Luke CavenerCITY OFFICE
DECLARATION OF CANDIDACY
CANDIDATE FILING PERIOD (�.c. so-a�oi
Opens: August 23, 2021 (8:00 am)
Closes: September 3, 2021 (5:00 pm)
CANDIDATE WITHDRAWAL DEADLINES (i.c. sa-�aosa�
September 17, 2021 (5:00 pm)
RECEiVE?�
AUG 16 2021
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CITY CLERKS Os-r i:,;i
OFFICE INFORMATION
Filing for the Office of:
City Name:
City Council Seat #
Meridian
CANDIDATE INFORMATION
Candidate Name (As it appears on your voter registration record.)
First
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Residence Address (As it appears on our 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
CAMPAIGN FINANCE INFORMATION
f 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 Stat of Idaho and oft e 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 , 2021 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
nominating petition containing the five (5) signatures of qualified electors as statutorily required. �
Dated: �'� / � ^ 1 Candidate Signature:,
orn/t� before me this�� � day of �� U �, ZOZ (.
Signatu
Notary Public in and /or the State of Idaho, residing at
nner; �,�, , z d�>,�
My Commission Expires: 2. ' � y • Z
ar in lieu of the filing fee the
CHRISTOPHER JOHNSON
COMMISSION #20180294
NOTARY PUBLIC
STATE OF IDAHO
MY COMMISSION EXPIRES 2/14/24
EC-3A -Declaration of Candidacy for City Offices —Approved by the Idaho Secretary of State Revised os/1v2o21
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.)
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 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 Z^ J day of � t)�/8iY1 bP.� , 2021.
Signature of the Cler r Repre ative 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 O6/28/2021