Declaration of Candidacy & Treasurer - Semanko, Norm - 8/29/2011DECLARATION OF CANDIDACY
FOR MAYOR
56 . „1
I, the undersigned, affirm that I am a qualified elector of the City of Eagle, State of Idaho, and
that I have resided in the City of Eagle for at least thirty (30) days.
I hereby declare myself to be a candidate for the office of Mayor, for a term of four (4) years, to
be voted for at the election to be held on the 8th day of November, 2011, and certify that I
possess the legal qualifications to fill said office, and the my residence address is
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Subscrib swQmAp be re e this day of
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OF Residing at: �
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My Commission Expires: \ - l- k S
OFFICIAL USE ONLY
CITY CLERK
Before accepting this Declaration of Candidacy, the City Clerk (or designee) must verify the
following.
This Declaration is accompanied by:
The attached Petition of Candidacy signed by at least five qualified city electors
with the attached verification from the county clerk,
OR
" A nonrefundable filing fee of $40.
The City Clerk (or designee) must verify that the person submitting this declaration is a
qualified city elector as defined in Idaho Code 50-402(c) and that the residence address
provided above matches the address on the
This declaration was accepted by
on —) ) at
Date Time
After the close of the candidate filing period, a copy of this form must be transmitted
immediately to the Ada County Clerk to assist in ballot preparation.
COUNTY CLERK
Upon receipt of this Declaration of Candidacy, stamp the date and time of receipt on the front of
this document. This documents is to be used for ballot preparation.
C:\Documents and Settings\tosbom%ocal Settings\Temporary Internet Files\Content.Outlook\YRCH04EADeclaration of Candidacy - Mayor.doc
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RECEIVtU & rtLr_u
CITY OF EAGLE
APPOINTMENT AND CERTIFICATION OF POLITICAL TREj SURFRB 18 2011 C
o Rev. 08/0
o FOR CANDIDATES AND COMMITTEES File:
(Please Print or Type)
Route to:
$ Pursuant to Section 67-6603(c1), Idaho Code. No contribution shall be received ore or a
candidate or political committee until he or she appoints a political treasurer and certifies the name and address of the treasurer
to the Secretary of State.
Certification is for (check appropriate box below):
Name
0 of
CANDIDATE: Candidate: Norm Semanko
Home Work 208-863-7921 hone:208-863-7921 Phol
Phone: ne:208-863-7921
Office Seat (if
Sought: Mayor appl cable) C i ty of Eagle
Candidate
Mailing address:P.O. Box 538, Eagle, ID 83616
Candidate
email address: Seman ko@rmci . net
Name of
❑ COMMITTEE: Committee:
Name of Committee
Chairman:
Miscellaneous: ❑ Home Work Cell
Phone: Phone: Phone:
Measure: ❑ Committee
Candidate/Measure: Mailing address:
❑Chairman
email address:
Norm SemankoCERTIFICATION AND APPOINTMENT
Name of Candidate or Committee Chairman
I, , do hereby certify and appoint the following individual who is a registered elector of
the State of Idaho as the political treasurer for the above named candidate or committee:
PoolticaT reasurer: Norm Semanko
Home Work 208-863-7921 Phone: 208-863-7921 Phlone:208-863-7921
Phone:
er
Maiingraddress: P.O. Box 538, Eagle, ID 83616
Treasurer
emaladdress:Semanko@rmci.net
Signature of Candidate orCommitteeChairman
Norm Semanko , do hereby accept the appointment as political treasurer for
Name of Political Treasurer
the above named candidate or committee.
Sign -d'olitical Treasurer