HomeMy WebLinkAboutCandidate Filing: Farmer
o
o
FILING OF CANDIDACY FOR NONPARTISAN NOMINATION
PLEASB TYPE OR LECmL Y PRINT IN'BLACK INK.
NOTE: This information Is a matter of public record and may be published or reproduced.
o INCUMBENT FOR OFFICE OF)1Jl:XjE
NAME OF CANDIDATE
~ d IV Pr l cJ 1-... 'f".'.J I?-...."-L ((
NAME SHOULD APPEAR ON BALLOT AS FOUOWS
FILING FOR OFFICE OF <.,..) 4.....! 3_
(,.> ....... f\":'S ). ~ 'I.4!.A. t/ 5
DISTRICT. DEPARTMENT OR POSmON NUMBER
TELEPHO~<f~) 0 LJS-';
h-' a 'f 'J ~ I ~
FAX
TELEPHONE (WORK)
RESIDENCE ADDRESS (S'I'REEI' /ROlJTJl, em, srATB. 2JP CODE)
3330 'BAlLdr..11
€"'--71N't O,1.t7(J.J 77'10/
. I
COUNTY OF RESIDENCE
~O/" 'FAt<Mc.rt..
SECRETARY Of SfATBOFOREGON
3 'I J~ l'i 3 2.. j. ~N L
EMAIL MAILING ADDRESS WHERE ALL CORRESPONDENCE WILL BE SENT
7?or(+I1"'h,(,2~~~t:IfSf. c/- '33;30 131oLcL:. {( AUL
134c ,v ~ / O,tc90.J 9 J tc:, J
D <DUNTY BUiCTIONS OFFIaALOF COUNTY ~ crry RECORDER (AUDITOR). crry OF , ~, t N't..
WEBSITE
The City of Eugene
does not require
filing fees.
KJ Filing of candidacy DY PROSPECfIVE petition, with the required proposed signa~ sheet si&ned I:!y !:he candidate (SEL 121) and statement
one or more circulators will or will not be paid (SEL 300) (OIlS 249.020).
~ Filing of candidacy by COMPLETED petition, with the required signature sheets properly certified by the appropriate county elections
officials (ORS 249,020, 249.(64), .
City of Eugene
2006 Primary Election
Filing Deadline: March 2,2006
'RECE'VED
JAN 21L006 @
CiTY RECOm'
REC
fEB 2 1 2006
. ORDER.
FOR OFFICE USE ONLY
Received by: JIlJ\~ bW'
Special Notatio~ ~,
City of Eugene - Revised 03/25/2005
SBL 120 RJ!V. 11/01 ORS 249.031
',.~_~,~,wm~~mmN^"_,,,,-,,,,,',wmw""'.',=wm~.....,_.,..n= W"'_""""''''''''''_,~_",,,.,>,,,.,,. .....
.,.""'"^",:..,..^~,_",,,,,":_-,,,,,",,,.w,~,,,,~.,~_,_,_,"_~,.._,,_.,,_,,<,,,,,_',",,'.<w,-^"'"""'''''''''~WN.'~~=W_''V~''''''''~W_W_=~w..,,,>>,,,,,,,,__,,.,,,~_~"""""~""~~~~~...~>>"".",.~..",,,,,,,,,,,~.....,.
o
O'
REQUIRED INFORMATION
OCCUPATION (PRESENT EMPLOYMENT - PAID OR UNPAID)
m AlLIe -c.J- ?L'f S; J ~ v + "24 ^,",-o'; /J;nc,{..t'c...r1
occur ATIONAL BACKGROUND (pREVIOUS EMPLOYMENT - PAID OR UNPAID)
SP~ I 'cJ It. ().- <-R ~_c..S ;dc...J + - F":'trJ.J-;r.... hit sJ-"iL Z~vk.
EDUCATIONAL BACKGROUND (SCHOOlS ATTENDED, use attachment if needed)
Complete name of school. no acro~s Last grade level DiplomalDegreelCertificate Course of study (optional)
com leted AA BA BS MA PhD etc.
tA ~tuc~s::-l-
".J
s
d I.~ l:v..1 S-(!.I~'"
Other:
PRIOR GOVERNMENTAL EXPERIENCE (ELECTED OR APPOINTED)
NOTE: This information is a matter of public record and may be published or reproduced.
By signing this document, I hereby state:
lHA T I shall accept the nomination for the office indicated !lbove;
TIIA T I shall qualify for said office if elected; and
lHA T 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.
./ oI~--;:::=:
signature
/~-&/ ex!. e:f'~<--~
WARN : Supplying false information on this form may result in conviction of a felony with a fine of up to $100,
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)).
II~ I1J Jd <:,
Date signed "
~ ;;J.,/ o~
SBL 120 REV. 11/01 OIlS 249.031