2008 Affidavit of Candidacy - City Council

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PvOF TH E.sy9~ ~~~ ~°' Office of the Minnesota Filing # e` ~ =r - ~ z Cash/Check# ~~ /.1-~ ~~~.- _ -_~~ Secretary of State Amount ~~•.. - yo i*iess•`~ Affidavit of Candidacy All information on this form is available to the public. Information provided will appear on the Secretary of State's website at www.sos.state. mn.us. Note: If filing for partisan office and not a major party candidate, you must file both an affidavit of candidacy and a nominating petition: "Candidates for any partisan office who do not seek the nomination of a major political party shall be nominated by nominating petition as provided in sections 204B.07 and 204B.08, and ...shall file an affidavit of candidacy as provided in section 204B.06." (Minn. Stat. section 204B.03). YlCBS@ pl'lrit Or Name (as it will apnp~ar on the ballot): 1 GCr~. rY. Office Sought: ~ ~~ D t.~(,~ District For Partisan Office Provide Political Party or Principle:. For Judicial Office Provide Name of Incumbent: Legal Residence Street Addnnress: 15 ! 7 1~.~.ll~DOd lhi/n ~.~. ~ City: I(i[~S~/~ I(.Q~ Stater Zip: ~~SI « -(~S7 Campaign Contact Street Address: ]I ~ City: L/~ ~ ~ Website: ~1157tW~~~~ ~ /~r~ Email:,~(~„ Phone Number: ( (,pS l )~~ 1. ~7 State:~Zip: ~li~ ~y~~ rur au oir~ces, i swear for amrm) [nat [nts ~s my true name or [tle name by whtct- 1 am generally known in the community. If filing for a state or local office, I also swear (or affirm) that: • I am eligible to vote in Minnesota; • I have not filed for the same or any other office at the upcoming primary or general election; • I am, or will be on assuming office, 21 years of age or more; • I will have maintained residence in this district for at least 30 days before the general election; and • If a major political party candidate, I either participated in the party's most recent precinct caucuses or intend to vote for a majority of that party's candidates at the next general election. If filing for one of the following offices, I also swear (or affirm) that I meet the requirements listed below: • United States Senator - I will be an inhabitant of this state when elected and I will be at least 30 years old and a citizen of the United States for not less than nine years on the next January 3rd, or if filled at special election, within 21 days after the election. • United States Representative - I will be an inhabitant of this state when elected and I will be at least 25 years old and a citizen of the United States for not less than seven years on the next January 3rd, or if filled at special election, within 21 days after the election. • Governor or Lieutenant Governor - I will be at least 25 years old on the first Monday of the next January and a resident of Minnesota for not less than one year on election day. I am filing jointly with • Supreme Court Justice, Court of Appeals Judge, District Court Judge, or County Attorney - I am learned in the law and licensed to practice law in Minnesota. My Minnesota attorney license number is and a copy my license is attached. • State Senator or State Representative - I will be a resident of Minnesota not less than one year and of this district for six months on the day of the general or special election. • County Sheriff - I am a licensed peace officer in Minnesota. My Board of Peace Officer Standards and Training license number is and a copy of my license is attached. • School Board Mem r - I have not been convicted of an offense for which registration is required under Minnesota Statutes, section 243.166. County nici 1, chool District, or Special District Office - I meet any other qualifications for that office prescribed by law. Subscribed and sworn before me this Candi ate Signature 1 7 ~ day of ~~~~~ ,~'' ``MARGARET H. DRISCULI. ` "-:~ Notary Public-Minnesota Date v;;;~ ~.y ~Ay Commiwion ,hrt 31, 2010 Notary pub ' or other offic r empowered to take and certify acknowledgments. Rev. 5-08 white copy -Filing Officer yellow copy - CFPD Board goldenrod copy -Candidate pink copy -Public Information