HomeMy WebLinkAboutCandidate Filing: Jackson
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FILING OF CANDIDACY FOR NONPARTISAN NOMINATION
PLEASE TYPE OR LBGIBL Y PRINT IN BLACK INK.
NOTE: ThiI information Is a matter of public record and may be published or reproduced.
o INCUMBENT FOR OPFICEOF )UDGE FILING FOR OFFICE OF L\'~ CouV'.c:\
NAME OF CANDIDATE DISTRICT, DEPARTMENT OR POSmON NUMBER
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NAME SHOULD APPEAR ON BALLOT AS FOUOWS RESIDENCE ADDRESS (STIlIlIrr /ROIJTE, crry, Sf A TIl. 2'JP COOl!)
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TELEPHONE (HOME) TELEPHONE (WORK) COUNTY OF RESIDENCE
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FAX BMAIL MAILING ADDRESS WHERE ALL CORRESPONDENCE WILL BE SENT
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WEBSITE E-~e.o'"\€.) 0<<- q"1 'i Os
b SIlCRETARYOPSfATBOPORllGON 10 <DUNTY BUiCllONS OFPICIAL OF COUNTV ~crN RllCORDHR (AUDfIUR),OTY OP h ~OY.1 e....-
The City of Eugene
does not require
filing fees.
~ Filing of candidacy by PROSPECITVE petition, with the required proposed signature sheet si~ed by the candidate (SEL 121) and statement
one or more circulators will or will not be paid (SBL 300) (ORS 249.02D).
1E' Filing of candidacy by COMPLETED petition, with the required signature sheets properly certified by the appropriate county elections
officials (ORS 249.020, 249.(64).
RECEIVED
FEB 2 3 2006
City of Eugene
2006 Primary Election
Filing Deadline: March 2, 2006
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FOR OFFICE USE om y
REClliJID
Received by: l1Jl ~
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Special Notations:
FEB 1 4 2006
CITY RECORDER
City of Eugene - Revised 03/25/2005
SEL 120RBV.ll/01 ORS249.031
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REQUIRED INFORMATION
OCCUP ATI~~ (PRESENT EMPLO~NT - PAID OR ~~Aio) I 0 l Lt 1'\ k.e r - "re~ ~\~ ,J ~il""" rtl%2..-
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OCCUPATIONAL BACKGROUND (PREVIOUS EMPLOYMENT - PAl OR UNPAID)
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EDUCATIONAL BACKGROUND (SCHOOLS A ITEND D, use attachment if needed)
Complete name of school- no acronyms Last grade level DiplooulDegree/Certificate Course of study (optional)
com leted AA BA as, MA PhO etc.
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As.
Other:
PRIOR GOVERNMENTAL EXPERIENCE (ELECTED OR APPOINTED)
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NOTE: This information is a matter of public record and may be published or reproduced.
By signing this document, I hereby state:
1HA T I shall accept the nomination for the office indicated .above;
TI-IA T I shall qualify for said office if elected; and
1HA 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.
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Candidate's signature I Date signed
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WARNING: Supplying false information on HilS form may result in conviction of a felony with a fine of up to $100,000 and lor prison for up to five
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, wUess
the person first files a written withdrawal with the officer who accepted the filing (ORS 249.013(2)).
SEt 120RF.V.1I/01 ORS249.031