Declaration of Candidacy - Mayor - Pierce, Jason - 9/7/2023 , CITY OFFICE
- .. CERTIFICATION OF CANDIDATE FILING TO COUNTY CLERK
'CITY CLERK
Upon receipt of the Declaration of Candidacy along with the Petition of Candidacy:
1 Verify the qualifications of the Candidate.
2.Verify that the Petition of Candidacy is signed by not less than 5 electors and has been certified by the County Clerk's Office
a.If the Petition of Candidacy was not verified by the County Clerk prior to submission to your office, deliver the
original petition to the County Clerk's Election Office to have 5 electors verified that they are properly registered electors
b.If the electors are required to be residents within city limits, verify that the electors reside within the correct city limits.
3.Stamp or write the date and time of receipt on the front of the Declaration of Candidacy and Petition of Candidacy
4.Complete the fields and statement below.
5.Transmit a copy of this Certification along with a copy of the Declaration of Candidacy to the County Clerk for ballot preparation.
CANDIDATE NAME BEING CERTIFIED TO THE COUNTY CLERK
Candidate Name(As it will appear on the ballot.)
Jason Pierce
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OFFICE INFORMATI1. ON FOR BALLOT PLACEMENT
Filing for the Office of: Mayor
City Name: Eagle
Term-length,seat or position
(if applicable): 4 year term
CERTIFICATION
I Tracy E Osborn ,certify that the quaiirications of the candidate listed above have been verified,including the validity
of the electors signing the Petition of Candidacy,and that the individual meets the requirements to run for the office indicated above and on the attached
Declaration of Candidacy to be voted on at the Election to be held on the 7th day of November ,.2023.
ZolietedeiClerk.tror_ n!the District: Dated:
Ci4A6A-3
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IMPORTANT
1.Verification of the candidate's qualifications and the validity of the signers of the petition should occur immediately upon receipt of the
filing.This allows the candidate time to correct any errors in the filing.
2.Certification to the County Clerk should occur upon the verification of the candidate's qualifications and the validation of the signers of
the petition.To assist the County Clerk in ballot preparation,do not HOLD these until the last day of filing.
7e.se;12/7 /2u22
,- _-- ,. . CITY OFFICE
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*, i-1 DECLARATION OF CANDIDACY
,�4 Idaho Code 34-701(2)now requires phone numbers to be provided. Idaho Code 34-704(4)state: RECEIVED&FILED
that all information in declarations of candidacy shall be made publicly available upon request. 1 CITY OF€AieLE
CANDIDATE FILING PERIOD (Lc 50-410) I OFFICE INFORMATION cr u i CUL3
Filingfor the Office of: File:_ `iI T
Opens:August 28, 2023 (8:00 am) �au1.-C I Route to
Closes:September 8, 2023 (5:00 pm) City Name: 7 I T
, -c,.-c. I ? —CANDIDATE WITHDRAWAL DEADLINES (!.0 34-7405A) Term length, sub-district,
zone,seat or position:
September 22, 2023 (5:00 pm) (if applicable) -te
CANDIDATE INFORMATION
Candidate Name (As it appears on your voter registration record.) Candidate Phone
Firs MI Last
� Suffix� JCS --
a5 Cx� L`�'' iert i y4/_ ,- 3
Residence Address (As it appears on your voter registration record.)
Street Address City State Zip Code County
1 5 E.0 (.0 1;71Gert:"U'i F-7-ecCiiii— tIct 5a q ,„_
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BALLOT NAME
Wnte your name exactly as you would like it to appear on the ballot
,�J G �- Pi:Sc of C
HOMESTEAD EXEMPTION (i c.34-107[21,34-701[31)
Have you,or your spouse, claimed a homestead exemption'? 34s ❑ No
If Yes, Please List the Address y
Street Address City State Zip Code County
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CAMPAIGN FINANCE INFORMATION
V do hereby certify that I am a registered elector of the State of Idaho and appoint myself as treasurer for my campaign. If any campaign
finance contributions or expenctltures reach or exceed$500, I will create a Campaign Finance account with the Secretary of State, and may
at that time, appoint another person as Treasurer or remain as my own Treasurer.
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CERTIFICATION
I,the undersigned,bung a reaiient of the Sta oft o and of thrActty listed above do hereby declare myself a candidate for the office entered
above to be voted on at the Elei on(r be held an the of riff i. .2023 and I certify that the information on this Declaration is
true and accurate.
I further certify that I possess the legal qualifications to hold said office I submit herewith the filing fee of($40.00),or in lieu of the filing fee the
nominating petition containing the five(5)signatures of qual'died electors as statutorily required.
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Signa e. .0• No.2 rr
Notary Pr lc r nd for the crf�residing at 1' A
My Commission ExPres: 2A' �/ q 1 t• "66••,.•
EC-3A-Uticti i[iei of CncNdaty For City Offices—A;¢praNd by the Idaho Secretary of State Re isec 04.7 v2023
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Trent Tripple Katie Reed
/Pr Clerk of the District Court Chief Deputy COPY
CLERK
gig AISTQL7CDURT
ADA COUNTY AFFIDAVIT OF
CERTIFICATION OF SIGNATURES FOR A CANDIDATE PETITION
State of Idaho, )
) ss.
County of ADA )
To the Clerk of the City of Eagle, for the State of Idaho:
1,Trent Tripple, County Clerk of Ada County hereby
cey That 5 signatures on this petition
are those of qualified electors.
Trent ' '"J
or rHE
By PP
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CITY OFFICE COPY
3-L PETITION FOR CANDIDACY _ _ __ —
CANDIDATE FILING PERIOD (1 C.50-410) OFFICE INFORMATION
Opens:August 28,2023 (8:00 am) Filing for the Office of: ] '.,
t 111L-447J7
Closes:September 8, 2023 (5:00 pm)
City Name: .to
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CANDIDATE WITHDRAWAL DEADLINES (LC 34-1405A) Term length,sub-district, - J - —
zone, seat or position: L. ye r-
September 22, 2023 (5:00 pm) (if applicable)
CANDIDATE INFORMATION
Candidate Name (As it will appear on the ballot.)
}
This petition must be filed in the office of the appropriate city clerk with the Declaration of Candidacy on or before 5:00 p.m. on
the last day of filing for the Election at which you are desiring to participate in. The submitted petition must have affixed thereto
the names of at least five (5) qualified electors which reside within the city.
{SIGNERS STATEMENT
I,the undersigned, being a qualified elector of the city listed above in the State of Idaho,do hereby certify and declare that I reeitle Egie plain set
oppo5ite my name.end that I join in the petition of the candidate for the office listed above,to be voted for at the election to be held on the devAday of
1\00. ;2023,and that each for himself says:I have personally signed this petition;I am a qualified elector of the State of Idaho and my
residence address is correctly written after my name.
Signs 91 Pet{t7er Printed Name, Residence Address Date Signed
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CERTIFICATION '
State of Idaho - r
County of TON--
I. �!� ke.'a--_, being first duly sworn say;That I am a resident of the State of Idaho and at least eighteen(18)years of age:that every
person who signed this sheet of the foregoing petition signed his or her name thereto in my presence:I believe that eacp ha stated his or her name address
and reside ce correctly,that each signer is a qualified elector of the State of Idaho,and a resident of the county of :I)1
Cir later&...v,:.. = Address
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Suhscri.;. and a ■m to • Fri - me,:this #_ f a ,- 4 aa-. ' .0 4.•* `;.••,4,,,:\
Notary Sir; . ‘ t 3 yI TAJ j,
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Notary bllc In and for the Stet Idaho, resid g et t.L%C
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My Commission Eyes: �. l OF ofp
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EC-38-Peution for Cano3dacy for City Offices—Approved by the Idaho Secretary of State ,Revreu&Li1'2)23