Loading...
HomeMy WebLinkAboutAnne Little RobertsCITY 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.) Ann e Li4e Ro6Pri5 OFFICE INFORMATION FOR BALLOT PLACEMENT Filing for the Office of: C 4Co�.� ct City Name: Meridian Term -length, seat or position (if applicable): ii L,J Dwf Ttw ar S SQGr1� - / ( 4ert*11 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 2023. Signature of the Clerk o e resentative e District: Dated: 9.7. 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 RECETVED CITY OFFICE ���;�;-�;��� ��� �;� ��;� DECLARATION OF CANDIDACY SEP 0 7 2023 ��;G������ G�� ���-C�:r`�-_ Idaho Code 34-701(2) now requires phone numbers t���r�dl9elY4d I� j�;�ede 34-704(4) sfates that all information in declarations of candidacy shall �FiYaB��i�1ti�j0�1 ale upon request. CANDIDATE FILING PERIOD p.q. 50-ago) Opens: August 28, 2023 (8:00 am) Closes: September 8, 2023 (5:00 pm) CANDIDATE WITHDRAWAL DEADLINES p.c.34-�aosA) 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) CITY COUNCIL DISTRICT 5 MERIDIAN 4 YEAR TERM CANDIDATE INFORMATION Candidate Name (As it appears onvoter registration record.) Candidate Phone First �iN�� MI Last �.� H�I� �eb�� Suffix �o�- �I��-y��1 i� Residence Address (As it appears on your voter registration record.) Street Address ���u �� City �d,�,�>J State � Zip Code � ���a County �� BALLOT NAME Write your name exactly as you would like it to appear on the ballot IJF�� �1 6�7�7 HOMESTEAD EXEMPTION p.c. 34-�o�l2J, 34-701(3J) Have you, or your spouse, claimed a homestead exemption? ❑Yes CJ'�lo If Yes, Please List the Address Street Address City State Zip Code County CAMPAIGN FINANCE INFORMATION Cta' 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 fih�nce contributions or expenditures reach or exceed $500, I 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 of the 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 7th day of November , 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 Subscribed�and t,worn td�efyhelme this Signature: Notary Public in �ryd for the State of Ida �l', I My Commission Expires: Candidate Signature: �`� �1TCl� �•'•• ..... � 4 •.. ..• � :ti �4TARr �: residing at � • +.+ ; 's iAp�BLIC tiq �:��'••'s� 0212�ti�• O � ••4.. OF 1� _��.•. EC-3A -Declaration of Candidacy for City Offices —Approved by the Idaho Secretary of State Revised 04/tf/2oz3 CITY OFFICE PETITION FOR CANDIDACY CANDIDATE FILING PERIOD /t.c. so-a�ol Opens: August 28, 2023 (8:00 am) Closes: Septerber 8, 2023 (5:00 pm) CANDIDATE WITHDRAWAL DEADLINES It.c. aa-�aosa) September 22, 2023 (5:00 pm) CANDIDATE INFORMATION Candidate Name (As it will appear on the ballot.) r OFFICE INFORMATION Filing for the Office of: City Name: Term length, sub -district, zone, seat or position: ������ (if applicable) 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 fhe last day of filing for the Election at which you are desiring fo participate in. The submitted petition must have affixed therefo the names of at least five (5) qualified electors which reside within fhe 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 �t the place set my name, 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 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 s ddress j correctly written after my name, Si s o P itioner Printed Name Residence Address Date Signed . ----------- - r i j� �. 2. I' r ��� - � l `cam" �- � _ _—__ � _-- 3 e'-/ _ 5. 6. 7 CERTIFICATION State of Idaho 1 County of a 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 each 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 Circula or Signature: C Subscribed d sw rn to Notary Signat re: � My Commission Expires: m� this „ 1'1 day j Address: �o� S , L�cwi. .�•' 4 MITE'•••, .` ,•gym. No ••.�' NOT ��c! t�+ ,o �. q'Q� o EC-3B -Petition for Candidacy for City Offices —Approved by the Idaho Secretary of State Revised 0a/1il2023 Trent Tripple Cleric of the District Court Katie Reed Chief Deputy Copy t00 N Benjamin Ln. 100, Boise tD 33 -04 ADA COUNTY AFFIDAVIT OF CERTIFICATION OF SIGNATURES FOR A CANDIDATE PETITION State of Idaho, ) ss. County of ADA ) To the Clerk of the City of Meridian, for the State of Idaho: I, Trent Tripple aunty Clerk of Ada County hereby certify that signatures on this petition are those of qu ' ied electors. e a o o ©© 000®9a 9B aS9'd ®� �� 4T H ju Q®�9 Trent Tripple �e0. oo°oo000009 YO amp ®o r o ST,gT� o ( • By 0 'sty . H Deputy Clerk �'��QFO �aoiaaoC')VC. k%V