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HomeMy WebLinkAboutElection Info: Barbara Christensen 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. D INCUMBENT FOR OFFICE OF JUDGE NAME OF CANDIDA TE 8lU1ba.ra.. eMs.t~ FILING FOR OFFICE OF '1YzIet / Tr~ ~ DISTRICT, DEPARTMENT OR POSITION NUMBER NA'ME SHOULD APPEAR ON BALLOT AS FOLLOWS RESIDENCE ADDRESS (STRlET (ROUTE, CITY, ST,\TE, ZIP CODF) BtukCl.rb..- C1vi5J"~ ,5'1 WuJOW ~ ~ OR. Q"'152L) TELEPHONE (HOME) (5tfl)f8A- 3343 FAX TELEPHONE (WORK) (5'1' 1.g~/. 53-07 EMAIL Wstw@a.~arJ.( COUNTY OF RESIDENCE JCt.C./)S<JY) MAILING ADDRESS WHERE ALL CORRESPONDENCE WILL BE SENT .us WEBSITE D SECRETARY OF STATE OF OREGON D COUNTY ELECTIONS OFFICIAL OF __ COUNTY ~ITY RECORDER (AUDITOR), CITY OF _ ~ D FILING OF CANDIDACY BY DECLARATION, WITH THE REQUIRED FILING FEE (ORS 249,056), FILING FEES FILING OF CANDIDACY BY DECLARATION (ORS 24Y,05A I STATE VOTERS' PAMPHLET (ORS 251.095) OFFICE STATEWIDE OFFICES CIRCUIT COURT JUDGE DISTRICT ATTORNEY 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 $100 $ 2:> $ 50 NONF ~ Filing of candidacy by PROSPECTIVE pe one or more circulators will or will not b Filing of candidacy by COMPLETED P officials (ORS 249,020. 249,064), opedy certified by the appropriate co General Election 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 Filing For Candidacy: First Day September 17, 2001 Filing For Candidacy: Last Day August 27, 2002 Deadline to Withdraw Candidacy: August 30, 2002 Filing For State Voters' Pamphlet August 27, 2002 FOR OFFICE USE ONLY INITIALS CASH OR CHECK NUMBER RECEIPT NUMBER CANDIDATE ID NUMBER OFFICE NUMBER PRINCIPAL CAMPAIGN COMMITTEE ID # SFI. 120 RFV 11/01 ORS 249,tJ,11 REQUIRED lNFORMA nON OCC~O~/Tr;;;~R 7;/q~- fU~ OCCUPATIONAL BACKGROUND (PREVIOUS EMPLOYMENI PAID OR UNPAID) rtlut hrd. un ~al1 M Di rJrJ d- ptLto{ EDUCATIONAL BACKGROUND (SCHOOLS A TTEl\'DED, use attachment if needed) Complete name of school - no acronyms Uruv. 0 f- ~jr. Last grade level com '[eted Oi plomalOegree/Certificate (AA, BA, BS, MA, rhO, etc.) Course of study (optional) lJ)t{. a..Y s Other: PRIOR GOVlfNMENT AL EXPERIENCE ~l2 OR APPOINTED) ~ ~rrdd /JrUYULY jqqL(-.~ , , '~ / 11/" ,,\ . ~, !; '~ . '.. 'f'~. \ (r'n, ~:,' \, ,,, \ ~. ',\ ~ 'w .....--N~~,.....J : This informatio 'is a matter of public record and may be published or reproduced. \. I ~ . y signing this document, I hereby state: ~. ..r' THA T I shall acc!'pt the nomination for the offic~inpicated above; .""""..~,,,,",pi(" " THAT I shall qualify for said office if elected; and\\>. '''~..~ _~.....,.... ". THAT all information provided by me on this for~ including m~()n, educational and occupational background, and prior ~'enc~"",,~ k ~/~.2...... Candidate's signature Date signed WARNING: Supplying false information on this form may result in cOI1\'iction 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 11/0l ORS 24".ll11 SEL 220 Rev 11/01 Candidate's Statement of Organization ORS 2611017 ORS 26003Y OR~ 2(>(J.()41 Please type or print legibly in black ink. Primary 20 General 20 02- Other election date D Will exist for more than one year 2 This filing is an: Original D Amendment D Discontinuation 3 Name of principal campaign com.mittee L Bax'ba.va. tki-{ ~ 1U>EA-- 'J(jI/ &~ Ii~y- Committee address (street/route, city, state, zip code) - no post office box numbers 75'7 {)JUJ cwJ .sr ;h;tJtU7 cl O--e 'I 7 5 ~t-C; Name of treasurer su.f Mailing address to which all committee correspondence will be sent 4 Work phone number lf~i/5?167 Name of candidate J}W)tVlA.. Home phone number Fax number E-mail address 1~a ~33'1'3 )1 . .-- . ~i"zt~(>r'\.--- Residence address (street/route, city, state, zip code) - no post office box numbers 757 UJtJ/ow ~CK jf- Cf75..l,u Mailing address to which all candidate correspondence will be sent Work phone number Home phone number Fax number E-mail address Occupation of candidate / ev ~ . Name of office sought (include co nly; position, department or zone ,~ber, if applicable) ,. ~fv; 0 f, . 'ti _ ~ j(.l&rztLr 5 Additional address that may be used on political publications (post office box or street/route, city, state, zip code) ,>>1" < ') /' 'Party affiliation (complete only if filing for partisan office) \0 Democratic . ! D Libertarian '.t", _"II' , Republi9an D Not a member of a party P . icat'committee intends to solicit funds by (mark alii that apply): D Direct mail eJr'yersonal contact D Radio D Events c:1 Newspaper D Website D Pacific Green D Other o Television o Other Please complete amI sign the back side of this form. x Name Committee Directors (if any) Address (including zip code) Occupation Phone Number If 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 t9ft document I acknowledge that I am personally liable for any penalties imposed under ORS chapter 260. /' L i ,/1/--/ " ~/lt1~ ~/ltucY~~/ Treasurer's signature (if different than candidate) ?A!Io~- Date signed Date signed Important: Both the candidate and treasurer of a principal c~lmpaign committee must sign the Statement of Organization. Instructions Filing an original Staltement of Organization The completed form must be filed within three business days of first receiving a contribution or making an expenditure. A date stamped copy, which Includes your identification number, will be returned to you as an acknowledgment of your filing. 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 expenditures, they must then 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 (1 0) days of the change. To not" filing officer of a change in information, submit this form, completed in its entirety, and mark the "Amendment" box. ); ! ~ ~~~,~ I . o' / / ayOmpleted For Office Use Only Discontinuing You must file a final contribution and expenditure report that shows a zero balance, along "Discontinuation" box marked. The final report may be filed at any time. Ini tials Committee ID Number Office Number Candidate ID Number Vl ~ ~~ ::J ~ - f--o ~ ~ a z ~ z 0 ffi ~ooz o...~ @~~ o<m ~ ~ C) t S ~ ~zl- :5<~ f..I..Ua... o~~ ~ Z w f--o<a... cJ~~ ......=w ~ 00 tn ~ s~ ~ ...J U a... L.. Q) .0 E :J Q) Z ro c o 0 ~ c u o I+: f5 ~ ~ W "0 L.. Q) Q) 6 ~ E o g () r-... oQ >;1\ ~~ ~ ~~ Z ~ I- ~I o C'\I Cii L.. Q) C Q) C) ~ I o C'\I ~ ra E 'C a... o Q) Q) E E E o () Cii u E o a... 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Q).......... ........era rau..e U.- ...... .- ..e 01 -g~c co......+= U ra ra ra c .~ 0-0 co n'~ :5Q)>, OOQ)::: -o......() .E~Q) >,c:5 Q) Q) c c ..e .- L........ _ o......c t:coQ) <( -E >.:t:: :::E2 ()=ra Q)~1ii ..e :J ra ...... ...... o'O-t3 c ._ L..Q)- Q) a..o -ox:J L..Q)a. o _ UQ)- Q)_ra "",.o..e L.L.raoo >,UL.. ......:.=Q) G a.-o a.L.. Q) ra 0 :5Q)~ ::::50::: ST A TEME~~O:1BTITION 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. f!vjIMA (j~ ~ fd'A krv 7leaW'lj/ / I Identify Pet~ (Name ottandidate or Minor Political Party on Prospective Petition; or Subject of Initiative, Referendum Petition or J ~, ;l /1; 'N~me of ~ffice~~older on Recall Petition) Signed* !U-f/~ {./~t:...vJi:~ Date signed ~ - h - ()::L. '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 30() REV Il/l11 24H.OO,. ORS 249.1l61. ORS 249.07R. URS 249740. " 2500,,5. ORS 250.165. ORS 250.2h\ ORS 2" 1" Certificate of Limited Con1tributions and Expenditures 1'( " Rc\ 12 III Candi Committel' I D Number: ,J-LJt5e-l1l Treasurer', Name (ifdilTerent than candidate): Telephone Number: 1fg~~)~ 7 Mailing Address as it Appears un Statement ofOrgani/a~ion (street. route or bo, number. city, state, zip codc): 76'1 Wuf,1fW Sfree;6 5tLt/lcl ~~ f 75;2 () Office: ---- ) rta~itf f:-jr- Electiun: D Primary 20 [B'c ieneral 20 t) 2,..- D Other ~at4 {i)vz<j"(jt~ L (name of candidate or treasurer), hercby certit~ I npect neithcr thc aggregate contributions reccived nor the aggregate cxpenditure~ made by or on behalf of my candidacy or cummittee t()r this election tu exceed $2,000. lunder'itand that if the committee exceelb S2,OOO in total contribution~ or expcndi:ure~ during the election, subsequent detailed reports must be filed. If)/ '.\ ~ft)~tiJ/-o&,'~) !;- t ,-C)d-- Signature of candidatc ur treasurer Date, igned · I f a candidate or political committee EXPECTS to neither reeel\ e a total of more than $2.()OO nor ,pend a total of more than S2,OOO for the entire election, a Certilicate of Limited ContrilJutiulb and r.xpenditures may be tiled. Conllr.ittees may file this certificate whcn they originally file their Statement of OrganiDltion or during the tirst pre-eleetiun reporting period. A, committee may not file this certiticate for a second pre-election, poq-elcctlun or any ~upplemental reporting period. . A separate certificate must be tiled for each election. · Thi~ form cannot be used by chief petitIOners ofanlllltiati\e, retCrendumur recall petition. · When either the total cuntributions or tutal expenditures t()J' the election exceed S2,O()(), detailed contributiun and expenditurc reports must be tiled. The first detailcd report must bc tiled fl,r the accuunting period in which the committee excceds 52,000 in either contributiun~ or cxpenditure~ and must retlect all cuntnbutiolb and expenditures to date. ReI'er to till: Campaign Finance Manual for further information. · Deadline dates for tiling a Certiticate of Limited Cuntribution~ and Expenditures or de ' MUST BE strictly obser\ cd. Under ORS 260.232, the Secretary of State may impos treasurer for tiling a late ur insuflicient detailed contributiun and e\penditure repor Expenditures. 'led contribution and expenditure reports enalty again~;t a candidate or e of Limited Contributions and c;:J Z ; 0 " .., ;;: m '..,... ....., o ~ Q [ a '~ a r ... - .., ""TJ r.; " .." ~. :1 ,.... _, 'J :J :J "-' 'f; 3 :ii' '2.~ co 3' 2 ro 3 c ..., 'Jl ~ ;- ~. (') ":l ., ~ co ~ i ~ c::r 'J co 'J ~. 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