of Organization or contribution and expenditure reports. However, if at any time they exceed $300 in either contributions or expenditur~s, they musUhen file a Statement of Organization and contribution and expenditure reports. Amending information on this form Any change in the information on this form must be filed within ten (10) days of the change. To notify the filing officer of a change in information, submit this form, completed in its entirety, and mark the "Amendment" box. Discontinuing You must file a final contribution and expenditure report that shows a zero balance, along with a co "Discontinuation" box marked. The final report may be filed at any time. For Office Use Only Initials Committee ID Number Office Number Candidate ID Number City of Ashland City Hall City Recorder's Office Barbara Christensen. City Recorder (541) 488-5307 (phone) 20 E. Main St. AsWand. Oregon 97520 (541) 488-5311 !fax) September 28, 2004 Dennis Slattery, CPA Treasurer for Gary Smith Candidate for City Council Position #5 94 N Third Street Ashland, OR 97520 Re: Filing of Contribution & Expense Report period ending September 16, 2004 Oregon Election Law requires complete, accurate and timely disclosure of contributions and expenditures by candidates, principal campaign committees and political committees. The statutes designate a specific schedule for filing reports that must be adhered to and establish procedures for reports that are not submitted as required or for reports that do not comply with ORS chapter 260. The deadline for filing the Statement of Contributions and Expenditures for you, as a candidate for City Council, for the period ending September 16,2004, was no later than September 27,2004. Although there has been no complaint filed regarding a late reporting of contribution and expenditures, it is my responsibility as the City Elections Filing Officer to request that this information be submitted. Please be advised that if a report is not received in my office by October 4, 2004, a request will be submitted to the Secretary of State to impose civil penalties. I would appreciate timeless of reporting and had hoped that you would not be_ having this problem again for this election as you had in the past election. If you have any questions, please feel free to contact my office. Sincerely, Barbara Christensen City Recorder/Treasurer Cc: Gary Smith, candidate Certificate of Limited Contributions and Expenditures PC 7 Rev. 1210:1 Candidate or Political Committec Name: Committee ID Number: ~)i 'I CJ- <t ~ l..)" D(~NlS Telephone Number: Mailing Address as it Appears on Statement of Organization (street, route or box number, city, state, zip code): l< (J .~'{ 3) '1 f .s~ 14v-J.D CdL g 1 <;;;'LO ~'i j- <..ft38' 3Z&<:: Office: Election: o Primary 20 Gencral 20~ D Other I, OAlLi ~ \ LV)- (name of candidate or treasurer), hereby certify I expect neither the aggregate contributions received nor the aggregate expenditures made by or on behalf of my candidacy or committee for 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. C-J ~ d(,{ } I 0 'i Date signed · 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 for 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 for the election exceed $2,000, detailed contribution and expenditure reports must be filed. The first detailed report must be filed 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. Refer 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 Certificatc of Limited Contributions and Expenditures. FOR OFFICE USE ONLY e,' ~DI( ()~