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HomeMy WebLinkAboutCandidate Filing: Zelenka FILING OF CANDIDACY FOR NONPARTISAN l",JMINA TION PLEASE TYPE OR LEGmLY PRINT IN BLACK INK. NOTE: This information is a matter of public record and may be published or reproduced. . o INCUMBENT FOR OFFICE OF JUDGE FILING FOR OFFICE OF C , -ri C 0 \J rJ Ct l,....() IZ. 13J(,.I GNG= NAME OF CANDIDATE DISTRICf, DEPARTMENT OR POSmON NUMBER AJAN Z: t.L-eN l4\- . w/Vlf) ~ NAME SHOULD APPEAR ON BALLOT AS FOLWWS RESIDENCE ADDRESS (STREET /ROUTB, CITY, STATB, ZIP CODE) A LA;\) 1:13: L ~I\J kA l(P)q t)/L.C U AN) '5'7, ell fA EN G- o/.-. CZ1-l(03 . 1 ( TELEPHONE (HOME) TELEPHONE (WORK) COUNTY OF RESIDENCE 3tt 3- (.<)q \ 1'1 '1 - 1-401 LAN e- FAX . MAILING ADDRESS WHERE ALL CORRESPONDENCE WILL BE SENT EMAIL 3Jf~ -- {,S"til A !AN {!AJAN '}. f;I$(\j l~ . CiJt1( 1~59 O!tCH.4,Z]) ~-r_ WHBSITE WWW~ A LAN -l~ J<A - c. 014 GV4eN 13: I 011... Cj rl.{D 3 o SECRHTARYOFSfATBOFOREGON 10 COUNTY ELECTIONS OFFICIAL OF COUNTY ~CITY RECORDER (AUOITOR),CITY OF E U 6. eN [3; The City of Eugene does not require filing fees. ~iIing of candidacy by PROSPEcrIVE petition, with the required proposed signature sheet si&ned by the candidate (SEL 121) and statement one or more circuIators will or will not be paid (SEL 300) (ORS 249.020). . D Filing of candidacy by COMPLETED petition, with the required signature sheets properly certified by the appropriate county elections officials (ORS 249.020, 249.064). City ofEugeneRECE'VED 2006 Primary Election DEe 0 2 2005 Filing Deadline: March 2, 2006 FdR QFFICE USE om y Received by,: ~ Special NotatioBs: City of EUl!leae - Revised 03/25/2005 SEL 120 REV. 11/01 OBS J49.031 REQUIRED INFORMATION OCCUPATION (PRESENT EMPLOYMENT - PAID OR UNPAID) , L-ey,l~LA,,"e. APFA,lLS f 'XT' rVJINlJqeA (;J\'\~ pvD OCCUPATIONAL BACKGROUND (pREVIOUS EMPLOYMENT - PAID OR UNPAID) . EDUCATIONAL BACKGROUND (SCHOOLS A'ITENDED, use attachment if needed) Complete name of school- no acronyms Last grade level DiploinaJoegreeJCertificate Course of study (optional) comDleted (AA BA, BS, MA, PhD, etc.) ~!r.P UtJtrl>i2.$ ('t(,( Or- CJ~tN MA e.Nlf//J.t,'1 t 6N~j , PlJWN~Nt, i ~()Ut!,Y Ot-llJ'FL\ ~"r-l ~ ~CALJfoIWIA <<t fJGl.t$..e'{ "BA pc:.l..r2\otL- ECu.rr,..,y Other: " PRIOR GOVERNMENTAL EXPERIENCE (ELECTED OR APPOINTED) ~c;=N~ ~v~&f CQ/vt/w't ?.of~ LAVe (eJ lV'TY Co /vlJYt tift aN of p v tWN ~ et..\l\. c-c:> NOTE: This information is a matter of public record and may be published or reproduced. By signing this document, I hereby state: THAT I shall accept the 'nomination for the office indicated flbove; THAT I shall qualify for said office if elected; and THAT all information provided by me on this form, including my occupation,. educational and occupational background, and prior governmental experience, is true to the best of my knowledge. 03L- g- j;:; ~ J.z. /2-2--0)' Candidate's signature Date signed WARNING: Supplying false information on this form may result in conviction of a felony with a fine of up to $100,000 and/or prison for up to fi"e years. (ORS 260.715). No person shall file a nominating petition or declaration of candidacy for more than one lucrative office before the date of the primary election,. unless the person first files a written withdrawal with the officer who accepted the filing (ORs 249.013(2)). . SEL 120 REV. 11/01 OllS 249.031 FILING OF CANDIDACY FOR NONPARTISAN NOMINATION PLBA.SE1YPB OR LEGmLY PRlNTIN'BLACKINK. NOTIliThia infonnation is a ....tter of public recordail.d may be p~bllshed or reproduced. o INCUMBENT FOR OFFICE OF 1uocB FILING FOR OFFICE OF C .. -t'-( CO\JNCt l--OA-.. r;;v~~ NAME OF CANDIDATE DISTRICf, DEPARTMENT OR POSmON NUMBER .A~N ~~L-eN lit\- . wAAf) 1 NAME SHOULD APPEAR ON BALLOT AS FOLWWS RESIDENCE ADDRESS (S'l'RllBT /ROum, ClTY, srATB, ZIP COOn) ALAN 'Z:13:i ~I\J I<A l(P)q t9~CUAJt() "b'T. t-lJ&EN'G 01-. CZ1tto3 J , TELEPHONE (HOME) TELEPHONE (WORK) CotJNlY OF RESIDENCE 3 it 3 - ~ <:;q \ 1'1 tf -: 1-4 (p'-{ LAN e. FAX EMAIL MAILING ADDRESS WHERE ALL CORRFSPONDENCE Wll..L BE SENT ?L-t~ ~ (,S-~ I A !AN ~lA/IJ ~~NliA. ~"t. I~S? OA...CHAA..]) Cj-r_ WEBSITE wWW., ALAN t2.r;.u;w J<A ~ C-ol4 GtJ 4 eN z:: lOP'" 'i TI.{D '3 o SECRETARY OF SfATBOPORBGON To COUNTY IlLECTIONS OFFICIAL OF COUNT'{ ~ ClTY RECORDER (AUDITOR), ClTY OF ev 6. f:;N f3:. The City of Eugene does not require filing fees. . r filling of candidacy Py PROSPECflVE petition, with the required propo'sed signature sheet si~ed by the candidate (SEL 121) and statement ~ . one or more Circulators will or will not be paid (SEL 300) (ORB 249.020). ~ Filing of candidacy by COMPLBTBD petition, with the required s~ture sheets properiy cerI:lfied by the appropriate county electioll8 officials (ORB 249.020, 249.~), .'. ' RECEIVED (, DEe 0 9 2005 Reeeived by: ~ i i " i , i , SpeeW N.tatioBS: City of EUleae - Revised 03/25/2005 City of Eugene 2006 Primary Election Filing Deadline: March 2, 2006 "i!OR OFFICE USE ONLY 'RECEIVED DEe 0 2 2005 SBL 120 REV. 11/01 ORS J49,031 REQUIRED INFORMATION OCCUPATION (PRESENT EMPLOYMENT - PAID OR UNPAID) , L...-C"'4l)1.J\"',\\I& APFAI(l~ if T'T' r"'AINA4EJ... ~ v"D OCCUPATIONAL BACKGROUND (PREVIOUS EMPLOYMENT - PAID OR '(,JNPAID) EDUCATIONAL BACKGROUND (SCHOOLS ATfEND~D, use attachment if needed), Complete name of school-no acronyms Last grade level DlplomalDegreelCertificate COM leted BA US PhD etc. UtMi12-~t--Zt1 Or 0 M\J . b r:.CAw~1lH11\ f(t ~Ut$.e'l Other: PRIOR GOVERNMEN'rAL EXPERlENCE (ELECfEDORAPPOINTED) ~~, e- "2>,' ~~6.:1 CO_I\1)t4~if"'1eE. . Q - oF- !.Ave {C)vNTY FvtW)J ~ etLV\.C,C5 CoNl/'l'H1f t(3N NOTE: This information is a matter of public record and may be published or reproduced. By signing this document, I hereby state: TIiAT I shall accept the :nomination for the office indicated !"bove; TIiAT I shall qualify for said office if-elected; and TIiAT all information'provided by me on this form, Including my occupation, educational and ~upational background, and prior governmental experience, is true to the best of my knowledge. Candidaw.m~ q. ~ ~/~ . 12.~ q- O~ Date signed. W ARNlNG: Supplying false information on this fonn may result in conviction of a felony with a fine of up fa $100,000 and/or prison for up to fiye years. (ORB 260.715). ' No person shall file a nominatlngpetitlon or qeclaration of candidacy for more than one lucrative office before the date of the primary election, unles the person first files a written withdrawalwith the officer who accepted the filing (ORs 249.013(2)). '. SEL 120 REV, 11/01 ORS 249.00