HomeMy WebLinkAboutBill ChandlerCITY 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.)
Sfit II C0A Ier
OFFICE INFORMATION FOR BALLOT PLACEMENT
Filing for the Office of:
L� I C l/r1Ci ( D) I (ic 3 — Foor 7 PrJs
City Name:
Meridian
Term -length, seat or position
(if applicable):
1 ' J
is
CERTIFICATION /
I 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 Jerk or Repre en ative of the District: Dated:
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 i2/15/2022
RECEIVED
_ �Lt 7
:� f
CITY OFFICE 5EP 08 2023 _ _r
DECLARATION OF CANDIDACYCITYu,
Idaho Code 34-701(2) now requires phone numbers to ed �1 1ah, Code 34-704(4) states
that all information in declarations of candidacy shall bemad pu�i� c'fj%a afilable upon request.
CANDIDATE FILING PERIOD (/.C.50-410)
Opens: August 28, 2023 (8:00 am)
Closes: September 8, 2023 (5:00 pm)
CANDIDATE WITHDRAWAL DEADLINES (1.C.34-1405A)
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)
Ste ,_
CANDIDATE
INFORMATION
Candidate Name (As it appears on your voter registration record.)
Candidate Phone
First
MI
Last /��/�
Suffix
Residence Address (As it appears on your voter
registration record.)
Street Address
Wl
City
e/
�
Z Code
County
BALLOT NAME
Write your name exactly as you would like it to appear on the ballot
QIC � Gff4i✓D�r�Z
HOMESTEAD EXEMPTION p.c.34-�07/2], 34-701(3J)
Have you, or your spouse, claimed a homestead exemption? Ayes ❑ No
If Yes, Please List the Address
Street Address
City
State
Zip Code
County
CAMPAIGN FINANCE INFORMATION
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,
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 � day of /VD�r��✓%(�'%Z , 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) 'n lieu of the filing fee the
nominating petition containing the five (5) signatures of qualified electors as statutorily required.
Dated: Candidate Signature:
9- 0
Subscribe d sworn to before rqe thi day ofv f'� • Va 3
~ H
Signature. , � � BONNIE G. SMIT 31
LN01TARyMISSION # 202310
Notary Public in and for the State of Idaho, residing at PUBLIC
Sot r VI/1 d `�' � � STATE OF IDAHO
EXPIRES
^� J t Ui/hi LL( ISSION EXPIRES 02/27/2029;�'
My Commission Expires: C 4; — C U � `��
EC-3A- Declaration of Candidacy for City Offices —Approved by the Idaho Secretary of State Revised 041112023