HomeMy WebLinkAboutRobert E. SimisonCITY OFFICE
CERTIFICATION OF CANDIDATE FILING TO COUNTY CLERK
CITY CLERK
Upon receipt of the Declaration of Candidacy along with the Petition of Candidacy:
1. Verify the qualifications of the Candidate.
2. Verify that the Petition of Candidacy is signed by not less than 5 electors and has been certified by the County Clerk's Office.
a. If the Petition of
Candidacy was not
verified by the County Clerk prior to submission
to your
office, deliver the
original
petition
to the
County
Clerk's
Election
Office
to
have 5 electors
verified
that
they
are
properly
registered
electors.
b. If the electors are required to be residents within city limits, verify that the electors reside within the correct city limits.
3. Stamp or write the date and time of receipt on the front of the Declaration of Candidacy and Petition of Candidacy.
4. Complete the fields and statement below.
5. Transmit a copy of this Certification along with a copy of the Declaration of Candidacy to the County Clerk for ballot preparation.
CANDIDATE NAME BEING CERTIFIED TO THE COUNTY CLERK
Candidate Name (As it will appear on the ballot.)
Robes+ . C 150e,
OFFICE INFORMATION FOR BALLOT PLACEMENT
Filing for the Office of:
M 0(00�
City Name:
Meridian
Term -length, seat or position
(if applicable):
CERTIFICATION
11 Chris Johnson certify that the qualifications of the candidate listed above have been verified, including the validity
of the electors signing the Petition of Candidacy, and that the individual meets the requirements to run for the office indicated above and on the attached
Declaration of Candidacy to be voted on at the Election to be held on the 7th day of November 12023,
Signature of the ler or eprese tati e of the District: Dated:
8/2 2 a 23
IMPORTANT
1. Verification of the candidate's qualifications and the validity of the signers of the petition should occur immediately upon receipt of the
filing. This allows the candidate time to correct any errors in the filing.
2. Certification to the County Clerk should occur upon the verification of the candidate's qualifications and the validation of the signers of
the petition. To assist the County Clerk in ballot preparation, do not HOLD these until the last day of filing.
Revised 12/15/2022
CITY OFFICE RECEIVE 2 8 2023
DECLARATION OF CANDIDACY
Or t, M DEAN
Idaho Code 34-701(2) now requires phone numbers to be provided. Idaho Code 34-704(4) S � f
that all information in declarations of candidacy shall be made publicly available upon requ . CLERKS OFFICE
y
CANDIDATE FILING PERIOD (/.c. 50-410)
Opens:
August 28,
2023 (8:00
am)
Closes:
September
8, 2023 (5:00
pm)
CANDIDATE WITHDRAWAL DEADLINES (f.c. 3a-14o5A)
September 22, 2023 (5:00 pm)
OFFICE INFORMATION
Filing for the Office of:
City Name:
Term length, sub -district,
zone, seat or position:
(if applicable)
a,y or-
%Yl�c'iciia,�
LI y�a�"S
CANDIDATE INFORMATION
_
Candidate Name (As it appears on your voter registration record.)
Candidate Phone
First
Igo Ws,
MI Last
m i sor/
Suffix
.2 c - 3q(o- 77 s"
Residence Address (As it appears on
your voter registration record.)
Street Address
413(o3 J. Mar's&1c-
City
i}vw(w. ftleriJ6060
State
SQ
Zip Code
83(pqa
County
Ad0.
BALLOT NAME
Write your name exactly as you would like it to appear on the ballot
HOMESTEAD EXEMPTION p.c. 34-1o�I2], 34-701(3J)
Have you, or your spouse, claimed a homestead exemption? 'Yes ❑ No
If Yes, Please List the Address
Street Address City State
�/� 6 3 S . �1'Y1arS� la. Avensue. �Y1�1�f Z axe! iSO
Zip Code
c`S' 36 y�-
Coun
�k'
CAMPAIGN FINANCE INFORMATION _
LF I do hereby certify that I am a registered elector of the State of Idaho and appoint myself as treasurer for my campaign. If any campaign
finance contributions or expenditures reach or exceed $500, 1 will create a Campaign Finance account with the Secretary of State, and may
at that time, appoint another person as Treasurer or remain as my own Treasurer.
CERTIFICATION
I, the undersigned, being a resident of the State of Idaho and oft a city listed above, do hereby declare myself a candidate for the office entered
above to be voted on at the Election to be held on the _� day of �pVp,�n��(" , 2023 and I certify that the information on this Declaration is
true and accurate.
I further certify that I possess the legal qualifications to hold said office. I submit herewith the filing fee of ($40.00), or in lieu of the filing fee the
nominating petition containing the five (5) signatures of qualified electors as statutorily required.
Dated:
nd svaorn 9��e�bre me
Signatu
Notary
My Commission
daho, residing at
Candid
�; pUB LICQO
re
'•. 10P
EC-3A -Declaration of Candidacy for City Offices —Approved by the Idaho Secretary of State Revised o4i1v2o23
CITY OFFICE
PETITION FOR CANDIDACY
CANDIDATE FILING PERIOD p.c. 50410l
Opens: August 28, 2023 (8:00 am)
Closes: September 8, 2023 (5:00 pm)
CANDIDATE WITHDRAWAL DEADLfNES (f.c. sa-f4o5al
September 22, 2023 (5:00 pm)
CANDIDATE INFORMATION
Candidate Name (As it will appear on the ballot.)
Cb t2 �'�" �. � I Y11► �.1n1
RECETVE.D
AUG 2 8 2023
CITY Ot-'`:virr tint
CITY CLERKS OFFICE
OFFICE INFORMATION
Filing for the Office of:
City Name: I
ICLII�
Term length, sub -district,
zone, seat or position:
(if applicable) I J
ari
This petition must be filed in the office of the appropriate city clerk with the Declaration of Candidacy on or before 5:00 p.m. on
the last day of filing for the Election at which you are desiring to participate in. The submitted petition must have affixed thereto
the names of at least five (5) qualified electors which reside within the city.
SIGNERS STATEMENT
I, the undersigned, being a
qualified elector of the city listed above in
the State of Idaho, do hereby certify
and declare that I resid t jlle place set
opp s to my na e, and that I join in the
petition of the candidate for the office
listed above, to be voted for at the election
to be held or the
day of
�d11C , 2023,
and that each for himself says: I have personally signed this petition; I am a
qualified elector of the State
of Idaho and my
residence address is correctly written
after my name.
Sig re of Petiti
Printed Name
Residence Address
Date Signed
1. - - --- --
��-
2.a.
rhosJZ15m
r� ,
31
4.
SS20cl
53ol,
5.
6. —owr
ft
I S-i—
OS ' s S .
83
Z3
e 0 K.04fz Iv
6t E wn9L �w„.�Or
83<</ Z
8 4 /2-3
CERTIFICATION
State of Idaho ��
County of
I, i W , being first duly sworn say: That I am a resident of the State of Idaho and at least eighteen (18) years of age: that every
person who signed this sheet of the foregoing petition signed his or her name thereto in my presence: I believe that each s tated his or her name address
and residence correctly, that each signer is a qualified elector of the State of Idaho, and a resident of the county of !G.
Address:
r-I 1112 C` b.tr )L.r: a i
Subscribed
Notary Sig
Notary Public in
me
State of Idaho, residing at
My CommissioN Expires: �r�/h
EC-3B -Petition for Candidacy for City Offices —Approved by the Idaho Secretary of State Revised o4nt/2o23
CITY OFFICE
PETITION FOR CANDIDACY
CANDIDATE FILING PERIOD (f.c. 50410)
Opens1
August 28,
2023 (8:00
am)
Closes:
September
8, 2023 (5:00
pm)
CANDIDATE WITHDRAWAL DEADLINES (r.c. sa-�4o5A1
September 22, 2023 (5:00 pm)
CANDIDATE INFORMATION
Candidate Name (As it will appear on the ballot.)
1..
OFFICE INFORMATION
Filing for the Office of:
City Name:
Term length, sub -district,
zone, seat or position:
(if applicable)
,RECEIVED
AUG 2 8 2023
CITY Or k.>W ux
CITY CLERKS OFFICE
1600
y YtAa
This petition must be filed in the office of the appropriate city clerk with the Declaration of Candidacy on or before 5:00 p.m. on
the last day of filing for the Election at which you are desiring to participate in. The submitted petition must have affixed thereto
the names of at least five (5) qualified electors which reside within the city.
SIGNERS STATEMENT
I, the undersigned, being a qualified elector of the city
listed above in the State of Idaho, do hereby certify and declare that I reside at t e place set
oppps}i)e�
my naTe, and that I join in the petition of the candidate
for the office listed above, to be voted for at the election to be held on the _ day of
f\/V
CW% ptir 2023, and that each for himself says:
I have personally signed this petition; I am a qualified elector of the State of Idaho and my
residence address is correctly written after my name.
Signature of Petitioner Printed Name
Residence Address Date Signed
1.
- - 1 _ S a ve Me al-
- --- --------"l1�/ Q� �f3� ir_:5Ja ---- �' tam 71,31421
`
State of Idaho J
County of d
I, �, being first duly sworn say: That I am a resident of the State of Idaho and at least eighteen (18) years of age: that every
person who signed this sheet of the foregoing petition signed his or her name thereto in my presence: I believe that eahas stated his or her name address
and residence correctly, that each signer is a qualified elector of the State of Idaho, and a resident of the county of
Subscribed ant4.�y�9►ft to
Notary
Notary
My Commission
this
of
of Idaho, residing at
Address:
S
�.••••4•tA1TC�� •.
�I
�. �• No. ?n!•_ l
_i' NOTARy
'�' p1i8L1C a4
►°' °ry4
OF 11;',••'
3
EC-3B -Petition for Candidacy for City Offices —Approved by the Idaho Secretary of State Revised 04if i/2o23
0
CLERK
ar rneoamicrcovm
State of Idaho, )
) ss.
County of ADA )
Trent Tripple
Clerk of the District Court
400 N Benjamin Ln. Sure Goise, ID S3"04
ADA COUNTY AFFIDAVIT OF
Katie Reed
Chief Deputy
Pl;me (20S)=5--6860
CERTIFICATION OF SIGNATURES FOR A CANDIDATE PETITION
To the Clerk of the City of Meridian, for the State of Idaho:
I, Trent Tripple, County Clerk of Ada County hereby
certify that 5 signatures on this petition
are those of qualified electors.
m
Trent Tripple
Deputy Clerk