Scott GarbarinoCITY OFFICE
DECLARATION OF CANDIDACY
RECErvET
AUG 2 6 2021
CANDIDATE FILING PERIOD (1.c.50-410)
Opens: August 23, 2021 (8:00 am)
Closes: September 3, 2021 (5:00 pm)
OFFICE INFORMATION
Filing for the Office of:
City COUf1Cll Seat #
CANDIDATE WITHDRAWAL DEADLINES (f.c.34-1405A)
September 17, 2021 (5:00 pm)
City Name:
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CANDIDATE INFORMATION
Candidate Name (As it appears
on your voter registration record.)
First -,
MI Last
In
Suffix
Residence Address (As it appears on your voter registration record.)
Street Address
City State Zip Code
County
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Mailing Address
Street Address
City
State
Zip Code
County
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BALLOT NAME
Write your name exactly as you would like it to appear on the ballot
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CAMPAIGN FINANCE INFORMATION
W 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 Sta�teqofr Idaho and of tie 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 -G day of nJ Q/O fr►.bQ� , 2021 and I certify that the information on this Declaration is
true and accurate.
further certify that 1 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: it cftrda�i Signature:
S a� s�
Subscribed and rn to bef me this C.V day of ITuGys � �%Z�•
Signature:
Notary Public in and fort ate of Idaho, residing at
N'Ller.jIM:���
My Commission Expires: z q
CHRISTOPHER JOHNSON
COMMISSION �t20180294
NOTARY PUBLIC
STATE OF IDAHO
MY COMMISSION EXPIRES 2/14/24
EC-3A-Declaration of Candidacy for Cily Offices —Approved by the Idaho Secretary of StalOeA
Revised OG/11/2021
CITY 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.)
SC o-r� G /� 2 � /� RAN 0
OFFICE INFORMATION FOR BALLOT PLACEMENT
Filing for the Office of:
Clty COUnCI�
city Name:
Meridian
Term -length, seat or position
(if applicable):
Seat
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 t�e requirement's t10 run forth'"e office indicated above and on the attached
Declaration of Candidacy to be voted on at the Election to be held on the 2� ° day of N O�N1u�l , 2021.
Signature of the Cler or Re esentativ f the District: Dated:
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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 06/28/2021