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<br />required i"formation (if no relevant information, list "'None") <br />.J., occupation pmsent employment - paid or unpaid <br /> <br />RETIRED <br /> <br />occ'u"p"a"t-j" 0 n a I-bac"kg rou-n'd--'-pre'vious'e-mploym-e'ni"~"'pa7(i-or unpal"ci-.---.---------------------- <br /> <br />MEDIA - SMALL BUSINESS CONSULTANT <br /> <br />.j, educational background schools attended, use attachment if needed <br /> <br /> <br />WALDPORT HIGH SCHOOL <br /> <br />12 GENERAL <br /> <br />GENERAL <br /> <br />UNIVERSITY OF OREGON <br /> <br />FRESHMAN NONE <br /> <br />GENERAL <br /> <br />.j, prior governmental experience elected or appointed <br /> <br />CITY COUNCIL - WALDPORT, OR <br />CITY COUNCIL - EUGENE, OR <br />MAYOR - EUGENE, OR <br />SCHOOL BOARD - EUGENE SCHOOL DISTRICT 4J <br /> <br />By signing this document, I hereby state: <br />~ that I will accept the nomination for the office indicated <br />~ that I will qualify for said office if elected <br />~ that all information provided by me on this form, including my occupation, educational and occupational background, and <br />prior governmental experience, is true to the best of my knowledge <br /> <br />Check the appropriate box (not applicable to candidates for federal office - US Senate and US Representative): <br /> <br />DBy marking this box, I certify I do not have an existing candidate's committee and I do not expect to spend more than $300 <br />or receive more than $300 during each calendar year. I understand I must still keep records of all campaign transactions <br />and if total contributions or total expenditures exceed $300 during a calendar year, I must follow the requirements detailed <br />in the 2008 Campaign Finance Manual. <br /> <br />.RBYrnarkingl this box, I certify that I have already filed or will soon file a Statement of Organization for Candidate <br /> <br /> <br />~,o~::::e:~~stru~e:ib:-~;;;;;~ .~~g;,f ~ <br /> <br /> <br /> <br />This information is a matter of public record and may be published 0 reproduced. <br /> <br /> <br />'J, tl1 ('f" <br />'mmmmmmrKmmm . <br />initials <br /> <br />RECEIVED <br />......can~!~Tb;1.rw08m. <br />_mmmm... . , mm-CloWrflECORDE'R--m- <br /> <br />RECEiVED <br />-~~Wtnutbe~-ri08 <br />,..--mm-CrrTRECORO-ER <br /> <br />candidate committee ID number <br />