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Home My WebLink AboutJim LewisJAMES D LEWIS PARKS COMMISSION, POSITION 2 2004 REQUIRED INFORMATION OCCUPATION (PRESENT EMPLOYMENT - PAID OR UNPAID) C-rEN. COt-\~,R~ G. + lO~l CoV\ t""-AG -\- OR. OCCUPATIONAL BACKGROUND (PREVIOUS EMPLOYMENT - PAID OR UNPAID) EDUCA TIONAL BACKGROUND (SCHOOLS ATTENDED, use attachment if needed) Complete name of school - no acronyms Last grade level Diploma/Degree/Certificate com leted (AA, BA, BS, MA, PhO, etc.) c..L.:i=>./ELAI'-.\,D GhOOI l2. &hoo} Course of study (optional) 0-EN. Other: PRIOR GOVERNMENTAL EXPERIENCE (ELECTED OR APPOINTED) . A'S h ~o ~d ,\4 ~~ toft \ <.. Co VV\ VY'd ~ b \ 0 V'\ \~\,\~\.);,\,... _.--'-'"'-"."'''''''''''~' ..\ .~.~ .,........','~ , ~ 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 nominati~t1ieoffice indicated above; THA T I shilll qualify ~Jr said office if elected; and THAT all information provided by me on this form, including my occupation, educational and occupational background, and prior governmental experience, is true to the ,of my knowledge. (0-10'04- Date signed WARN G: 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)). 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CI> U ..0 .;:, -t) Vl CI> "-::J OCll..c= "0 .- E CI> CI) "- Cl>CI>::J+-, O+-' U +-',+- 0 U.- ~~ a> 0 "0 +-'CIl+-' .s::. +-' 0 ro-ECIl CI>"O C jgu~ - "0 CI> U o:::~ +-'uc CIl 0 CI> iJCI>2'E .o-g:E,2 +-'- ro 0 ~g, Lij""':" C c':: rot:::: >,0.. +-' "0 +-'UCI> ~>< O"Ooro :.e 'u I-~ U "0 ~~'EO OCl> Cl>U"- ~ ~.~ CI> 00 CI> C CIl CI> 13.~ CI>~ Cl>CI>=CIl ..cu..ou "-..c z..c CI> CIl ..cE +-'X::JCI> _ o..+-, ......10 0 ~:So:S 1-= ~ CI> 0.."0 STATEMENT ONE OR MORE PETITION CIRCULATORS WILL lBE 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 flling 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. 'PA12kS (OMtv\ ~ 2- Identify Petition didate or Minor Political Party on Prospective Petition; or Name of Officeholder on Recall Petition) Signe Date signed 0' \0-04-- *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 petit SEL 300 REV 12/03 ORS 248.IJ08, 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) Jim Lewis 640 A Street Ashland OR 97520 City Hall June 10, 2004 A prospective petition has been completed and filed with the City Recorder's Office for Park Commission Position #2. A petition has been approved for circulation. 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OJ -E Q) .... ..8, Q) .n -0 ~ 'C Q) > Q) .n. ~ <J") :l S' ~ <J") Q) ..... ......l .2 -<r: ~ . c 0 blJ .;;; tI:: c P-. :-9 0 Z "t P-. 0 >i.i E::: f-o U -< ~ Cl ......l ~ P )~ z. -< >U....... U ~u 0 ::>'- f-<~ f-o w -<r:z f-o z::> 0 00 z, tnu :>-. :::: ..... .... OJ u :>-. ~ .... OJ ...c:: City of Ashland City Hall City Recorder's Office 20 E. Main St. Barbara Christensen, City Recorder Ashland, Oregon 97520 (541) 488-5307 (phone)(541) 552-3059 (fax) June 22, 2004 Jim Lewis 640 A Street AsWand 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 Park Commission Position # 1. Please let me know if I can be of any further assistance during this upcoming election time. /~~ Barbara Christensen City Recorder/Treasurer Certificate of Limited Contributions and Expenditures PC 7 Rev. 121m Candidate or Political Committee Name: Committee ID Number: LEw\S Treasurer's Name (if different than candidate): Telephone Number: 54- I - L..\<02 -I , 13 Mailing Address as it Appears on Statement of Organization (street, route or box number, city, state, zip code): b40 A ST AS~ l)f\d OR Cll -2{.) OfficepA ~ K S Co~ .~ ~ Election: o Primary 20 o General 20 d o Other I, ,--)AMES l..1:..'WtS (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:,<\o,04 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 ma impose a civil penalty against a candidate or treasurer for filing a late or insufficient detailed contribution and expenditur rtificate of Limited Contributions and Expenditures. ~ FOR OFFICE USE ON