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OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All Information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot:
Candidate's full Date (Month, Date, Year):
Title of Office Sought: (include district office or ward number if applicable)
(Street, City, State, Zip)
Candidate's (Street, City, State, Zip)
lam voter in Optional Information: Phone number: q Website:
459
.:....J~.4!:.I'-'!...d...!6..£:::.. ___ Party 0 Independent Candidate 0 Nonpartisan Judicial Candidate
CRIMINAL DISCLOSURE: Have you been conVicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or In another state to b~uilty ~ misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? U\'ES /.:aIIO Have you been named in an outstanding warrant for ar~for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES 101J0 If you answer YES to either ofthese questions, you are required to fill out and sign the Criminal History Disclosure form and Include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information in this Declaration of Candi is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a
candidate for said office, and that I will be fully qualified to hold said office, if elect?!
Signature of Candidate .~ ~Aq NOTARY
State of Ok,IStbotn.:> County of _Ti~!..LIf,,,,,,.),,,,--_________ _
Subscribed end sworn to before me pb ApR j I II. ::lOI 9'
SEAL My Commlsslonexpke. 11- '1-.10dO Commission Number I (pO /Q505
~~),;Zi=) SIgnature of Notary PublIc or Officer Authorized to AdmInister Oath
.Ko±=.;}~ BAb!.!'. Title of Officer (Notary Public or Other Officer)
NIPD PtTD # of signatUres ____ _
2018 state of Oklahoma Filing Packet Candidate Information and Oath /12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as i;1I appear on ballot: /, .
- .---? 1/'1, I ,Akc-- /loc-u /1/;,:-
460
Candi~ate's full legal nam) •
!?ott{ //f;.fD Date of birth: 11-2-'l-/Qn·
23,4 f2.A. V (11 L 0 k.~ t;'i'0I'EI"f'F (Month, Date, Year):
Title of Office S06ght: (include district office or ward number if applicable) 5'17t'~ tiOIA!>£: 'Oi s'r: 30 Candidate's Residence Address:
/:? I~p,y (Street, City, State, lip) ZIp/'} ~ 16/~'f S~I/I1-1 OK 7t/-oo!/ Candidate's Mailing Address: (Street, City, State, lip) 2.(,./'1 e /bI5'1 ::, D ("<"T7-J '15IX I3y 01< '7,/,ooy
I am a registered voter in precinct # 120/of{' in the County of ',/7,<-150,'1-Optional Information: . ,. . 6'tJ..i ~nV1 tp' I ' L~" ..... ", Phone number: <} I g st;t; ¥ 700 Email Address: J II f.!:.i' I(CIAItI.J,.·J I (; Website:
Sl Candidate for the X '6 >[email protected], /1 (:1-1" , Party o Independent Candidate o Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): !IDCashier's/Certified Check DPetition
CRIMINAL HISTORY DISCLOSURE AND OATH
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to b~uilty~. misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? lJYES )is.I'IO Have you been named in an outstanding warrant for ar~for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? DES ~O If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, SWear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said office, if ele,d:f>,d .
.:..:..:===~_ County of
Subscribed and sworn to before me bAVIO c. i<'lIlo I 0 L/~JD·'201
SEAL My commission expires I 0/31/2.0' 9' Commission Number ~ "7 D I 0 5' S' 5'
Signature of Notary Public or Officer Authorized to AdmInister Oath
No f-a.r'1 Pv b ( I c· Title of Officer Public or other Omeer)
# of signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
til OKLAHOMA DECLARATION OF CANDIDACY ~'.:: , ',,:~ Candidate Information and Oath
~:/~'.~ ----:-:-:==-:~-::'---:---:--:----:--:-:---------------NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot: Joh n F orema n
461
Candidate's full legal name: Joh n Clifford Foreman Date of birth: (Month, Date, Year): 3/11/1965
Title of Office Sought: (include district office orward number if applicable) US House of Representatives 02 Candidate's Residence Address: • • (Street, City, State, Zip) 29183 S Indian Rd, Park Hili, OK 74451 Candidate's Mailing Address: PO (Street, City, State, Zip) Box 1507, Tahlequah, OK 74465
I am a registered voter in precinct # 1 \(,) () \0 in the County of Cherokee
Optional Information: Phone number: 918-240-8048 Email Address: [email protected] Website:
D Candidate for the' Party iii Independent Candidate o Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): ~ Cashier's/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? [}rES [{INO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES [ZjNO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to ho,l<fs:ajJ:f~ifice, if elected.
AUSTIN ADKISSON N~b!ic - State of Oklahoma Commission Number 13004551
My Commission Expires May 13, 2021
State of Q k h k()""" County of --',O(....Jb<l.es:.""--'c.!.')JlIf-'e"'c~ ______ _
Subscribed and sworn to before me _~Y++/..1II-( 1-/s.do&:L~1 gSL ________ _
My Commission expires 5/!3 (2 I Commission Number 1300 '15 ~ I
Signature of Notary Public or Officer Authorized 10 Administer Oath
Title of Officer (Notary Public or other Officer)
# of signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath ( 12
/~:;J~\,\ OKLAHOMA DECLARATION OF CANDIDACY \~\+'S) Candidate Information and Oath
0,,,,, ---N-O-T-I-C-E-: -A-II-i-nf-o-r-m-a-tj-o-n-p-ro-v-j-d-ed-o-n-t-h-js-fo-r-m-w-n-I-b-e-m-a-d-e-p-u-b-I-jc-Iy-a-v-a-Ha-b-I-e-. ---
PLEASE TYPE OR PRINT
Sought: (include district office or ward number If applicable)
Candidate's Residence Address: (Street, City, State, Zip)
Candidate's Mailing Address: (Street, City, State, Zip)
I am a Optional Phone number:
voter in the
Email Address:
Date of birth: (Month, Date, Year):
IMlD
Website:
462
I?rCer.dldate for the ."....,..j...~;'!]"""::L::::!D. __ F o Independent Candidate 0 Nonpartisan judicial Candidate
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or a erwise been determined by a court of proper authority in Oklahoma or in another state to b,!:..!iuilty of isdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? UVES 0 Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or ofthe United States? DYES ~ If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said offlC;;! electe.f.;,. .....
Signature of Candidate ,--'~'t"-""'='"-=~==::'------------ - - - - - - - - - - ~ --~ - - - - -- - -- - - - - ---- - - _- - - - - . - - _ -- ~ - - NOTARY c _ _ - _ -- - .-_-__ - - c- = - 0 -
S:ate of b k..~ Coulltyof Ctc...v c lCc...,.-of
SEAL
S gnaturB of No:ary Pl·b Ie or Offcer Autro' zed to .':"<,minlster Oa:h
Noto.r~ t'~;-c. TlI e 01 OffIce" ('Jclary Publl: or Other OffIce')
NIPD pnD # of signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot:
.JAMes {j'(jJ,ilIAmYOh
463
candid;r~~I~}al 'A7b fAJ If/I ,4 rr7 S er/7 Date of birth:
S/').1/5/ (Month, Date, Year):
Title of Office Sought: (include district office or ward number if applicable) D 1s/fl.1 J 5 u1qL ~ 1)1;/1<.1 cl- 14 olJi~ "3 Candidate's Residence Address: t> 1/1 s: 71< yJ em A lJ-t-- -r~,'!'sd.1 O/c../q. 71 /3~ (Street, City, State, Zip)
Candidate's Mailing Address: rom s. .,-Mt5Yl j}.(;-C -nJ;o? f)~/~. 1W3'~ (Street, City, State, Zip)
I am a registered voter in precinct # il,.O/If.7 in the County of -lTJs,,-, Optional Information: . . II -(",7;fJ. eO')( frja.t!. (ofl'1 t: <r~ Phone number: Email Address.,)"", 'ti,mSM@ WebSite. t1h111Rfl750!} i'~l kG#Gf.!--
o Candidate for the' Party D Independent Candidate ~ Nonpartisan Judicial candidat<;!
This.Deciaration is accompanied by a (check one): ~ Cashiers/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state orofthe United States? DYES tgiNO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES i&JNO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided i l.a"maa<:y is true and correct, m fully qualified to become a that I have read and signed the Candidate Qualifications for the otticJ'-t-h·at
candidate for said office, and that I will be fully qualified to
Slate of OKlaho'ma County of
Subscribed and sworn to before me D h A pc; \ t 0 I d Q \ Js
My Commission expires ! .... ~,.$~ 1"12 Dl~ Commission Number \ I () 0 1 (,. 1'6
SIgnature of Notary Public or meer Authorized to Administer Oath 2019 lllr,fqe i.b/. ~
Title of Officer (Notary Public or Other Officer)
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
464
Date of birth: (Month, Date, Year): 0,+ / W I
(include district office or ward number if applicable) 5+Oc-t.::: Residence
(Street, City, State, Zip) q. N 50'\>-'-Candidate's Mailing Address:
(Street, City, State, Zip) "154 N SOt- vJ
am a i in the Optional Information:
Phone number: "i J.?-~'1-11 uz. Email Address:
~ Candidate for the' l<..e.p.,J.o \ \ C "'-Y\ Party 0 Independent Candidate 0 Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one); Check Petition
CRIMINAL HISTORY DISCLOSURE AND OATH
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in ,another state to b~uilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? UVES !ZINo Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? DYES ~NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
NIP
I, the swear or rm the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualifi to become a
candidate for said office, and that I will be fully qualified to hold said off~~ e~. ~
Signature of Candidate _~~l:::::odh~=-=--:::.:.-=i D~~===c:---=-__ :..-_____ _
My Commission expires
Title of Officer (Notary ubllc or Other Officer)
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
465 'dI.,,:.:~~~~;<'. OKLAHOMA DECLARATION OF CANDIDACY ~:::: .' ···:l Candidate Information and Oath
,." ~~'I~~'·,~ ---:-:-:=-:::--::-::-:-::---:----:--:--:--:-:--:----:-:---:'--:--:-:---:--:----NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Candidate's name as it will appear on ballot: M i cha el B roo ks
candidate'sfUlllegalname:Michael Andrew Brooks Date of birth: (Month, Date, Year):06/19/1970
Title of Office Sought: • • (include district office or ward number if applicable) State Senate District 44
~~~:~~:~~:;,~~:~~~;~;tddresS:2704 Lysander PI., Oklahoma City, OK 13! ~ Candidate's Mailing Address: • (Street, Cit y,State, Zip) 5708 S. Western Ave., Oklahoma City, OK 73109
I am a registered voter in precinct #90227 in the County of Canadian Optional Information: Phone number: 405-839-7394 Email Address:[email protected] Website:michaelforoklahoma.com
[I] Candidate for the xDemocralic Party o Independent Candidate o Nonpartisan ludlcial Candidate
This Declaration is accompanied by a (check one): Ii] Cashier's/Certified Check D Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been conVicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES 0NO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or ofthe United States? []yES ~O If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
swear or affirm that the information I in this Declaration of is true and correct, that I have read and signed the Candidate Qu~lifications for the office that I seek, that I qualified to become a candidate for said office, and that I will be fully qualified to hold office, if elected.
State of County of
Subscribed and sworn to before me £st-he('::r:. f)o.nfana My Commission expires cql~5Pot8 Commission Number IOOO'7Q50
Signature of Notary Public or Officer Authorized to Administer Oath
# of signatures ____ _
vW
2018 State of Oklahoma Filing Packet Candidate Information and Oath I 12
/q~~ OKLAHOMA DECLARATION OF CANDIDACY 466 \1;q:Xf; Candidate Information and Oath
1",,1 ----:-:-::::-:::-~II:_:__:_-----:_:_:_:_-:_----:_--------------NOTICE: A information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot:
Candidate's lull legal name:
Title 01 Office Sought: Gk'-i-<(include district office or ward number il applicabll!j' l-h?tJ", Candidate's Residence Address: (Street, City, State, Zip) d Candidate's Mailing Address: (Street, City, State, Zip)
I am a registered voter in precinct # 5-Fa 1 '3 G, Optionallnlormation: """'foC Phone number: ~ o)~ '1 ("' r'10& Email Address:
in the County 01
·crl Date 01 birth: (Month, Date, Year): d
OJ"': 73 I::> /
Website:
BCandidate lor the ,7t P" I, 1 , , -0 •
Party o Independent Candidate 0 Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): Cashier's/Certified Check D Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to b~uilty ~misdemeanor involving embezzlement or 01 a felony under
the laws of this state or of the United States? UVES tJNO Have you been named in an outstanding warrant for ar~r a misdemeanor involving embezzlement or a felony in this or any other state or ofthe United States? DYES E'JNO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a
candidate for said office, and that I will be fully qualified to hold said off' elected.
Signature 01 Candidate -=~~;;;~~9===::;;;;::::=S;;;;;:::=:::::;o.....---NOTARY
SEAL
Signatllre of Notary Public or Officer Authorized to AdminIster Oath
/Vo~I6p 7i/»<C> Tille of Officer (Notary Pllb!lc or Other Officer)
NIPD # of signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath I 12
OI{LAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
467
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT ,'~' '/ ,Ii / \ ,
, . CANDIDATE INFORMATION Candidate's name as it will appear on ballot: J u I ie Roach
Candidate's full legal name: JUlie Lea Roach Date of birth: (Month, Date, Year): 04/11/1966
Title of Office Sought: (indude district office or ward number if applicable) House District 1 00 Stt'J..te....-lZp,\\0P¢.PY\~+IIlP Candidatels Residence Address: "' (Street,City,State,Zip) 8425 NW 90th St, OKC, OK 73132 Candidate's Mailing Address:
",)\60 *\'DlJ l~ (Street, City, State, Zip) ;JIJ ~\(Clrf')"'\0CtI.l uR,()\( 1~\3~) 0.
1 .J v
I am a registered voter in precin-ct # 550159 in the County of Oklahoma
Optional Information:
Phone number: 405-203-7268 Email Address: [email protected] Website:
~ Candidate for the Republican Party o Independent Candidate o Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): ~ Cashiers/Certified Check o Petition
\~: : ,i \ :, 'I, ", L " ~;; ,," 1 ''i ",' , CRIMINAL HISTORY DISCLOSURE AND OATH ,
CRIMINAL DISCLOSURE: Have 'tou been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES [{)NO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES IZiNO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure
form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a
candidate for said office, and that I will be fully qualified to hold said if elected.
State of County of 0 K Iq ha ttl a ,
Subscribed and sworn to before me ~ ~k[j My Commission expires I ,;l/6 hi Commission Number 1-70111:1 a
TlUe of ~ or Other Officer)
It of signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
468 e OKLAHOMA DECLARATION OF CANDlDACV :.:: ' . ..:; Candidate Information and Oath ;.,. :1:."; __ ---:--:-::=::-:-::-:-: __ ::-__ -:--:-_:-:--:-_---:--:-_---:-_:-:---:-_____ _
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
Office Sought: S L / (include district office or ward number if applicable) r<{rC ' ,_'"
Candidate's Residence Address: 2 - {( / / -(Street, City, State, Zip) 30 leJ. II o/VoC {/ lv ~ I: Candidate's Mailing Address: -) - Y· / (Street, City, State, Zip) C jO i &{ 1/ ~'I /3 r " 1/ c~
I am a I
i I Information: Phone number: rill J'S- z 22' '" Y.Emaii Address:£:. ~J /Z4 .¢ Candidate for the ='-"'=-"-''''''-''-':'''':'=-__ Party 0 Independent Candidate 0 Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): Check Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to b~uilty ~ misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States7 ljYES iUQNO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or ofthe United States7 []yES ~NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that information provided in this Declaration of is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said office, if elected.
Stale of Ol(\~hclW\ County of -r;; Is '" Subscobed end swom 10 before me _-...:.O_tf.J....!.l_o_Io::....!(-=zo:...=...:..I~"-_______ _
My CommIssIon expires 0') /ZZ!zCJlq Comm',,'onNumber II 00 ~'7n;
G~ SIgnature of Notary Public or Officer Authorized to Administer Oath
No'~:Y {)u bll'c (!vIS e.:rr Title of Officer (Notary Public or other OffIcer)
2018 State of Oklahoma Filing Packet Candidate Informatian and Oath I 12
_ OKLAHOMA DECLARATION OF CANDIDACY .. ~:~!)) _____ ~_C_a_n_d_id_a_t_e_l_n_fo_r_m_a_t_io_n_a_n~d_O_at_h:--~~_'7'":"-:--__
NOTICE: All information provided on this form will be made publicly available.
469
NIP
(Street, City, State, Zip)
Candidate's Mailing Address: (Street, City, State, Zip)
CRIMINAL DISCLOSURE:
PLEASE TYPE OR PRINT
Website:
o Nonpartisan Judicial Candidate
Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty ~isdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES ~o Have you been named in an outstanding warrant for ar~t!9J a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES l!::j<Io If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
swear or that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qual to become a candidate for said office, and that I will be fully qualified to hold sai1C1lottice. if\eIE,ctE!ct-..,Q---:17'l----,f-l_~~ f
My CommIssion expires
AdmInister Oath
1# of signatures ____ _
2018 state of Oklahoma Filing Packet Candidate Information and Oath I 12
8) ___ O_K_l_A_H_~_aM_n_;_dD_a;_eC_I~_~_:_r~_:_ltO_i:_n_?_:_d C_t_a~_~_ID_A_C_Y ____ 4 7 0 "Y@'" NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot: Darrell Moore
Candidate's !uUlegal name: D II L M arre ee oore Date of birth: 10/03/54 (Month, Date, Year):
Title of Office Sought: H D . 't 8 (include district office or ward number if applicable) au se I stn c Candidate's Residence Address: 217 G' t D . P OK 74361 (Street, City, State, Zip) IS nve, ryor, Candidate's Mailing Address: P 0 B (Street, City, State, Zip) " OX 517, Pryor, OK 74362
I am a registered voter in precinct # 490241 in the County of Mayes
Optional Information: Phone number: 918.825.0332 Email Address: Website:
li1 Candidate for the x Democratic Party o Independent Candidate o Nonpartisan Judicial Candidate
This Declaration Is accompanied by a (check one): ijJ Cashler's/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to b~uilty of a misdemeanor involving embezzlement or of a felony under the laws ofthis state or of the United States? LlYES 0-10 Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? DYES lZ)\Io If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the Information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold sai ce, if elected. A 1\
Slln.ture of Candidate I f V \.o1flN'\.t...-
NOTARY
',1' 'r',' (\ '.~
State of 0\(,\ .. 1,..0,",,-"1. County of -:\\\oc,+=~'#;?'=~"'-------;:c---1>1 \)Alr .. lI \.... f(\oOll.G /. {'\.. I __ 1_ I
Subscribed and sworn to/before me ~o nf\A.I/\ 1f\C\. ~ frW;
My Commission expires Commission Number -:q_o,,-O_'_I{c..'-,'1c...9,-__
, : " l. .
" ; " 1"'1 ,.\ ' I~, ',' '. s
NIPD prrD # of signatures ____ _
2018 State of Oklahoma Filing Packet Candldote Information ond Oath I 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
471
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot:
Tina Swayze Candidate's full legal name: Tina Lee Swayze Date of birth:
10/21/63 (Month, Date, Year):
Title of Office Sought: (include district office or ward number if applicable) Representative, House Dist. 20 Candidate's Residence Address:
1818 River Valley Dr., Purcell OK 73080 (Street, City, State, Zip)
Candidate's Mailing Address: 1818 River Valley Dr., Purcell OK 73080 (Street, City, State, Zip)
I am a registered voter in precinct #440023 in the County of McClain
Optional Information: Phone number: 405-615-8860 Email Address:tswayze15@gmail,com Website:
[j] Candidate for the RepubUcan Party o Independent Candidate o Nonpartisan Judicial Candidate
This Dedaration is accompanied by a (check one): iii Cashiers/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been conVicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to b~uilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? UVES 0NO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in
this or any other state or of the United States? DYES 0NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate QUalifications for the office that I seek, that I fully qualified to become a candidate for said office, and that I will be fully qualified to hold said if el"cted.
State of _-'-!J,d.~__ County of
SubscrIbed and sworn to before me __ siz.::.-L6LI.::::..L..GL _________ _
My Commission expire. 4}";29-2(,; Commission Number orO // Q Z 7
nature of Notary Public or 0 r Authorized to Administer Oath
t%~/ /JlJlk
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
Candidate's full legal name: Date of birth:
Title of Office Sought: (include district office or ward number if applicable)
Candidate's Residence Address: (Street, City, State, Zip)
Candidate's Mailing Address: (Street, City, State, Zip)
I am voter in
Optional Information: Phone number: Email Address: he,
(Month, Date, Year):
-:f3\6
in the D
472
[l1;I Candidate forthe' ~?LtY,J...1 c,,,,t-> Party D Independent Candidate D Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): Cashier's/Certified Check Petition
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws ofthis state or of the United States? DYes ~NO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES iKlNO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signeJ th" C3:1JiJals Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said
My Commission expires
Signature of Notary Public or ffieer Authorized to Administer Oath
;Jo't741~ Title of Officer (Notary Public or Other Officer)
2018 Stote of Oklohoma Filing Packet Candidate Information and Oath / 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Candidate's name as it will appear on ballot: F kAt· ran us in Date of birth:
473
Candidate's full legal name: Norman Franklin Austin (Month, Date, Year): March 31, 1953
Title of Office Sought: A'D' t . t J d K' f h C (include district office or ward number if applicable) SSOclate IS riC U ge, Ing IS er O. Candidate's Residence Address: (street,City,state,Zip) 9722 E 880 Rd, Okarche, OK 73762 Candidate's Mailing Address: 9722 E (Street, City, State, Zip) 880 Rd, Okarche, OK 73762
I am a registered voter in precinct # 370303 in the County of Kingfisher
Optional Information:
Phone number: 405-263-4677 Email Address:frankaustin@pldLnet Website:
o Candidate for the' Party D Independent Candidate [!1 Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): III Cashiers/Certified Check o Petition
CRIMINAL HISTORY DISClOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? QyES 0-Jo Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? [)yES [ZJNo If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the Information provided In this Declaration of Candidacy Is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said if elected.
State of
Subscrlbed and sworn to before me --1.~~~.f!:~~~ _______ _
SEAL ;""- ............................... , ....... ........ -m1'<l>mmlsslon expires ~ NOTARY PUBLIC State of Okla. I ~ JEANNIE BOEVERS : ~ Camm. if 13005654 ~ ; Expires (", -/9. J( : -,~~-------~-~-----,
# of signatures ____ _
2018 State of Oklahoma Filing Packet
(rl&';'1 Commission Number _______ _
Title of Officer (Notary Public or Other Officer)
Candidate Information and Oath I 12
@I.":':'f}.:~~~ OKLAHOMA DECLARATION OF CANDIDACY ~;.:: . . .:J Candidate Information and Oath 474 o~.:::-:~ ___________________________________ _
, NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot: Joe Caud Ie
Candidate's full legal name: Joe Alan Caudle Date of birth: (Month, Date, Year): 2 -17 -59
Title of Office Sought: (include district office orward number il applicable) Senate District 14 Candidate's Residence Address: 4891 (Street, City, State, Zip) Swayback Rd. Sulphur, OK 73086 Candidate's Mailing Address: (Street, City, State, Zip) PO Box 223 Sulphur, OK 73086
I am a registered voter in precinct # 500009 in the County of Murray
Optionallnlormation: Phone number: 580-618-1855 Email Address: Website: caudleforsd14. com
~ Candidate for the RepubllC<ln Party o Independent Candidate o Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): ~ Cashiers/Certified Check D Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE:
Have you been conVicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state orofthe United States? DYES iZlNO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or ofthe United States? []yES 0NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct,
that I have read and signed the Candidate Qualifications for the office I ~t:~~t I ~m ;Ully qualified to become a candidate for said office, and that I will be fully qualified to hold i~~
" ............................................................... .. : RlIl\'lRY PUBLIC State of OK ~ ~ JULIE MAYO : ~ Comm. '" 06008175 : ~ Expires 3"!!,1 r;;'/2 I ~ : .------.... ~~., ........... -~ ........
2018 State of Oklahoma Filing Packet
State of County of ---'VYlLf-.tlblC441-(fLt-'.(Q(\.j'4--------
SUbscribed and sworn to before me _-'oXl.J&llI-'.e---'~-'.(J.-1 ,""/.1..[4-/".(0"--_______ _
My Commission expires b" j,1 "AD 1 Z' Commission ~umber (r) (0 () () g- I 7 )
rlzed to AdminIster Oath
Candidate Information and Oath / 12
~ OKLAHOMA DECLARATION OF CANDIDACY \. _______ C_a_n_d_i_d_a_te_ln_f_o_r_m_a_t_io_n_a_n_d_O_a_th _____ ~---
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot:
Candidate's full legal name:
Title of Office Sought: (include district office or ward number if applicable)
Candidate's Residence Address: (Street, City, State, Zip)
Candidate's Mailing Address: (Street, City, State, Zip)
Date of birth: (Month, Date, Year):
I am a registered voter in precinct # in the County of J. G PiaL' e. Optional Information: Phone number: Email Address: Website:
475
~Candidateforthe' 8'tiJt'Ju,b//eod , Party 0 Independent Candidate 0 Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): 0-cashier's!Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES []3No Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES ~ If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said office, if elected.
Signature of Candidate .L:::;:::::::;::::;~~~~~..,d0;;ea~'-'~~~~===t NOTARY
SEAL
SIgnature of Notary Public or Offj,:erl,uth~z,ed to AdmInister Oath
Title of Officer Nota public or Other Officer)
NIPD PETD 11 of signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Informalion and Oath / 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Candidate's name as it will appear on ballot: Stephen Pau Isen
476
Candidate's full legal name: Stephen Michael Pau Isen Date of birth: (Month, Date, Vear): 12/04/1969
Title of Office Sought: ~r~ 1~ "P' • (include district office or ward number ifap i I) Representative, HD85 Candidate's Residence Address:. • (Street, Cit y,State, Zip) 2133 Bnghton Ave, The Village, OK 73120 Candidate's Mailing Address:. • (Street,CitY,State,Zip) 2133 Bnghton Ave, The Village, OK 73120
I am a registered voter in precinct # 5501 02 in the County of Oklahoma
Optional Information: Phone number: Email Address: stephenforthehouse@gmaiLcom Website:
I!l Candidate for the Libertarian Party D Independent Candidate D Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): [!] Cashier's/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United states?DYES OONO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or ofthe United states?DYES OONO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said 0Wlce,/if,'~le':t):J:4
state of
r--------------I ."O'AI/}- ANAMARIE E. MENDEll Subscribed end swo~n to before me :-. -"<'-4..J.rLJa.f-l.o"'-'-~'__-'-.>£<l ....... .....,'_U_ __ _
I ~ LNotary Publio in and for I My Commission expires FW~commlSSlon Numbe:::!1r J1OOICl1.f:7 I ~ State of Oklahoma I I UB\.' 17001941 t"'
L ~ ~o~~~i~ ~XE.I~s ":e~ 24, 2021J -b='--"~"""""<""----'V=-' -'--'''''''-''''''''''''------ - - Signature of Notary PubHc or Officer horlzed to Administer Oath
~(). ~ ,h--Title of Public or Other Officer)
# of signatures ____ _
2018 state of Oklahoma Filing Packet Candidate Information and Oath / 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath 477
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot:
L
Title of Office Sought: (include district office or ward number if applicable) ";)\"Q~ .. Candidate's Residence Address: (Street, City, State, Zip)
Candidate's Mailing Address: (Street, City, State, Zip)'bt)
I am a registered voter in precinct # 0 in the County of Optional Information:
Date of birth: (Month, Date, Year):
Phone number: L () Email Address: Le Website:
q /101 'S
Ucandidate for the ~Q.t'\ Yo I i Q Ct {\ Party 0 Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): Cashiers/Certified Check D Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty 0J misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES W'Jo Have you been named in an outstanding warrant for ar~yor a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? DYES lliNO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office seek, that I Iy qualified to become a candidate for said office, and that I will be fully qualified to hold said I
State of 0 k \ C. b Q Y"'/A.. County of
Subscribed and sworn to before me ;):1 ~J)JcLI; My COmmission expires 2/ / 9,1 ~Commlssion Number (J800 / 7 I 3
Public or Other Officer)
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
Title of Office Sought: (include district office or ward number if applicable)
Residence Address: (Street, City, State, Zip) ) 10 Candidate's Mailing Address: (Street, City, State, Zip)
I am a voter in Optional Phone number: Email Address:
Date of birth: (Month, Date, Year): S-
Website:
478
Candidate for the ' 12,,- fCl b lie a,,,, Party D Independent Candidate D Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): Cashier's/Certified Check Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE:
Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to b~uilty ~a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? U¥ES !A(NO
Have you been named in an outstanding warrant for ar~t for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES ll>J.NO
If you anSWer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said
state of
Subscribed and sworn to u"",,," 1'''" 1--"'+f=Cf-.,l."'-,I-..I.l.--~------:-:--
My Commission expires
to Administer Oath
# of signatures ____ _
2018 state of Oklahoma Filing Packet Candidate Information and Oath I 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Illegal name:
L-D em Title of Office Sought: (include district office or ward number if applicable)
5 Residence
(Street, City, State, Zip)
Candidate's Mailing (Street, City, State, Zip)
I am a Optional Phone number:
Date of birth: (Month, Date, Year):
479
D Candidate for the __________ Party 0 Independent Candidate Dil'Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one):
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under
the laws of this state or of the United States? _YES ':/...NO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or ofthe United States? _YES -:A-NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Decla that I have read and signed the Candidate Qualifications for the office that I
candidate for said office, and that I will be fully qualified to hold said o~~~~IE:c~'~d.
Signature of Candidate -"""~7"'~=4~---T"-:""""'=":"-;.<'-4i"'-L---
"""""""",.,. ~ NOTARY PUBLIC State 01 OK ~ ~ <S~@AN COWLEY : ~ 't'omm. # 18002350 ~ :Expires 3-~ - Old : .,""""", .. ,""
Subscribed and sworn 10 before me _...I.'kJ....,)'~~--'L-J.2~:=C.!==+ __ -,-
My Commission expires '3 -'J -'2-c Commission Number +~~"--"=l....b='-""'--
# of signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
480 1l':'::~~~~~1 OKLAHOMA DECLARATION OF CANDIDACY Ii··': , 'l":/ Candidate Information and Oath ~~.:::-:~ --------:-~---:-----:--:------~---:---:-:---:-:-:----
.. ., NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot:
R"5-rv Rowe:-Candidate's full legal name: • Date of birth:
R \J ~S ..:-w... \lA t.) ~Ot.J '" (Month, Date, Year): /I 'l~ . f:>;:),
Title of Office Sought: 01<- I.-A: I-\Ol'\A: ,",,,v$tr () r (l;c:f'~I?S6N T"1tT"1 lieS (include district office or ward number if applicable)
DIS#l''''' ';6 Candidate's Residence Address: Ir..fD I "" ~"":'T""!'l S-t'~a"" ..,. v .... ~'" , t:)/<C -r""~7 (Street, City, State, Zip)
Candidate's Mailing Address: /'1"/ IJ e~",v !,<IlE'er ~v .... ~~, ,pI< ""11.11017 (Street, City, State, Zip)
I am a registered voter in precinct # 7;)' 0 lifO in the County of ·-[VI-.S!'-Optional Information: rcut..fo1'66 &-~_\ ,. CDM +:, Phone number: '\ I~' b'1l. 1"1'f3 Email Address: Website: f 0"-'1': . (' b b . brC1
~
jg Candidate for the x DI':I'\""u-t't '- Party o Independent Candidate o Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): Cashler's/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to b!Jiuilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? UVES ~o Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES )8iIIo If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
swear or that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said office, if el:.~~
Signature of Candidate ~
Subscribed and sworn to
My Commission expires
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath 481 ---------------------------------------------------NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
> ':~:i:~'; f\,'),'i:: (::: ~J ~(! .-~_.\ I ~~. t ,t: ,"rL',~"~jf;J::: ~~~) (1·~\~:jJ~\Wl~~,pfQ~1:EJN'F.P.RM~ijQNiz '~;,,~,~~j~1~~¥~~:~~~1::it~J~i~"~:1N;~~~'1t~,~,~\~~,~\~;~:~£~l~;:~~~~;:jW~l Candidatels name as it wi!! appear on ballot:
CoJ. y {} o o 11\ c..e. Candidate's full legal name: C OJ.. Y A ~ oM
Co'oV\c..e.. Date of birth:
'D1)/~6 (Month, Date, Year):
Title of Office Sought:
SkJe Repve>Q.V<tz+;\/~ OIJfI'/Ct- to(ffi (include district office or ward number if applicable)
Candidate's Residence Address: I
(Street, City, State, Zip) 1/);), :l S. 10 7~ E. Ave. B i '" hv. 0 1< 7CfOO't Candidate's Mailing Address: (Street, City, State, Zip) 113;),;). 5.107~ £.Ave. /5; ':by / 0 Ie. 7'1'0(%
I am a registered voter in precinct # 7lQ 'fO~ in the County of T1A.15~ Optional Information: Phone number: Email Address: Website:
~ Candidate for the' !2te?""bliu.", Party o Independent Candidate o Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): (&l Cashier's/Certified Check o Petition '''Li'''~ (~ >") "'IA"",,~,d," (' ~1'~"VN"."" ",,"'~'M,~<,""'" ,., WrA''''''''~>'~' ""'>"~~.~.,''''''{'~''''''n··V-~'·%\l\':;''''·)''\~'):,"~~''~' ,r-r"ti:t"""",,:<C/;{f',lrft ,,1;~ 1';;' "'1~~;~\ J'; ;: ;.JjJ: ':; f I;;:):: ,~~~~ ~{slt \\ "~{~1 ~l,Il~J~J;\l, tJ.,I~JP~~! QJS~~OS~,IJ~ ~~I? '9~lJiR;;'~%;~~;/~{,~r;"~'~ ;.~t,~t!}~j;:~~%}~1t,lh~~,>, ~:~ :r:\\r{;(;I~~
NIP
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state orofthe United States? DYES l2!No Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or ofthe United States? []yES ICl'NO
If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or I that the information provided in this Declaration of Candidacy is true and correct,
that I have read and signed the Candidate Qualifications forthe office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said ott'ICE""it
state of -"':....Lc.:..:=--___ County of
Subscribed and sworn to before me ~('~ I Jtl,. ~ J %
My Commission expires ~o;s:'on Number :, t "I t,. 2..--
Signature of Notal)' ~r Authorized '0 AdminISter Oath
;VO'f,w-~ Title of Office (Notary Public or Other Officer)
# of signatures ____ _
~
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
-1 OKLAHOMA DECLARATION OF CANDIDACY ~j _______ C_a_nd_i_d_a_te_ln_fo_r_m-:-a_t_io_n_a-.-nd~o-a-t_:_h_~-__.__:_:_--4 8 2
'",'" ", NOTICE: All information provided on this form will be made publicly available,
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Candidate's name as it will appear on ballot: Brent Phelps
Candidate's full legal name:Brent Alan Phelps Date of birth: (Month, Date, Year): 1 0,03, 1968
Title of Office Sought: • • (include district office or ward number if applicable) D I stn ct 48 Representative
Candidate's Residence Address: 1661 (Street, City, State, Zip) Frontier Rd, Ardmore, OK, 73401 Candidate's Mailing Address: 1661 (Street, City, State, Zip) Frontier Rd, Ardmore, OK, 73401
I am a registered voter in precinct # 1 00033 in the County of Carter Optional Information: Phone number: Email Address:phelpsfordistrict48@gmaiLcom Website:
~ Candidate for the xRepublican Party o Independent Candidate D Nonpartisan judicial Candidate
This Declaration is accompanied by a (check one): ~ Cashiers/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to b~uilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? U¥ES ~O Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or ofthe United States? []yES 0No If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy,
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy that I have read and signed the Candidate Qualifications for the office I seek, that I am fully QII'31Y11ea to become a candidate for said office, and that I will be fully qualified to hold elected,
State of (OtJo,h6Y/1to... County of
Subscribed and sworn to before me -LKH±y.lA:!=l,--l.R""e<""',,"'k"''''-:c, ________ _
SEAL My Commission expires 61';"'1" 20').mommlsslonNumber J ~ob b9\fCf
~ - ~>'6,o.-d'---~ary Public or Officer Authorized 10 Administer Oath
O(yMrtA Title of Officer (Notary Public or Oth~r
# of signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot: B re n don B ri d 9 es
Candidate's full legal name: Christopher Brendon Bridges Date of birth: (Month, Date, Year): 07/28/1983
Title of Office Sought: (include district office or ward number if applicable) Associate District Judge of Mcintosh County, State of Oklahoma
Candidate's Residence Address: He (Street, City, State, Zip) 62, Box 1400, Eufaula, OK 74432 Candidate's Mailing Address: P 0 (Street, City, State, Zip) •• Box 310, Eufaula, OK 74432
I am a registered voter in precinct # '7'60J.o I in the County of fY}cInfosh Optional Information: Phone number: 918-689-0991 Email Address: [email protected] Website:
o Candidate for the Party o Independent Candidate [!] Nonpartisan Judicial Candidate
This Declaration Is accompanied by a (check one): [!] Cashiers/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE:
483
Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under
the laws of this state or of the United States?DYES OONO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United states?DYES OONO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said office, if elected.
Signature of Candidate ~c. ~"..----
State of
r~ KALEE BEElLEY S scribed and sworn J Notary P\ibll1l \ SEAL Sial. 01 OklaM~ ) Commission # 140Il0076 t'~.x . .,!~!~~omm[SSion Expires Aug 1, 2018
Oath
It of signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
,4~~Yi~1fk',.>. 1f:JS/fi!!/3,\ OKLAHOMA DECLARATION OF CANDIDACY (lJj~(J) Candidate Information and Oath
484 \O~:.l~~;diB'" ---N-O-T-IC-E-: -A-I-I-i n-f-o-rm-a-ti-o-n-p-r-o-v-id-e-d-o-n-th-i-s-fo-r-m-w-i-1I-b-e-m-a""'d-e-p-u""'b""'li-c':""ly-a-v-a""'il""'a':""b':""'e-,---
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Candidate's name as it will appear on ballot: Lori Jackson
Candidate's full legal name: Lori Lynn Jackon Date of birth: (Month, Date, Year):02/21 /1961
Title of Office Sought: A' (include district office or ward number if applicable) SSOCI ate District Judge District 22~V Candidate's Residence Address: (Street, Cit y,State, Zip) 327 Colton Way, Ada OK 74820 Candidate's Mailing Address: W 48 (Street, City, State, Zip) 327 Colton ay, Ada OK 7 20
I am a registered voter in precinct #620060 in the County of Pontotoc Optional Information: Phone number: Email Address: Website:
D Candidate for the' Party D Independent Candidate [!l Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): ~ Cashier's/Certified Check D Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to b~uilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? U¥ES ~NO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES 12iNO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy,
swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said
My Commission expires
Ii
# of signatures ____ _
\
2018 state of Oklahoma Filing Packet Candidate Information and Oath / 12
e:.·.;.~·/r'·l·f' .. ~.·~ .. :f!l OKLAHOMA DECLARATION OF CANDIDACY 485 ''i' :)J) Candidate Information and Oath
;".;:: . .:e --------.....:......:....::.:..:::.:..:.-=-.:..:.:...::...:..:......:....:..:..::..:....-------~--~~--NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
Candidatels name as it will appear on ballot: B t J ff. 08 man, e
Candidate's full legal name: J ,,~~.f',~ Boatman
Date of birth: (Month, Date, Year): 12/02/1967
Title of Office Sought: S (include district office or ward number if applicable) tate R e resentative, District 67
Mailing Address: E (Street, Cit y,State, Zip) 9006 101 st St, Tu OK 74133
720401 in the Tulsa
Optional I Phone number: 297-8552 Email Address: [email protected] Website:
111 Candidate for the ~R::;:"~"b1",,ica,," _______ Party 0 Independent Candidate 0 Nonpartisan Judicial Candidate
This Declaration Is accompanied by a (check one): Cashier's/Certified Check Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to b~uilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? uYES iZlNo Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES [Z},Io If you answer YES to either ofthese questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the swear or affirm that the information provided I this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold <o;,j\nfHrp ifJ,~I~,cted.
State of 1J::&eL44d.Jlj~\...c'lUn~
r--------------~
Signature of Notary Public or Officer AuthOrized to Adm! 'st r Oath
NDtarV} p/) bilL Title of Officer (Notary Public or Other Officer)
# of signatures ~ ___ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath 486
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Candidate's name as it will appear on ballot: Becki Maldonado
Candidate's full legal name: Rebecca Mae Maldonado Date of birth: (Month, Date, Year): 02/12/1982
Title of Office Sought: S S (include district office or ward number if applicable) tate e nator - District 16 Candidate's Residence Address: A· C· I N 0 (Street, Clty,State, Zip) 1016 cacla Irc e, oble, K 73068 Candidate's Mailing Address: • C· 0 (Street,City,State,Zip) 1016 Acacia Ircle, Noble, K 73068
I am a registered voter in precinct # 140057 in the County of Cleveland Optional Information: Phone number: 580-279-7435 Email Address: [email protected] Website: n/a
• Candidate forthe Regublican Party D Independent Candidate D Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): • Cashier's/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? 0 YES .NO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state orofthe United States? DYES .NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or that the information in this of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a
candidate for said office, and that I will be fully qualified to hOhJ0ce, if electef\ O! SignatureOfcandidate~ , YY\~~. ~
=.J'-"''-''''-''-'---_ County of
Subscribed and s'<VOrn to before me ---,-A--'..l.p-,-C -'.: -,-l_"-"''-'~=LL~ ____ _
My Commission expires 0 --.> I Lb / ommisslon Number I 5 ODd,,) ,<; I
# of signatures ____ _
2018 state of Oklahoma Filing Packet Candidate Information and Oath I 5
NIP
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
Candidate's Residence Address: (Street, City, State, Zip)
Ca I Mailing Address: (Street, City, State, Zip) 7~ 7-
I am a voter in Optionallnlormation: Phone number:
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
EL Date (Month, Date, Year):
Email Address: Website:
D Candidate lor the .::.'_,---________ Party 0 Independent Candidate
487
Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to b~uilty~ misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? ljYES I~NO Have you been named in an outstanding warrant for ar!es for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES NO If you answer YES to either of these questions, you are e uired to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
swear or affirm that the information provided in this Declaration of Candidacy is that I have read and signed the Candidate Qualifications for the office that I seek, J.afrr1iJftv',qllJllffiJ><rt'iYllJ~cclme
candidate for said office, and that I will be fully qualified to hold said office~Jf.eI11~~;---::;;;:''f;5')
My Commission expires
signa e of Notary Public or Officer Authorized to Administer Oath
t of signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
,·~\V.-)·'.t\h;-~
t:.::,·::·::\~ OKLAHOMA DECLARATION OFCANDIDACY ~~~ ______ ~~ ____ C_a_n_d_id_a_t_e_ln_f_O_r_m_a_t_io_n __ a_n_d_O_a_t_h ______________ __
NOTICE: All information provided on this form will be made publicly available.
488
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot:
Se Candidate's full legal name: Date of birth:
Sf, G rtt t1 (Month, Date, Year): 0(. .:2 I ,15" Title of Office So ght: (include district office or ward number if applicable)
Candidate's Residence Address: (Street, City, State, Zip) ,;, ~
Candidate's Mailing Address: (Street, City, State, Zip) .;):/. I
I am a registered voter in precinct # Optional Information: Phone number:
RI Candidate for the' :Oem" cta 1= Party 0 Independent Candidate 0 Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): INCashier's!Certified Check 0 Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws ofthis state or of the United States? []yES gJNo Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES ~O If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information prOVided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said if elected.
State ~ County of
Subscribed and sworn to before me ~'-' .,)\LJIIYV!!;;!C:...C"",~L=<?I . ..J,1.J.:1 52-________ _
My Commission expires c1l.~1jL£2iis'~cOmm!SS10n Number '+Ii2!<'iL.r.::&~~ __
...... ~d " Glgnature of Notary Public or Officer Authorized to Administer Oath
Title of Officer (Notary Public or Other Officer)
signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath •
. ~:~-?:'$ ~ .. ': . '.:1 ~~:';jJ, .. ,t'f -------~__:_------~--------------------
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot:
489
Candidate's full legal name: Date of birth: (Month, Date, Year): 12--/:ZS 7;),
Title of Office Sought: (include district office or ward number if applicable) Governor Candidate's Residence Address: (Street, City, State, Zip)
Candidate's Mailing Address: (Street, City, State, Zip)
I am a registered voter in precinct # in the County of Optional Information:
Phone number: q 1<6 _ 5?-lu- ?.06Emaii Address:[email protected] .. er~eb6ite:WUJ\.<.:J.~-ItCo.ouUV\o .... co
l!Sl Candidate for the' Re pu b/i Co..rJ Party 0 Independent Candidate 0 Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): Cashier'slCertified Check 0 Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? []yES ErNO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES 0NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said office, ifJ'Yted. .' J
Signature of Candidate ,~ >-~ NOTARY
state of {)yjabol1/l4c count~ ~)~~~ Subscribed and sworn to before me GJ i Vl c: ; c y My Commission expires 12.12Dj2rrZ-/co mission Number 170 ((54 '3
i
Signature of Notary Public or Office Authorized to Ad ter Oath
Alo/-rny Ptthf(c Title of Officer (Notary Public or Other Officer)
NIPD PETD # of signatures ____ _
2018 Stote of Oklohoma Filing Pocket Condidate Information ond Oath I 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
490
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Candidate's name as it will appear on ballot: Ama nd a RAnd rews
Candidate's full legal name:Amanda Renee Andrews Date of birth: (Month, Date, Year): 11-09-1989
Title of Office Sought: . .• (include district office or ward number if applicable) H 0 U se of Re p rese ntatlves 0 I stn ct 91 Candidate's Residence Address: • . (Street, City, State, Zip) 1212 SW 1 DOth St, Oklahoma City, OK 73139 Candidate's Mailing Address: 1212 (Street, City, State, Zip) SW 100th St, Oklahoma City, OK 73139
I am a registered voter in precinct #91 in the County of Cleveland Optional Information: Phone number: Email Address:aandrews.district91@gmail,com Website:
~ Candidate for the xDamocrallc Party o Independent Candidate o Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): Jj] Cashier's/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or In another state to b~uilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? UVES 0No Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES ~o If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said office, if elected.
Signature of Candidate an G tlda ' cf2..
UC'""'=""'-=""- County of
Subscribed and sworn to before me sha n b OYJ -r ~ My Commission expires 6 d-.I 13/;;;J.oJ;t.comm'ssion Number -W>""''''-LL-L-__ _
Signature of Notary Public or Officer Authorized to Administer Oath
Y1t:,-fd n (J
# of signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath I 12
_---O-K-LA~H~~a-~-:-id-~-~e-C~I~-~O-~-~-:-I~-:-n-~-:-d C_:_aN_th_D_ID_A_C_Y ___ _ NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot: (\
L-ei h Al&.\A.-r;;&.d.I. Candidate's fullle&al name: I --- (\ 11
Lei "'-A. QV\. locx~ Title of Office Sought: (include district office or ward number if applicable)..;;S"tlt-te
Candidate's Residence Address: (Street, City, State, Zip)
Candidate's Mailing Address: (Street, City, State, Zip)
I am a registered voter in precinct #
491
Ji?f Candidate for the ,;;' __ :",:",=~=:,==-,,--_ Party D Independent Candidate D Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): ~cashier's/Certified Check 0 Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE:
Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be gUilty ~a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES ~O Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES ~O If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the u swear or that the information provided in this Declaration of Ca that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qual,,'I"v'v ~"come candidate for said office, and that I will be fully qualified to hold said
stateef ;~~II~~~~~~~~~~t r--:::::---:==--:-___ c-:-=--.,!lJbscrlbed and sworn to before m"-1--4..I DIANA S. ROGERS
Tillman County Notary Public in and 101' y CommIssIon expires
State of Oklahoma Cornm. # 02015647 Exp.9112118
SIgnature of Notary Publ1c or O'''",r ALIt!1ol1zed to Administer Oath
Title of Officer Public or
tt of signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath I 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
. I ANDIDATE INFORMATION Candidate's name as it
Candidate's
Title 01 Office Sought: (indude district office or ward number il applicable)
I
(Street, City, State, Zip)
Candidate's Mailing (Street, City, State, Zip)
I am a voter in Optionallnlormation: Phone number: Email Address:
psl-candidate for the .::.'-+""iI''''-''''''-'-''''''----- Party
CRIMINAL DISCLOSURE:
Date 01 birth:
492
Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or In another state to b~uilty of a misdemeanor Involving embezzlement or of a felony under the laws of this state or of the United States7 U\'ES !lINo Have you been named In an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES lZ}Jo If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
swear or affirm that the information provided In this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said office, if,e:lec:te,j.
St.te of O\s\CAhcvvJo.. County of
Subscribed and sworn to before ma \}jo\~ ~p1r~(\ r--~ S;~IF: J A .. lIo-I _______ -;;My Commission expire, BuS \'b\bav~l Commission Number \'100 ilO ~6 -+O~~". OFFICIAL SEAL lA~. PUBLIC WHITNEY APPERSON -o~
ok; ... ~~r;;: $ Commission # 17007685 Signature of Notary Public or Officer AuthorIzed to Administer Oath
<A\-iO Expires August 18, 2021 l0o\f>,,(YJ DWO\lC Title of Officer (Notary Public or Other Officer)
NIP It of signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath I 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Candidate's name as it will appear on ballot: Jason Harris
493
Candidate'sfUlllegalname:Jason Travis Clyde Harris Date of birth: (Month, Date, Year):09/12/77
Title of Office Sought: • (include district office or ward number if applicable) R eprese ntatlve District 27 Candidate's Residence Address: S • (Street, Cit y,State, Zip) 17407 andy HIli Lane, McLoud, OK 74851 Candidate's Mailing Address: • (Street, City, State, Zip) 17407 Sandy HIli Lane, McLoud, OK 74851
I am a registered voter in precinct #630022 in the County of Pottawatomie
Optional Information: Phone number: 405-830-6830 Email Address: Website:
~ Candidate for the xAepubJican Party D Independent Candidate D Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): ijJ Cashier's/Certified Check D Petition
CRIMINAL HISTORY DISCLOSURE AND OATH
CRIMINAL DISClOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to b~uilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? lJVES 0'-J0 Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES 0110 If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said office,jjl ~~~Il{ll
state of County of
Subscribed and sworn to before me _LfL-:.Jlc.l"-''''-...JW~!.e:,L-_________ _
My Commission expires W'Ilj 2-1 Commission Number 13607 7D I
D,jk;,'-1')'\ L0ta-Signature of Notary Public or Officer Authorized to AdmInister Oath
# of signatures ____ _
2018 state of Oklahoma Filing Packet Candidate Information and Oath I 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
494
Candidate's I legal name~hanc Date of birth:
(Month, Date, Year): I ( :ao fCI ~8 Title of Office Sought: (include district office or ward number if applicable)
Candidate's Residence Add (Street, City, State, Zip)
Candidate's Mailing (Street, City, State, Zip)
~ 1~la;m~a~~~~v~ot~e~r~in~~~~~~~~~~~~~~in~t~h~e~~~~JL~~~~~~~~~~----------1 r Optional
NIP
Phone number: Email Address: Website:
~candidate for the ' 'Rt-fulol f C{!.n Party 0 Independent Candidate 0 Nonpartisan Judicial Candidate
CRIMINAL DISCLOSURE:
Have you been conVicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty SiLa misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES ~o Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in
this or any other state or of the United States? []yES ~O If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and Include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this i of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said ice,~i);l~~t::d.
My Commission expires
II of signatures
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
_ OKLAHOMA DECLARATION OF CANDIDACY 495 ~) _______ c_a_n_d_i_d_a_te_ln_f_o_r_m_a_t_io_n_a_n_d_O_a_th _______ _
NIP
"",' NOTICE: All information provided on this form will be made publicly available,
Candidate's Residence (Street, City, State, Zip)
Candidate's Mailing (Street, City, State, Zip)
I am a i voter in Optional I Phone nurnn,'r: ""
PLEASE TYPE OR PRINT
Email Address:
Date of birth: (Month, Date,
D Candidate forthe .0' __________ Party ~ Independent Candidate 0 Nonpartisan Judicial Candidate
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws ofthis state or of the United States? DYES }(INO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES JR\NO If you answer YES to either of these questions, you are'required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy,
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold sai<jIQjlfjc,e,
My Commission expires &::.~.2JV-£l'46'omn'!1sl'o\!J~9fIi~"r.J;,~~~'f!I.:C-:::2.'----
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
iit:'~"'!~0'~i\ OKLAHOMA DECLARATION OF CANDIDACY 496 i$,.,(.:~W) Candidate Information and Oath
~~~'j~j~~~;~~;/ -------------------------------------NOTiCE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
.,', CANDIDATE INFORMATION
Title of Office OOlJglllL:
(include district office or ward number if applicable)
Candidate's Residence Address: (Street, City, State, Zip)
Candidate's Mailing Address: (Street, City, State, Zip)
voter
Optional Information:
sw
in the of
Date of birth: (Month, Date, Year):
73V(P
Phone number: Email Address:
o Candidate for the' \'" e \J ii\0 liu! YI Party 0 Independent Candidate 0 Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one):
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? OvESIS;31'i10 Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or ofthe United States? []yES ~J\lO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said office, if elected.
Signature of Candidate '--"...!:~Sd,~:\Ji(h~.I_---1~IU:d1.L!.!:::::=------" ," NOTARY
state of '[) /(j a h blYYJ County of "'Q!1'k:oJJ ..... O!Lhl-'O"'fb'LL<6l"'-______ _
Subscribed and sworn to before me 16(1" 01('1~ A fIr' ( ,9-0 I? 4--'-1-'f"'f-sp.C-Commlsslon Number I '1, DO 9. 1> L/5
Signature of Notary Public or Officer Authorized to AdminIster Oath
f..fo+<'I( PG\ (.
NIP If!. PETD # of signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath I 12
t~~~i) OKLAHOMA DECLARATION OF CANDIDACY 'h~' _______ C_a_"_d_id_a_t_e_I"_f_o_rm_a_t_io_"_a_"_d_O_a_t_h _______ _
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Da e of birth: (Month, Date, Year): 5
TItle of Office Sought: (include district office or ward number if applicable) 51-a.. t-<2 Candidate's Residence Address: (Street, City, State, Zip) Olr//(o DK! 1/ 73«'31 Candidate's Mailing Address: (Street, City, State, Zip)
I am a registered voter in precinct # QI-/oo a 3 Optional Information: Phonenumber:5eo-s·,<.S -/D0$ EmaiiAddress: /;::e"
in the County of
? 3?'::' /
, \Website: a.1 -LO
497
Jl{/ Candidate for the ' I? ~ p,,- h ;,' ( q ,J Party o Independent Candidate 0 Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): I8T Cashiers/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to b~uilty of a misdemeanor involving embezzlement or of a felony under the laws ofthis state or of the United States? l.JYES ~O Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or ofthe United States? []yES ~O If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the swear or information is true correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am qualified to become a candidate for said office, and that I will be fully qualified to hold said
State of ...;Ok::"",,""-___ _ County of bl2d9-\f\]12.....
J<'810TIn\L PPrCZKeCdstJJ
My Commission expires
to Administer Oath
THle of Public or other Officer}
signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
Candidate's full legal nam Date of birth:
I I of Office Sought: (include district office or ward nlH,.,h",
i Residence Adrlress:
(Street, City, State, Zip)
Mailing (Street, City, State, Zip)
I am a voter in Optional Phone number:
(Month, Date, Year):
Email Address: Website:
498
'::---1_~"""'lLf<-''-C...J.<..L- Party D Independent Candidate D Nonpartisan Judicial Candidate
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty ~isdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES ~NO Have you been named in an outstanding warrant for arres}J6C a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? DYES 0NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in is Declaration i is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a
NIP
candidate for said office, and that I will be fully qualified to hold said elected •..
Stete of 0 \{ L & HO 1'1 A County of _J..OLlU~L/ l:\f\J:tul DLlMYLtAL-_____ _
Subscribed end swom to before me ~('+f~lp9-,Jf-.2"--'l0'-1I--'l[''---------My Commission expires 06-2'3··202\ Commission Number 11 QOJ 0 I I,
~
Title of Officer (Notary Publ1c or Other Officer)
# of signatures ____ _
2018 Siale of Oklahoma Filing Packel Candidale Informalion and Oalh / 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
ICANDIDATE INFORMATIONI
Candidate's name as it will appear on ballot: Justin Arledge
499
Candidate's full legal name: Justin Keith Arledge Date of birth: (Month, Date, Year): a 1/17/1984
Title of Office Sought: , , (include district office or ward number if applicable) Senate District 14 Candidate's Residence Address: 70 1 (Street, City, State, Zip) Rosewood St. Ardmore, OK 73401 candidate's Mailing Address: 1405 (Street, City, State, Zip) 4th Ave NW #250 Ardmore, OK 73401
I am a registered voter in precinct # 19 in the County of Carter Optional Information:
Phone number: 580-220-9383 Email Address: [email protected] Website: www.justin4ok.com
~ Candidate for the xOemocratio Party o Independent Candidate o Nonpartisan Judicial Candidate
This Declaration Is accompanied by a (check one): ~ Cashier's/Certified Check o Petition
ICRIMINAL HISTORY DISCLOSURE AND OATHI CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES iZINO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? DYES 0No If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am qualified to become a candidate for said office, and that I will be fully qualified to hold
State of
Subscribed and sworn to before me ~='-~WI...J.,L..\_.k::~~&C:::::_---= __
My Commission expIres ",5q' =-f7~.L
Title of
2018 State of Oklahoma Filing Packet Candidate Information and Ooth I 12
_---O-K-LA-H-~-a-~-:-id-~t-EeC-IL-n~-:-r~-:-I~-iO-~-~_:_d C_:_:_th_D_ID_A_C_Y ____ 5 0 0 NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Candidate's name as it will appear on ballot: Kathy Wallis
Candidate's full legal name: Kathy Eileen Wallis Date of birth: 8/23/61 (Month, Date, Year):
Title of Office Sought: • •• (include district office or ward number if aPPlicable)State RepresentatIve DIstrict 96 Candidate's Residence Address: •• (Street, Cit y,State, Zip) 808 Fox HIli Drive, Edmond, OK 73034 Candidate's Mailing Address: (Street, City, State, Zip) 1019F Waterwood Parkway, Edmond, OK 73034
I am a registered voter in precinct #550060 in the County of Oklahoma
Optional Information: Phone number: 405-726-9888 Email Address: Website:
liJ CandIdate for the xDBmocraUc Party o Independent Candidate o Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): iii Cashiers/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to b!1luilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? UVES 0NO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES 0NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold sjlJd office, if elected. 2"
c. ;r: l::/~ ..:?,z::;c:./,?"c,,-?-v~
• GABRIELLE SHARP Notary Public. State of Oklahoma
C~~sion # 17003106 Commission
Signature of Candidate -,-.:...-..;z...---.:.-:::.r:.:..::.-=-----------NOTARY
State of QKl!rl County of @/dd hm~
Subscribed and sworn to berore me 011 RpM I /12 J 71l1B by k'afu,L.) WaH; s My Commission expires 3/31 /2 I Commission Number 17 00 ·31 b (g ,
~huLL. Signature of Notary PubHc or Officer Auth rized to AdmInister Oath
UOfNl'VV~b\IC Title of Officer (Notary Public or Other Officer)
NIPD PETD # of signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath 50 1
---==--=~----~~~---------------- . NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Candidate's name as it will appear on ballot: Ken Luttrell
Candidate'sfUlllegalname:Kendall Gene Luttrell Date of birth: (Month, Date, Year):08, 13,53
Title of Office Sought: • • (include district office or ward number if applicable)8tate Representative Olst 37 Candidate's Residence Address: 1 8 • (Street, Cit y,State, Zip) 0 Ramblewood t ,Ponca City, Ok 74604 Candidate's Mailing Address: • (Street,City,State,Zip) 10 Ramblewood 8t, Ponca City, Ok 74604 I am a registered voter in precinct # 360413 in the County of K,y
Optional Information: Phone number: 580-716-4010 Email Address: [email protected] Website:
[!J Candidate for the xRepublican Party o Independent Candidate DNonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): ~ Cashiers/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to b~uilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? UVES !aNo Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES [aNo If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this of Candidacy is and correct, that I have read and signed the Candidate Qualifications for the office that I that I am fully qUi3lifjefl to become a candidate for said office, and that I will be fully 'qualified to hold said office, iJ1',lec;te.j.
State of =..u.='-""LLl'»- County of
r-_~ ___ -=:=="::":':":""_-1'ubscrlb.d and sworn to before me ~e.Y\ [) "- L u"J\y c,\ I OFFICIAL SEAL () \
BRENDA LUTTRELL y Commission expires \ \ -a\- ;;l.OlS Commission Number ~. CJ \ ~~ Nt,rAt\Y PUBliC OKLAHOMA v(j~d
KAY COUNTY COMM. EXP. 11·21·2018 COMM. NO. 02017133
Signature ot Notary public or Officer Authorized to AdminIster Oath
N O-tCLY''-I -V v"b \ -\ C , Title of Officer (Notary publiC or other Officer)
2018 state of Oklahoma Filing Packet Candidate Information and Oath I 12
e ___ O_K_LA_H_~a_~_:_id_~_;_ec_,~_~o_Rr_~_:_'~_i:_n_~_:_d C_:_aN_th_D_ID_A_C_Y ____ 5 0 2 NOTICE: All information provided on this form will be made publicly available.
,
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot:
J t"S+,'iJ Ff~fch er Candidate's full legal name: Date of birth: /97-1' :r VI s.-t:,.J Thol'7CJ 5 (lcfCh er (Month, Date, Year): 09 -/(/~M# Title of Office Sought: (include district office or ward number if applicable) S-taie t<epre seN rq r:ve f);~t(,'~ t :2 7 Candidate's Residence Address: (Street, City, State, Zip) /&30 ~ f de / N N e vcfllO( 01< ::ff(fF! Candidate's Mailing Address: (Street, City, State, Zip) I b 3 () 'j £ cJ, CI L.tJ Ne.- lJClflo [)I<. 1ltg.£':f
I am a registered voter in precinct # 21- in the County of Cleve la(Jd Optional Information: Phone number: t.; Cl J"- s"&>:z -03'f'fEmail Address: F f e. tel, &1 J f{J!1q",,,:I,.'/Y:};;ite: /v/A [XJ Candidate for the ' ~ e 12tfb I:C II (J Party o Independent Candidate o Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): IliI Cashier's/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state orofthe United States? DYES [XjNO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES [ijNO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said l,ocLou,_
State of County of
Subscrtbed and SWorn to before me ~ /:J.,' fi-,t?' / d? ~~~",,---"'''''''-"'1MYCOmmiSSioneXpires OJti~gl CommissfonNumber t2549crh 39 /
.)CALDIANAJ.HOLLADAY ~ 7 Notary Public - State of Oklahoma I
Commission Number 05006391 My Commission Expires Ju113. 2021 fnlster Oath
# of signatures ____ _
3F-
2018 State of Oklahoma Filing Packet Candidate Information and Oath I 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
Candidate's Residence Address: (Street, City, State, Zip) t 512. L..o.. Candidate's Mailing Address: (Street, City, State, Zip)
I am a registered voter in precinct #
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
i HO(JSe at
Date of birth: M&<rc ~ I , 11f.J (Month, Date, Year):
Website:
503
-"-"=-r-u=<-!:~ILl-"---__ Party 0 Independent Candidate 0 Nonpartisan Judicial Candidate
This Dedaration is accompanied by a (check one): Cashiers/Certified Check 0 Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty ~ misdemeanor involving embezzlement or of a felony under the laws of this state orofthe United States? DYES lL:]No Have you been named in an outstanding warrant for ar~ for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES ILINo If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold sai~
Signature of Candidate ~ ~ ~
NIPD
NOTARY
State of ~countYOf (f)61" .t'~ Subscribed and ,worn to before me ~ .~I .1. 0 I 9
"'·S"'E"A·L"D·IA""N-A'"J·, H .. O·L .. LA .. D·AY ...... -~MY commission expire, h 1-'; • .:2.0.:2/ Commission Number 05 {)O,($ 'i I Notary Publ1c - State of Oklahoma Commission Number 05006391
My Commission Expires Ju113, 2021
PETD # of signatures ____ _
nlster Oath
2018 State of Oklahoma Filing Packet Candidate Information and Oalh / 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
Residence (Street, City, State, Zip)
Mailing (Street, City, State, Zip) 4"14 \.
I ama I
Optional I Phone number:
PLEASE TYPE OR PRINT
in the
Date of birth: (Month, Date, Year):
504
[ZI Candidate for the -'-=4""""..ill.u."-'-'--~"-' rty 0 Independent Candidate 0 Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): Cashiers/Certified Check Petition
CRIMINAL HISTORY DISCLOSURE AND OATH
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to b~uilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? UVES ~O Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES /DIIo If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said o':ce, i\elected. .
Signatureofeandidat. -1J ~ .bY
SEAL ~-=-r::=...Co~~illmb.r 1,300& 007
#
2018 State of Oklahoma Filing Packet Candidate Information and Oath /12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot: ST ANT ON
HARRELL
505
candidate'sfUlllegalname:Stanton Craig Harrell Date of birth: (Month, Date, Year):03/03/1966
Title of Office Sought: . .. (include district office or ward number if applicable)AssOClate Dlstnct Judge, Rogers County
Candidate's Residence Address: • (Street,city,State,Zip) 8322 E. Winchester Ave., Claremore, OK 74019 Candidate's Mailing Address:
405 W
(Street, City, State, Zip) • 1 st St., Claremore, OK 74017
I am a registered voter in precinct #660007 in the County of Rogers Optional Information: Phone number: 918.343.5010 Email Address:[email protected] Website:
o Candidate for the ' Party o Independent Candidate [!J Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): IiI Cashier's/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority In Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? []yES 0NO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES 0NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said office, if ele~e~. n/7
Signatureofcandldat~ ~ ~ '1- LI-wI6
SEAL
NOTARY
Stat. of C\ );)0.'1 .. 4"""" county of _§lna="'j""-";+""'-'S'-_______ _
Subscribed and sworn to before me 5';"<)..r..-tv.N (1("li,)j flg.,.<,e. 2\
My comm~s!)~I,=~.S~!l:SN_".Of--commlsslon Number _______ _
n, SEAL DAVE FAULKNE ~O'l:~. N~?F7~~~LO~I~I~~11 ~
;:< Conun. 11990160~4 Sf ature of Notary Public or Officer Authorized to Administer Oath
;~~~~~,~<~~SE~'P~""~'~O~8.2~.B~-2(~\1~9~~--~rV~~~~~,~,~~.Iw~f>~~"-~~~l\:.~~~----------__ Title of Officer (~a'r?PUb"i), or Other Officer)
NIPD PETD # of signatures ____ ~
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot: Matt Campbell
506
Candidate's full legal name: Matthew Paul Campbell Date of birth: (Month, Date, Year):02/26/1969
Title of Office Sought: (include district office or ward number if applicable) State S en ate 0 i stri ct 42 Candidatels Residence Address: (Street, City, State, Zip) 207 Guy Dr f'-.. c,;..-t. ~ \,I.(\. Candidate's Mailing Address: •• v J (Street, City, State, Zip) Midwest City, OK 73110
I am a registered voter in precinct #550086 in the County of Oklahoma Optional Information:
Phone number: 405-613-0079 [email protected]
Email Address:_ .• MII;!!;I.IIIJoWebs!te:https:/lgoo.gI!5S3ARR
o Candidate for the .:.' ___________ Party 1iI1ndependent Candidate 0 Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): ~ Cashier's/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to b!JIuilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? UVES ~NO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? DYES ~NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the un i swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said
My CommIssion expires
# of signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath I 12
•. :~~::::;l OKLAHOMA DECLARATION OF CANDIDACY .:: :.~ Candidate Information and Oath ~'I~~'; ----------::-------~--------------------
NOTICE: All information provided on this form will be made publicly available.
Candidate's full .:::;~=.-.
Title of Office ,ougnu
i Residence (Street, City, State, Zip)
Candidate's Mailing Address: (Street, City, State, Zip)
lam Optional Information: Phone number:
CRIMINAL DISCLOSURE:
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Date of birth: (Month, Date, Year):
Website:
o Independent Candidate 0 NJr10artis,~riJludicial
507
Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of" misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES iZJNO Have you been named in an outstanding warrant for ar;;stJ6r a misdemeanor involving embezzlement or a felony in this or any other state or ofthe United States? []yES [kINo If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said
State of ~ntyof ._--,~~~~~~~ ___ _
Subscribed and sworn to before me ----=Of"-'-'---";q.-L..l"-------
SEAL My CommIssion expires /0 #" 0 1--p.d Commission Number OfOld391 ,
Title of Officer (Notary PubHc or Other Officer)
# of signatures ____ _
2018 state of Oklahoma Filing Packet Candidate Information and Oath I 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot: Allan Gru bb
508
Candidate'sfUlllegalname:Glen Allan Grubb Date of birth: (Month, Date, Year): 05/18/1975
Title of Office Sought: District Attorney, District 23 (include district office or ward number if applicable)
Candidate's Residence Address: 120 Teal Drive Shawnee, OK 74804 (Street, City, State, Zip)
Candidate's Mailing Address: 231 N Broadway Shawnee, OK 7480\.f (Street, City, State, Zip)
I am a registered voter in precinct # 630009 in the County of Pottawatomie Optional Information: Phone number: 405-273-6814 Email Address:[email protected] Website:
• Candidate for the Re(:!ublican Party o independent Candidate o Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): • Cashiers/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? 0 YES. NO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? DYES .NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
i, the undersigned, swear or affirm that the information provided in that I have read and signed the Candidate Qualifications for the office candidate for said office, and that I will be fully qualified to hold said
State of County of
Subscribed and sworn to before me arYl l /I an v My Commission expires I ) /0/;;t0 L I Commission Number 13 DID \ If L1 SEAL
........... C·HA .. RL .. E·NE .. C ... H .. INK ... E .. R ..... -.., (3170 J1I
-&_ L ~ . Nota'Y Public - State of O~lahoma
Commission Number 13010184 My Commission Expires Nov 5.2021
# of signatures ___ _
2018 state of Oklahoma Filing Packet Candidate information and Oath / 5
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Candidate's name as it will appear on ballot: Drew Edmondson
509
Candidate's full legal name: William Andrew Edmondson I Date of birth: 10/12/1946 (Month, Date, Year):
Title of Office Sought: Gove r (include district office or ward number if applicable) mo
Candidat~'s Residen~eAddress:10731 E. Apple Valle Rd. Oklahoma City OK. 73154 (Street, City, State, Zip) y , ,
Candidat~'s Mailing Address:PO Box 18922 Oklahoma City OK. 73154 (Street, City, State, Zip) , ,
I am a registered voter in precinct # 5501 09 in the County of Oklahoma
Optional Information: Website:drewforoklahoma.com Phone number: 405-652-1999 Email Address:
iii Candidate for the xDemocratic Party o Independent Candidate D Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): iii Cashier's/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to b~uilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? UYES 0NO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? DYES GaNO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said~ ~
Signature of Candidate --6~'----';;;"';==-------------
NOTARY
Siale of ctJoh OMD. Counly of --""D"-b=l"oo=h"'Q"',v,,=g"-_____ _
Subscribed and sworn to before me ~OU')()}:-~ ~ N O'\C: li=Q<,( )
r---:H-:~=:-:t----::R:-:D--T:-:. -M-O::-"R-=R-O=W-:---' y Commission expires b{Y/ d N q Commission Number I W> 5:27/ Notary Public-State of Oklahoma ( ~IA_ Commission Number 15005271 ~-J.It;ffi~ ") Commission Expires 06-04-2019 Signature of Notary Public or Officer Authorized to Administer Oath
i'OD\w< \)Gl ~C
N1PO PETO # of signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath I 12
4' • ___ O_K_LA_H_~a_~_:_id_~_~_ec_I~_~_:r_~_~_I~_iO_~_~_:_d C_oA_a_~h_D_ID_A_C_Y ____ 51 0
NIP
,,!lli!:i_" NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot:
JA.S(lV1 bUY1 h" VI ~ /-M Candidate's full legal name: Date of birth:
JAS"1'Vl f>AtA. ( !J /An YJI ''11 ./-/Y'I (Month, Date, Year): (, Iz. 7/'77 Title of Office Sought: ~ (include district office or ward number if applicable) JITk~ , {. f!-lf(t ~ r 6/r./.Y"Tv /. '1$ Candidate's Residence Address: If, (Street, City, State, Zip) 'lb" I\JI-J L{p."l ~fr:: J ~ l::. (..,.. 7311~ Candidate's Mailing Address: ~
(Street, City, State, Zip) /J,Z.O f'Jrv t.f~ tJ /:::. c... I 6 Jt:. T~II'6
I am a registered voter in precinct # L'17 in the County of O~ I"AIWl""-Optional Information: Phone number: Email Address: Website:
~Candidate for the' {)(W/6(yAi.'v Party D Independent Candidate D Nonpartisan Judicial Candidate If">
This Declaration is accompanied by a (check one); g Cashiers/Certified Check D Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES ~O Have you been named in an outstanding warrant for ar~t)or a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES &:INo If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or irm the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualffied to become a candidate for said office, and that I will be fully qualified to hold said Ilecteal/
Subscribed and sworn to 'efore nte-'::"4~=¥=_~==!--(..L.!L..L!:::::"' __ _
My Commission expires
# of signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath I 12
NIP
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
Date of birth: (Month, Date, Year): 05
I
(Street, City, State, Zip) Dk\ I am a i voter in Optional Information: Phone number: Email Address: Website:
511
[gCandidate forthe ' D "" I'-\.D<!.I'",4-, '-~ Party D Independent Candidate D Nonpartisan judicial Candidate
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to b~uilty g!,ynisdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? ljYES e91i0 Have you been named in an outstanding warrant for arresj.for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES .~NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold ?~ffiCe, if elected.
Signature of Candidate /" C!M-<iJ!A ' State of
Subscribed and sworn to
SEAL My Commission expires
• OFFICIAL SEAL
til .. ::': ":': .. ' BRENT A. HOPKINS AdmlnlsterOalh • :. il.! f NOTARY PUBLIC OKLAHOMA ~'$."::' .:: ~ TULSA COUNTY
•• :;:. • COMM. EXP. 03-12-2021 , COMM. NO, 01003419
signatures ____ _
2018 stote of Oklahoma Filing Packet Candidate Informafion and Oafh / 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it wi!1 appear on ballot:
Ii ~ Date of birth:
512
(Month, Date, Year): 10 07 J'1iPt.{ Title of Office Sought: (include district office or ward number if applicable)
Candidate's Residence Address:
(Street, City, State, Zip) tf't Cil N. Ok 73(;08 Candidate's Mailing Address: (Street, City, State, Zip) ".,'" [)7 tV. I am a registered voter in precinct # 10 in the County of
Optional Information:
Phone number:Ioj.()If 2"'" 12.\J Email Address:-r.~. Website:
~ Candidate forthe ' !?e,(2l!"I.'UiYl Party 0 Independent Candidate 0 Nonpartisan Judicial Candidate
NIP
This Declaration is accompanied by a (check one): ~Cashier's/Certified Check D Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES ~O Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? DYES ~O If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information p in this Declaration that I have read and signed the Candidate Qualifications for the office that I seek, candidate for said office, and that I will be fully qualified to hold said Lf e'--'-'"
Candidacy is true and correct, am fully qualified to become a
Subscribed and sworn to before me _J.JuJ1..SU~~JE::lJ2.....LJt:!o~~ __
My Commission expires I ~ -7 ~ ;COld Commission Number
#I of signatures ____ _
2018 state of Oklahoma Filing Packet Candidate Information and Oath / 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath 513
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot: SAtlWN S. 7'4.tt/or Candidate's full legal name:
ShawN .)c.P# 7 q,'f/or Date of birth:
10/1 7 jl'!{S" (Month, Date, Year):
Title of Office Sought:
Dis+rid ~tA~£. - Didn'e/- 12- Of(i(.e. i (include district office or ward number if applicable)
Candidate's Residence Address: (Street, City, State, Zip) S FO~ [,gl.Ati:.s, AJ~lr) OK. "1'13'3'0 Candidate's Mailing Address:
8 h>~ ~s-l-A-~/ M«ir,D\L (Street, City, State, Zip) itt33D
I am a registered voter in precinct # 15 in the County of M<t:je5 Optional Information: Phone number: Email Address: Website:
o Candidate for the ' Party o Independent Candidate J!4 Nonpartisan Judicial Candidate
This Declaration is accompanied by a (cheek one): ~Cashier's/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? LIvES )XlNO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in
this or any other state or of the United States? []yES ~NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure
form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I to become a candidate for said office, and that I will be fully qualified to hold said
R. BENJAMIN SHERRER Notary Public - State of Oklahoma
Commission NUmber 05009933 My Commission Expires Oct 26,2021
2018 State of Oklahoma Filing Packet
State of 0 t< I a.J.. - ... "- County of ;¥/ It 't e.s Subscribed and sworn to before me -LA.....L.,fl.f'.L'r...!i...!/_-'1-fl-=2--:.-..:0-'1_'»..P.L....:. ____ _
O.S' 0 0 '[13 '3
er Authorized to AdmInIster Oath
fA. 6// c Title of Officer (Notary Public or other Officer)
Candidate Information and Oath / 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot:
514
Candidate's full legal name: Date of birth: (Month, Date, Year): 2 . Lt - f/£
Title of Of Ice Sought: (include district office or ward number if applicable) CO" Candidate's Residence Address: (Street, City, State, Zip) ~
Candidate's Mailing Address: (Street, City, State, Zip)
I am a registered voter in precinct #
J t~St.
,..,( (' Optional Information: .. J ill.} Phone number: Ifo!?- Email Address: • 1'1.0/\ e.... -:5 1\..5 ~ .. t~§a~flid~· .~.-i.te~j9H~~trei"~e~,E$~~n~a~'e:~f~(?~'*~~~()~~f;;p~a~rt~yJJ.j~IXI~I:nd;'e~p~e:nd:e~n~t~c:an~d~id~a~te:--DDN~O~n~p:a~rt~ls:a:n :JU:d~ic:ia~l~c:an:d:id:a:t~e1
This Declaration is accompanied by a (check one): !XI Cashier's/Certified Check D Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? []yES ~NO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES ti{JNO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information in this Declaration is true correct, that I have read and signed the Candidate Qualifications forthe office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold sa if el
Subscribed and sworn to before me _4"-"·LIu.(L~-.LI",SL-__________ _
My Commission expires c; -t-- .2 '0 Comm",'on Number 16 oc- &"::,~ 5-6
~::;drtllr~) ~~V-£:4-< /Slgnature of Notary PubHc or Officer Authorized to Administer Oath
!I '" Aj <> fcc ~-' ?..J, /, . Title of Officer ary Public or Other Officer)
2018 State of Oklahoma Filing Packet Candidate Information and Oath I 12
•. ;.?}~.;.j OKLAHOMA DECLARATION OF CANDIDACY 515 'l'l' Candidate Information and Oath < .. " :::.;. ----:-:-::::::::--:-::-:-:---:------:-:--:---:-:--:----:--:-----:----:-::-:---:--:-----"''''1(161 •
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
Date of birth: (Month, Date, Year):
(include district office or ward number if applicable)
Candidatels Residence Address: (Street, City, State, Zip)
i Mailing Address: (Street, City, State, Zip)
I am a voter in
Optional Information:
Phone number: 05 ,.£'1 O·~
Email Address: .:\.t",
D Candidate for the .::.' __________ Party I;K!lndependent Candidate D Nonpartisan Judicial Candidate
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty.'2!. ;ynisdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES lldNo Have you been named in an outstanding warrant for ar~tjor a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES lJ1No If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or i that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said o~e, if elected. ~ 0
Signature of Candidate ...k:: Q.. ' ~ ~"Y1""" ?
NOTARY
State of OK j (~ ), >til> "i. county of ",("?,,,k __ II-<C_:.dJ) 1"'9'-"-""""~:= ______ _
Subscribed and sworn to before me _4-,' '--~JL;J,.=_-..!I--".ff __________ _
My Commission expires
ISlgnature of Notary ~bllc or Officer Authorized to AdminIster Oath
/Vah-.rj :r..~J,J. 'c Title of Officer (Notary Public or other Officer)
NIPD PETD # of signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Candidate's name as it will appear on ballot: J 0 h n S ym COX
516
Candidate's full legal name: John Raymond Symcox Date of birth: (Month, Date, Year): 08/22/1983
Title of Office Sought: • • (include district office or ward number if applicable) State Senator District 30 Candidate's Residence Address: • ~ ~ II (Street, City, State, Zip) 2200 Persimmon Dr., i . r he. V, ~1'Vj(../ol< 731·~( Candidate's Mailing Address: (Street, City, State, Zip) P.O. Box 18994 Oklahoma City, OK 73154
I am a registered voter in precinct # 550105 in the County of Oklahoma County
Optional Information: Phone number: 918-520-0382 Email Address: [email protected] Website: symcoxoksenate.com
iii Candidate for the Republican Party o Independent Candidate o Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): ~ Cashier's/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to b~uilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? UVES !ZINo Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES iZINO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said if elected.
State of ~ County of
SubscrIbed and sworn to before me ~ 1;2) ,;;t CJ I 8 ,...·S~E~A~L .. D·I ... AN·A~J·. H .. O·L .. LA·D .. Ay ...... --1."'·y Commission expires ). 'r q .:tP.'i./ Commission Number t9.5. ee 0.3 9' /
Notary Public - State of Oklahoma F
Commission Number05006391 .,)~,e:"""-'"""ste:...-I¢6fd,z;;;,~~~I--My CommissIon Expires Ju113. 2021 Ignature of Notary Pub
signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
.. ~) OKLAHOMA DECLARATION OF CANDIDACY 517 ~~@7 Candidate Information and Oath
'~l~ifl~;'tv --------------------------------------NOTICE: All information provided on this form will be made publicly available.
Candidate's name as it will appear on ballot:
Candidate's legal name: 6'tt.£&-Title of Office Sought:
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
MILLS
Date of birth: (Month, Date, Year):
(include district office or ward number if applicable)
Residence Address: (Street, City, State, Zip)
Candidate's Mailing (Street, City, State, Zip)
ail Address:<f (1.f;~
-'---f(.J,.--!I-=='-"'Cl'..:,-__ Party 0 Independent Candidate 0 Nonpartisan Judicial Candidate
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendei:e, r otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES NO . Have you been named in an outstanding warrant for ar~s1ior a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES I!:1NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully ~ualified to become a candidate for said office, and that I will be fully qualified to hold said office, if ...
RACHELLE WEST NOTARY ~\.18L1C STATE OF OKLAHOMA MY COMMlSSleN EXPIRES NOV. 16.2021
COMMISSION. 17010643 . -, ._-
county of (9tlWc,c-N'O\
Subscribed and sworn to before me %C.A.I\:e.N\g (LA r~ ...
My Commission expires ~ llV llo ;)0')'1 Commission Number \:\ c> I O("Lj ::,
Signature of Notary Public or Officer AuthorIzed to Administer Oath
Title of Officer Public or Other Officer)
signatures ___ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath! 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Candidate's name as it will appear on ballot: /
Vc:;...nnv/ .:s+t?~ks--ft'j
518
Candidate's full legal name! Date of birth:
12) -z-l J }q71 DAN IE'L- T ~Toc-ILS/IL'- (Month, Date, Year):
Title of Office Sought: (include district office or ward number if applicable) ~S 1?e.['reseJl)'i-tl + ;ve UIST 1 Candidate's Residence Address:
72~J £ (Street, City, State, Zip) j'g/3 S. Av~ ----rut: oS 1\, O}L 7'f/33 Candidate's Mailing Address:
72 v:3 £ J} ve (Street, City, State, Zip) g:5 I '3 S. IULSIl. OIL 7<tla3
I am a registered voter in precinct # 771) - /3f:, in the County of j LA I-:,~ Optional Information: Phone number: Email Address: Website:
I3'G'ndidate for the 'R e f2\A.1o \ i CA Vl Party o Independent Candidate o Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): [iJcashier's/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States?DYES BNO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States?DYES ~ If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in is Declaration Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said
TERRt WILLIAMS, Notary ~61i\1b • $111. of Okl,lIom. C4mmls8lon Numbtr t6006192
My Commission Expires Jun ~8. 2020
2018 State of Oklahoma Filing Packet
Title of Officer (Notary Public or Other Officer)
Candidate Information and Oath I 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Date of birth:
519
(Month, Date, Year): / /-2. {J~62
(Street, City, State, Zip)
Candidate's Mailing Address: (Street, City, State, Zip) '. 0,
I am a registered voter in precinct # in the County of
Website:
o Candidate for the .;:' __________ Party 0 Independent Candidate !2iI Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): lSlCashier's/Certified Check 0 Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES l:8)No Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES I2LNO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a
candidate for said office, and that I will be fully qualified to hold said o~e, if elected.~ ?1 Signature of Candidate -'~z·-"",:...!==--=L=---'_===t!;...K=",-______ _
\ 11111/1 .....
state of
Subscribed and sworn to before me -'-'-:Lf"c-!---'-''----'-'Lf----'''''>:''-':--'-----::---
My Commission expires l..- 31 - Commission Number 7 PC039S £kCflV1VL Ate 1l!0
AU\tlo~~ed 10 Administer Oalh
# of signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath (12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
Date of (Month, Date, Year):
Title of Office Sought: (include district office or ward number if applicable)
520
Candidate's Residence Address: I a /".All 1\ .• .I ~\" r : A
(Street, City, State, Zip) \ 1)l-V~ f\f\P\./A- v\.'-\ CA. DC' I
1- 30 12. Candidate's Mailing Address: (Street, City, State, Zip)
voter in Optional Phone number:
l 1- ~Dl2.
~ Candidate for the '::'--'-.-1>-¥=""'-'--"'''''''LL __ Party o Nonpartisan Judicial Candidate
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to b~uilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? UV'ES ~O Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES ®-Io If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
swear or that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold saij:!.£:~e~f£!~ted.
Subscribed end sworn 10 before me ~<' /~r7 My Commission expires )(·11'-19 Commission Number /~,:! /c #J SEAL
- .• -:.:,;::-------------------- .. ------- I
. '''\s'Q;M~,-, LINDA L. MARTIN : ., Hoi \ '
: { SEAL J Notary Public I ,\("u!\'..\ .. / State of Oklahoma :
......... ~ I
Oath
(;~~"!.r:t~~s]~!I_~J.:s,!l~~~_.!!_xy]!!~J~!!~~~ :
2018 state of Oklahoma Filing Packet Candidate Information and Oath / 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath 521
--~~~~~~~~~~~~~~~-NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot:
Ct,q-rz0 Rhw Y{ c'..s Candidate's full legal name: I Date of birth: ~~2 C Ai'"',! W ftwtJE RhV)Y7.f'~ (Month, Date, Year): eX 'Z-'5/;~ Title of Office Sought: r
(include district office or ward number if applicable) 51J1"T"t Rt::-p (U: 5 D177'+11IlIC If: 2:5 Candidate's Residence Address:
18 -tL S-hvcCI I ;'(pA-(Street, City, State, Zip) (Dc 7 E () Ie 7<feU Candidate's Mailing Address: (Street, City, State, Zip) f1i) /30'1 I '5 t" 5 I All,", Die, 7'fBz!
I am a registered voter in precinct # 2..5 in the County of Po ftJ7iJ/ll c..-Optional Information: So 0 i0t::'""K 111 A-N 'f Z € 0" N , ~ Phone number:590-Z 72.-7/35 Email Address: Website:
o Candidate for the' Party III Independent Candidate o Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): (i Cashiers/Certified Check D Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to ~uilty of a misdemeanor Involving embezzlement or of a felony under the laws of this state or of the United States? LJYES II/NO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES !IINO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy,
I, the underSigned, swear or affirm that the information provided in this that I have read and signed the Candidate Qualifications for the office that candidate for said office, and that I will be fully qualified to hold said
of Candidacy is true and correct, that I am fully qualified to become a
State of County of
Subscribed and swom to before me -"&"K"'7i~f-bJ'.!f''''''''''---------My Commls,~n expire, ,,·2· 2{
SIgnature of No ary P. c or OffIcer Authorized to Administer Oath
Mh t..1I" Title of Officer (Notary Public or Other OffiCer)
(
2018 State of Oklahoma Filing Packet Condidate Information and Oath I 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot:
;;;JlJr-1 nI UZZo Date of bi rth:
522
c~ndidaJels full legal name:
::V> 14 "'- PCI E /2 WZ20 (Month, Date, Year): 1- f $-{1LfLf Title of Office Sought: 5;7' 14 {r-(include district office or ward number if applicable) ALI D I 10 fG AtOP :[)-v s l'r: (!T 0 7G Candidate's Residence Address: (Street, City, State, Zip) (ZtJZ CAP/vI£K F/UJC 714/-lljC/',) tNH./ tf'J/: 74£</6.f-Candidate's Mailing Address: " (Street, City, State, Zip) I <.,t) 2 G4J"!.m t= p ;C)VE 7/4J.1Lr-/:) l/ fa 1-/ tfJ/:. 7~-9"& ¥ I am a registered voter in precinct # / f /!){) :1 in the County of t! Ii '- Ie. D 1< € ,c. Optional Information: G M'Jr:1IL .. (I. om Phone number: Email Address'JtlJiiV .{zZOC.PA CO Website:
51 Candidate forthe ' B.t= P (itSf-1 [:JJtz/ Party o Independent Candidate o Nonpartisan Judicial Candidate
This Declarati!,n is accompanied by a (check one): ~ Cashiers/Certified Check D Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or ofthe United States? DYES [!jNo Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in
this or any other state or of the United States? DYES WNO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
swear or affirm that the information provided in this Declaration of I is true correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said office, if ellect,esL,
stat. of Cl \ro \'\ C>fl"G County of ~ ( C, "- Q Q
SUbscribed and sworn to before me \Q -\-~ B?c 1 b ~, ~ My CommiSSion expires @ -J -d~ Commission NUmber 1'-\ C'C) I'd 8, I
Signature of Notary Public or Officer Authorized to Administer Oath
Q. ):;S)v>rO-D t f,fCl-DC"b ID=f' Title of Officer (Notary Public or other Officer)
2018 Stale of Oklahoma filing Packet Candidote Information and Oath I 12
i'l\·.:.~~·./·::)s
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
523 ~rt~;~:~~.?~c.,~ ~,,~{~:;~ ~~i!;A?~' -------------------------------------
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Candidate's name as it will appear on ballot: C h e ryl Key
Candidate's full legal name: Cheryl Kay Key Date of birth: (Month, Date, Year):01 14/1950
Title of Office Sought: (include district office or ward number if applicable) State Representative House District 48 Candidate's Residence Address: •• (Street,City,State,Zip) 608 Franklin Drive, Ardmore OK 73401 Candidate's Mailing Address: PO B (Street, City, State, Zip) OX 401, Ardmore OK 73402-0401
I am a registered voter in precinct #24 in the County of Carter
Optional Information:
Phone number: 580-221-3565 Email Address:[email protected] Website: cherylkey4me .com ~ Candidate for the xDemocralic Party o Independent Candidate o Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): ~ Cashier's/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES 0NO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES 2jNO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in is Declaration of is true correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said office, if elected.
My Commission expires
# of signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
<~~i~ .. "t;."It, ~o/.::.:: . ":':-~.~ ~:.'~~~f!j)
OKLAHOMA DECLARATION OF CANDIDACY 524
~~:~ -----------------~------------------~--------------------------------0::}.J!iffi.:;;:/ NOTICE: All information provided on this form will be made publicly available.
Candidate Information and Oath
NIP
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Candidate's name as it will appear on ballot: Rebecca Gore
Candidate's full legal name: Rebecca Jo Gore Date of birth: (Month, Date, Year): January 14, 1969
Title of Office Sought: • (include district office or ward number if applicable) ASSOCiate District Judge-Mayes County Candidate's Residence Address: • • (Street, City, State, Zip) 225 GiSt Dnve, Pryor, OK 74361 Candidate's Mailing Address: 225 G' t (Street, City, State, Zip) IS Drive, Pryor, OK 74361 I am a registered voter in precinct # 490241 in the County of Mayes Optional Information:
Phone number: 918 825-1269 Email Address: gore-j @sbcglobal.net Website:
o Candidate for the' Party D Independent Candidate [!I Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): ~ Cashiers/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES [ZiNO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? QvES iZlNO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the underSigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I fully qualified to become a candidate for said office, and that I will be fully qualified to h~~l-sai!ll'~~Yl:,JJ~I,ec.ted.
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Subscribed and swom to before me -fh(JJ 911'\ dA'{oF ApP,f~, dD/g, My Commission expires "1 f:J1 /2JOcommlsslon Number OS'm'14.53
j Cb1Q. 'f), < ~ SignN~+~~bIlCl->uY;I;.z~ed to Administer Oath
TItle of Officer (Notary Public or Other Officer)
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Candidate's name as it will appear on ballot: JOHN YEUTTER
525
Candidate's full legal name: JOHN PHILLIP YEUTTER Date of birth: (Month, Date, Year): 05/17/1954
Title of Office Sought: (include district office or ward number If applicable) STATE AUDITOR AND INSPECTOR Candidate's Residence Address: (Street, City,State, Zip) 1103 SEMINARY AVE. TAHLEQUAH OK 74464
~~:~~:~~;~,~ta~~;,g::'dress: PO BOX 2185 TAHLEQUAH OK 74465
I am a registered voter in precinct # 110004 in the County of CHEROKEE
Optional Information: Phone number: 918-931-8257 Email Address: [email protected] Website: WWW,YEUTTER40K.COM
[!] Candidate forthe LIBERTARIAN Party o Independent Candidate o Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): [!] Cashiers/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States?DYES@NO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States?DYES@NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the swear or rm that information provided in this Decla of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office th.,U-,,,,,.,k I am fu qualified to become a candidate for said office, and that I will be fully qualified to hold said ele'ctjt,d.
Signature of Notal)' public or Officer Authorized to Ad nlster Oath
NOTAtty H{BLI C Title of Officer
#
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
• OKLAHOMA DECLARATION OF CANDIDACY 526 ijf§J __ -:-:-:-:-:--:---::--:-c_a_ndoo:-id_a_t_e_ln:-f-:-o_r_m-:-a_t-:-io_n_a_n_d_O_a_t_h _______ _
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
Title of Office Sought: (include district office or ward number if applicable) ~~Ol\ Candidate's I
(Street, City, State, Zip) <511-.':;;'. c..:,~.,JL I-hots-B Candidate's Mailing Address: (Street, Citv, State, Zip) S I 2.- ~. C ... ,.,..."" e.r--.c...:t ~
lama voter in the Optional Information: Phone number: Email Address: Website:
D Candidate for the ..::' __________ Partv 0 Independent Candidate ~Nonpartisan Judicial Candidate
This Declaration is accompanied bva (check one): Cashier sjCertlfied Check Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to b~Uilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? lJYES gjlJo Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES !8INO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a
candidate for said office, and that I will be fully qUalifiedc~t:o,:h:~O~ld~s~a~id~of;f~ic~e~, I;'f~~~[::;;~:=;)::=== ___ _
State of
Subscribed and sworn to before me -'-1#-''''''''''--'-'-1-''''-'-'-''---------
{1"""~""...,.S .. E ... Ai ...... IM,.,B"E ... R,.L.,.Y ..... P ... LA-N .. T-""" Commission expires ~~ , oJ I Commission Number /J 5 M 1 J. 1 /.t.. Com m. # 05007276
Public In and for n' ct
ft of signatures ____ _
2018 state of Oklahoma Filing Packet Candidate Information and Oath I 12
52'7 (t:.:.::".:.::. OKLAHOMA DECLARATION OF CANDIDAGY ~:,:.. ""~ Candidate Information and Oath
;,.::;.;, -----:-:-:-:::::-:-::--:-:-:-::-------:--:----:------------------'19 • NOTICE: All information provided on this form will be made publicly available.
Candidate's Mailing (Street, City, State, Zip)
I am a I
Optional I Phone number: 'e::ft~)'
PLEASE TYPE OR PRINT
D.ate of:birtll: (Month. Date, " .• _L'--'
~andidate for the ::.'-l-L.1...llJ.L.u-",,-\..I.,..'-__ o Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one), Check Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE, Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty ~isdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES MIlO Have you been named in an outstanding warrant for arresVor a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES lliNO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration Candidacy is true correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold sa office, if elel;[el],
'>Cl-lbIANA J, HOLLADAY Notary Public - State of Oklahoma
CommIssion Number 05006391 My Commission Expires Ju113, 2021
2018 State of Oklahoma Filing Packet
!0Y <, ...,.?''/ <7 Subscribed and sworn to before me _.L.&.a,;r=-"""-'15!"-'-«'-..Lc..-"<~s..,I_"-"'O<=.!....-"o-----
My CommIssion expires 54 l~ M,ll CommIssion Number =~"'=""'-'IZ..;"-LL_ ,
Oath
Candidate Information and Oath f 12
f;;~?If OKLAHOMA DECLARATION OF CANDIDACY 528 ~wIJ __ -:-:-::--=-~-.c_a_n_d_i_d_a_t_e_l-:-n-:fo_r_m-.a_ti_o_n_a_n_d_o_a_t_h_~_,---. __ _
NIP
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
i . i , CANDIDATE INFORMATION " .
Candidate's full legal name:
c,V} Title of Office Sought: (include district office or ward number if applicable)
Candidate's Residence Address: (Street, City, State, Zip)
Candidate's Mailing Address: (Street, City, State, Zip)
I am a registered voter in precinct # 6 )(X)<:J"i? Optional Information:
Phone number: ~ _ 7Cfl, 01&0 Email Address:
~rcandidate forthe ;1/[.(\1\ ClCAlAT Party
in the County of
Date of birth: (Month, Date, Year):
~(l~S£/-l""i7'iT .L V€" zr g"~
Website:
D Independent Candidate D Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): 5'f Cashier's/Certified Check D Petition
. CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to b!Jiuilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? UVES l81No Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES )8:lNo If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a
candidate for said office, and that I will be fully qualified to hold said office, if elected.
My CommIssion expires
# of signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath I 12
NIP
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's
Date of birth:
Title of Ulll<i :8.,.)<Ju,grn (include district office or ward number if applicable)
Candidate's Residence Address: (Street, City, State, Zip)
i I ing Address: (Street, City, State, Zip)
I am a voter in
Optional Information: Phone number: '-I7CJ,'qOr.>.O!.Jol Email Address: W. ~er 3_ 4~"'''''1 Website:
529
-ll
D Candidate for the .0' ________ _ Party 0 Independent Candidate ~ Nonpartisan Judicial Candidate
Cashier's/Certified Check
CRIMINAL DISClOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES ['\JNO Have you been named in an outstanding warrant for a~st for a misdemeanor involving embezzlement or a felony in
this or any other state or of the United States? []yES ~NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure
form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information is Declaration of Candidacy is true a correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold if elected.
My Commission expires g....!.c"r.;,.ll-9~~~(sslon
Oath
tI of signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Candidate's name as it will appearon ballot: Jennifer Ellis McAffrey
530
Candidate's full legal name: Jennifer Ellis McAffrey Date of birth: (Month, Date, Year): 01/1 9/83
Title of Office Sought: . " (include district office or ward number ifaPplicable)AsSOClate District Judge, Ottawa Cou nty
Candidate's Residence Address: (Street, Cit y,State, Zip) 69900 E 50 Rd., Quapaw, OK 74363 Candidate's Mailing Address: . . . (Street, CitY,State,Zip) Jennifer for Judge 2018, P.O. Box 1407, Miami, OK 74355
I am a registered voter in precinct # 580023 in the County of Ottawa
Optional Information: Phone number: Email Address: Website:
D Candidate forthe ' Party o Independent Candidate [!J Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): ~ Cashier's/Certified Check D Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES l{}Jo Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES [Z]NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said office, if elected.
Subscribed and sworn to before me £.LLL-L.L!.L---"-,2::!.._.£<:W~'l4¥kf!£l~
OFFICIAL SEAL M Commission expires
MICAH VANOVER NOTARY PUBLIC OKLAHOMA
OTTAWA COUNTY COMM. NO. 14010142 EXP. 11·06·18 orized to Administer Oath
2018 state of Oklahoma Filing Packel Candidate Information and Oath / 12
fI_----:-:-=O:-::-K_LA-::-:-H:_~-a~-d_:_~-d~-~-ec_:_I~:_~_:_:-r~__:T_:_~~_:_io-~-~-n:::-Fd:_~-~-~_:_~-I-:D-:A-:C-Y----:-:-:--_ . ",' NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot:
S7t: VE t...J)J Z \tV (;:. I U:~: Candidate's full legal name: Date of birth:
rtSPHEN AN (Month, Date, Year): 3- 21- fo1-Title of Office Sought: (include district office or ward number if applicable)
Candidate's Residence Address: (Street, City, State, Zip)
Candidate's Mailing Address: (Street, City, State, Zip)
I am a registered voter in precinct # Optional Information: Phone number: 11'6
rlp7
I
in the County of TLI. L.S, A
Website:
[3'Candidate for the .:c'-"""'-===':C'-'-'-'----__ Party D Independent Candidate D Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): Cashier's/Certified Check 0 Petition
CRIMINAL HISTORY DISCLOSURE AND OATH
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty ~misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES l1]NO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []Yes IYINo If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the swear or the information provided in this i of Ca is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said
COCIIlIIioaiClll H 12007127 TullO. Oklahoma
Commisaioa.
st.t. of ()\\khM'l', County of _-.11",. \>.!-,"'¥;""I--::-_-,-_____ _
Subscribed and sworn to before me chccilAN c2fh:'~ Vl My Commission expires '7- laOo"JIJ7
Signature of N tary Public or OffIcer Authorized to AdminIster Oath
jVo-k,r1 r ,,6/,,< Title of Officer (Notary Public or Other Officer)
53\ 5'SD
2018 State of Oklahoma Filing Packet Candidate Information ond Ooth I 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot:
CI1[';5 S ~ ed
Title of Offi e Sought: (include district office or ward number if applicable)
Candidate's Residence Address: (Street, City, State, Zip)
Candidate's Mailing Address:
(Street, City, State, Zip) rq 5 8".JJ loa",",
I am a registered voter in precinct # 5/ () () L( D Optional Information:
in the County of tfSf.
Date of birth: (Month, Date, Year),! J-
Phone number: ql-g t- I- ~~;).y Email Address:CSJ1f! eel 9@ /"1«; Lc "",Website:
532
~ Candidate forthe ,R~ pabl/em I
Party 0 Independent Candidate 0 Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): gj Cashier's/Certified Check 0 Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to b~uilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? uYES iZlNO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? DYES ~O If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications forthe office that I seek, that I am fully qualified to become a
candidate for said office, and that I will be fully qualified to hold Sai~(!!ected.
Signature of Candidate ~ II, c.ke p J NOTARY
state of l()/Jj"J~countyOf tOf~ Subscribed and sworn to before me _--,-a.~",~"""'-<--+/,,,2"'-,1--' -'<;t"""tl"'/'---"£'-___ _
,.. ....... _ ........ _ .... __ I ')
SEAL DIANAJ.HOLLADAY 1\ Commission expires f402R.U Commission Number a:f {7 tJ t: ;3 9/ Notary Public - State of Oklahoma
Commission Number 05006391 My Commission Expires Jul13, 2021
NIPD PETD # of signatures ____ _
2018 State of Oklahoma Filing Packef
Signature of Notary Publ c or Officer Authorized to A,I
.~~ ster Oath
Title of Officer (Notary P !Ie or Other Officer)
Candidate Information and Oafh / 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot: 1'::) ,
C. 'It Candidate's full legal
Title of Office Sought: (include district office or ward number if applicable)
Candidate's Residence Address: (Street, City, State, Zip)
I Mailing Address: (Street, City, State, Zip)
I am a voter in Optional I Phone number: Email Address:
533
5/'3(:;
Ie ..',---,uy..ll.ml:lo£:>:~~_ Party 0 Independent Candidate DNonpartisan Judicial Candidate
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to b~uilty ~a misdemeanor involVing embezzlement or of a felony under the laws ofthis state or ofthe United States? l....JYES If&O
Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES ~O If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
swear or the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said OffiC: if elected. 0':- ~
Signature of candidate ---,C:=::'","Uf"",-. -01--+-~-~7''--------
SEiMANA J. HOLLADAY Notary Public - State of Oklahoma commission Number 05006391
My Commission Expires Ju113. 2021
NOTARY
state of {~ county of ~ Subscribed and sworn to before me ~ l- 12 i .7.01 &'
/ My Commission expires J'7 t'?; 2P:J/ Commission Number ¢:?,£OOt, :39/
,
ster Oath
NIPD PETD II of signatures ____ _
2018 state of Oklahoma Filing Packet Candidate Information and Oath / 12
,gk'· OKLAHOMA DECLARATION OF CANDIDACY 534 (J.~(;) Candidate Information and Oath ",'" ---N-O-T-IC-E-:-A-II-in-f-o-r-m-a-t-io-n-p-r-o-Y-id-e-d-o-n-t-h-is-f-o-rm-w-iII-b-e-m-a-d-e-p-u-b-l-ic-ly-a-Ya-i-Ia-b-Ie-.--'--
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Candidate's name as it will appear on ballot: Jim Grego
Candidate's full legal name: James Gerard Grego Date of birth: (Month, Date, Year): 11-08-1955
Title of Office Sought: . • (include district office or ward number if applicable)State House of Representative Dlst 17
~~~:!~,a~~;;,~~~~~~;~;tddress:6179 NW Bowers Rd Wilburton OK 74578
candidate/sMailingAddress: PO B 43 (Street, City, State, Zip) OX Wiolburton OK 74578
I am a registered voter in precinct #390005 in the County of Latimer Optional Information:
Phone number: 918-232-5763 Email Address:[email protected] Website:GregoForOKcom
~ Candidate for the REPUBLICAN Party o Independent Candidate o Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): ~ Cashiers/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES ~o Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES 0No If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
swear or that the information provided in this Declaration of Candidacy is true and correct, that I have read and Signed the Candidate Qualifications for the office that I am qualified to become a candidate for said office, and that I will be fully qualified to hold said
State of
Subscribed and sworn to before ma =!~""""'~"'-","--,-\ .1.;\ )>"'c't""'u"l'6U.-________ _
My Commission expires ~Jo)?')1idOI~ Commission Number 0,') Dl'):Y-M
Signature of ary Public or Officer Authorized to Administer Oath
bl%)],t 2\,~
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
535
Date of birth: (Month, Date, Year): 1- 3 I ~ 5"'9
Title 0 Office Sought: (include district office or ward number if applicable)
Candidate's Residence Address:
(Street, City, State, Zip) J:3 Lf 2/ Candidate's Mailing Address: p (Street, City, State, Zip) • tJ.
I am a registered voter in precinct #
Ok
Optional Information: "". ",I"" Phone number: Cf 19 ~ 1I,O.1()S"!mail Address:
~ Candidate for the ' t: eLi b I" c i4-. Party 0 Independent Candidate 0 Nonpartisan Judicial Candidate
This Dedaration is accompanied by a (check one): Cashier's/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or ofthe United States? DYES ~NO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state orofthe United States? []yES I&fNO If you answer YES to either ofthese questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said ottj~~n elec~d
SEiflillNA J. HOLLADAY Notary Public - State of Oklahoma
Commission Number 05006391 MyCommission Expires Ju113, ~021
2018 State of Oklahoma Filing Pocket
State of t!lJ.~~:t::z~~ County of
Subscribed and sworn to before me --<~"'9",-=",'=--L!-"~='7,J-' --'2"""'Cl-<.C-"fI'---__ _
My Commission expires )s4; 13" ;},,(J:i,1 Commission Number {Z. "it21Z~ 3ql
gnature of Notary Pu lie or Officer Authorized to A nlster Oath
~f>~ Title of Officer (Notary ublle or Other Officer)
Candidate Information and Oath / 12
NIP
. . ,
OI{LAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORlVIATIOI')I . .' .. I . , . ' . 's'";. , , , , Candidate's nam~ it will appear on ballot:
H.tttJ;.J4JJ TUC.KJ3f!-.,
536
. .
Candidate's full legal name: Date of birth: t}/ :f-I / fc/f S I+IWNtbV GUJ[:;N '-ruc..K£R (Month, Date, Year):
Title of Office Sought: (include district office or ward number if applicable) 1), :')11U~1 :3 Stk'n:~- 5,gNA:. Tot<.. Candidate's Residence Address: (Street, City, State, Zip) '70& N. t)ht S+. 0K.eftLA:.lt OK '142'S'1 Candidate's Mailing Address:
Po (Street, City, State, Zip) ~7)'i ~S-~ o /.Z F]A,{ ~.il Of-<- 1 LVgS'1 I am a registered voter in precinct # 51.{ V ?-of< in the County of 01-< Fu..S ~<E~ Optional Information: .. ~(J1.d • Ci:Yl1 Phone number: fio";) _ q OS- .'1pl!"ail Address: O~leiwt..i)'~::5. ebsite:
~ Candidate for the ;OetYtQCiVrr i e.) Party D Independent Candidate o Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): I!I Cashier's/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES DQNO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? DYES JKlNO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
undersigned, swear or that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a
candidate for said office, and that I will be fully qualified to hold _~,:::=i=f e=~:::,.t_e--,d.",~--."=_,,,, ______ _
Subscribed .n~"fPI'n
My Commission expires {L14-'flI.~'::IL ~lmlsslon N~~l'jfj~~"--!:.~~:::::::'L
PETD # of signatures ~~_~
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
~.\c OKLAHOMA DECLARATION OF CANDIDACY 53'7 e J __ -:-:-::=:-:::::--:-::--:-:-C_a_n_d-:-i_d_a_te_ln-:-f-:o_r_m-:a_t--:i--:o_n_a_n_d_O_a_t_h _______ _ NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name~~Will aJear on ballot:
ye c G', PSG) N Candidate's full legal name: 6- ; psorJ
Date of birth: tf/l b)3b I=" re cL ft t I e.,v (Month, Date, Year):
Title of Office Sought: ,
(include district office or ward number if applicable) UI~. l-lo uS e oF r %)I,L! e.t ?:i,<vt'> D'S-?Y:cl Lf Candidate's Residence Address:
, (Street, City, State, Zip) 7=?1'f C:o-T.;wo1cL Covnh><9IJ( tJOvYhC;.tvU/<: '130/L Candidate's Mailing Address:
4bove (Street, City, State, Zip) saV'l€ 4{'
I am a registered voter in precinct # J LI f) n fJ I in the County of (.leve.la~ Optional Information: " . C ~ Phone number: '105 - I?./CJ - <f'''l t.5 Email Address: -r P9" (Vut-!@cr "'e< r !'website: 7"f >,,,<-, '-i G? '<] ",e=" • co""
~ Candidate for the' ';\)~1"10~ ,,~-f Party o Independent Candidate D Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): JZI Cashier's/Certified Check D Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under
the laws of this state or of the United States? DYES iZINO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in
this or any other state or ofthe United States? DYES ~NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure
form and indude it in your Declaration of Candidacy.
I, the undersigned, swear or i that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a
candidate for said office, and that I will be fully qualified to hold if elected.
State of County of ere y c- 1 Ct v
Subscribed and sworn to before me --:-_J.fL!.I--"C!/.!.I'-'1"---__________ _
My Commission expires Cf I" I ~, Commission Number 17008'1-9 "
~,t)Lk Signature of Notal)j Public or Officer Authorized to Administer Oath
Candidate Information and Oath / 12 2018 State of Oklahoma Filing Packet
(4 •. ~~f~~ OKLAHOMA DECLARATION OF CANDIDACY ~k:~'::': ~ Candidate Information and Oath 538 ~0~i~~'v,,::Y ----=-----:----------------------------
"'-~- NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT .. CANDIDATE INFORMATION • • •
Candidate's name as it will appear on ballot: J 0 h n Ca rpente r
candidate'sfulllegalname:John Edward Carpenter Date of birth: / / 4 (Month, Date, Year): 1 0 30 5
Title of Office Sought: f' . (includedistrictofficeorwardnumberifapplicable) House 0 Representatives Dlst. 101 Candidate's Residence Address: C h (Street, City, State, Zip) 705 N. octaw Road, Choctaw, OK 73020 Candidate's Mailing Address: 7 R (Street, Cit y,State, Zip) 05 N. Choctaw oad, Choctaw, OK 73020
I am a registered voter in precinct #550023 in the County of Oklahoma
Optional Information: Phone number: 405-390-8938 Email Address: Website:
~ Candidate for the Democratic Party D Independent Candidate D Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): ~ Cashier's/Certified Check o Petition 1 \\' CRIMINAL HISTORY DISCLOSURE AND OATH . . . " CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES 0NO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES 0NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that I provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a
candidate for said office, and that I will be fully qualified to hold sai
Slate 01 OKL4I1M'1I County 01 ...lO.&.K'",LA"-If"""O,,,II1:.oIl~ _______ _
Subscnbedandswomtobe/oreme NIlTllflli! 4, j) Y£I<
My CommIssion expires Octjo~/Z z..
gnature of Notary Public or Officer Authorized to Administer Oath
0,,,,,4;<>77,$ O{(;cec Title of Public Of
•
2018 State of Oklahoma Filing Packet Candidate Intormation and Oath / 12
NIP
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Candidate's name as it will appear on ballot: Chris Brecht
539
Candidate's full legal name: Christopher Uric Brecht-Smith Date of birth: . (Month, Date, Year): 08/19/1984
Title of Office Sought: D' t . t J d .. 0 . (Include district office or ward number if applicable) IS riC U ge, District 14, fflce 9 Candidate's Residence Address: (Street,City,State,Zip) 1148 South Owasso Avenue, Tulsa, Oklahoma 74120 Candidate's Mailing Address:
1148 South Owasso Avenue, Tulsa, Oklahoma 74120 (Street, City, State, Zip)
I am a registered voter in precinct # 720049 in the County of Tulsa
Optional Information: Phone number: 918-261-4767 Email Address: [email protected] Website: www.electbrecht.com
o Candidate for the Party o Independent Candidate [!J Nonpartisan judicial Candidate
This Declaration is accompanied by a (check one): [!] Cashier' s{Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws ofthis state or of the United States?DYES@NO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States?DYES ~NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in that I have read and signed the Candidate Qualifications for the office candidate for said office, and that I will be fully qualified to hold said
Declaration Candidacy is true and correct, I seek, that I am fully qualified to become a
SEAL
~'l .1 ,,'I i'Lj!'!I(. ~,I"t('~ oj Oklilhoma
C(jlll!"' ."·,;un j; 100072/8 '.\ I C" ,'ln1l',5ioll Expires August 31. 201 B
state of or/I, h fPl)6-c,\ County of
Subscribed and sworn to before me C.6t'~~"'if"ec IA r?cec.J.tMy Commission expires /)'7! ,,-<.f~/, J61&ommISS!On Number /000 2;1. 7 8
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Candidate's name as it will appear on ballot: Thomas E Salisbury
540
Candidate's full legal name: Thomas Eugene Salisbury Date of birth: (Month, Date, Year): 08/1 0/1953
Title of Office Sought: D' t . t J dO' . 8 (include district office or ward number if applicable) IS riC U ge, I strict Candidate's Residence Address: • (Street, Cit y,State, Zip) 9 Orchard Lane, Ponca City, OK 74604 Candidate's Mailing Address: (Street, City, State, Zip) 2128 North 14th St., Suite 1 #272, Ponca City OK 74601
I am a registered voter in precinct # 413 in the County of Kay Optional Information:
Email Address: [email protected] Website: Phone number: (580) 761-1510
D Candidate for the Party D Independent Candidate [!] Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): ~Cashier's/Certified Check D Petition
CRIMINAL HISTORY DISCLOSURE AND OATH
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States7DYES OONO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States?DYES OONO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qu to become a candidate for said office, and that I will be fully qualified to hold said
My Comm1sslon expIres
Oath
# of signatures ~~~~
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
541 ~_Pl OKLAHOMA DECLARATION OF CANDIDACY \~! Candidate Information and Oath
~''o"B~:~1 ------:---:----------------------------NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Candidate's name as it will appear on ballot: Marc Etters
Candidate's full legal name: M Ch h'lI Ett Date of birth: arc urc I ers (Month, Date, Year): 1 0/15/1973
Title of Office Sought: (include district office or ward number if applicable) State Representative District #45 Candidate's Residence Address: 21 51 (Street, City, State, Zip) 108th Ave NE Norman, OK 73026 Candidate's Mailing Address: (Street, City, State, Zip) /")3 ;;Z Ljfh Ave. {\\(;J, ~Liik IS~ Nor (VYtN I () /<.. 7'306q'
,
I am a registered voter in precinct # 25 in the County of Cleveland
Optional Information: Phone number: Email Address: [email protected] Website:
~ Candidate for the AEPUt'!!.ICAN Party D Independent Candidate D Nonpartisan Judicial Candidate
This Declaration Is accompanied by a (check one): JjJ Cashler's/Certlfled Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or In another state to b~uilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or ofthe United States? LiVES 0NO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in
this or any other state or of the United States? DYes 0NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure
form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said office, if elected.
Signature of Candidate _...,,~c:.t.r ......... j::..0.::~..!.tZti:<C14'/=------------NOTARY
state of oklib."",,(fj County of -"Cke-~. O?!C.=l",~"1i:-'-!~ ______ _ } ~"'"'11 'l , '0:" I \? SubscrIbed and sworn to before me --'~'4~.!J_'--!.!;o'.",-,-. '£~=:::':"-"\)'"--______ _
,.. ........ ';.''': ... II.J''' .................................... ~My Commission expire. Qj.M,¢cG.O commission N~Ub r ,J).OI (50.';)..(
CHRIS VALENCIA i:J n Ifl' Notary Public - State of Oklahoma~1--- • Commission Number 12010021
My COrllrrUsslo!l Expire" Ill"! ;"'(' ?020
NIPD PETD # of signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath I 12
542 _1 OKLAHOMA DECLARATION OF CANDIDACY ~ _______ C_a_n_d_i_d_a_te_ln_f_o_r_m_a_t_io_n_a_n-:-d_O_a_t_h _______ _
"P' NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot: JOlv'/l IA,1tV k Su/~V# Candidate's full legal nam~ ~ /0
cJlv?!/)' I/dl s:; //;"n,,/ Date of birth: L (Month, Date, Year): /Z/DS/ 1ft z..
Title of Office Sought: iJ: ~~ 1/.5(/,;"-;-/6 o~ / (include district office or ward number if applicable) , ".5"l.-, "(,; J v. I:
I Candidate's Residence Address:
&t?I?yho./!' L~ /?/f>A'-; cYr. ?<If'J-..? (Street, City, State, Zip) 3<f3FO Candidate's Mailing Address: (Street, City, State, Zip) 3'fJJ'O £Jel?/( r ~.>t'. LtV,' /5kcj 0/( 7<ff<r J
I am a registered voter in precinct # 'TO 0 zoi.f in the County of LeAt?.e Optional Information: Phone number: Email Address: Website:
o Candidate for the Party D Independent Candidate )1.Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): -B Cashier's/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? _YES XNO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? _YES ;{NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qua,,, "'U_"U b,ecome candidate for said office, and that I will be fully qualified to hold said I
-"'-~==""-_ County of
Subscribed and sworn to before me _'+.:...t-6...,IO"'/f.J/"'J'---__________ _ NOTARY My Commission expires 't lioll i Commission Number l'+OD3'13'f
i ~Igna~ery ~Orizedto Administer Oath
2018
Title of OffIcer (Notary Public or Other Officer)
# of signatures ____ _
2018 Stote of Oklahoma Filing Packet Candidate Information and Oath I 12
~_I)~\ OKLAHOMA DECLARATION OF CANDIDACY ~>.~:. \~ Candidate Information and Oath
",'" """ -------~--:--------:--:--------------------. wOO NOTICE: All information provided on this form will be made publicly available.
543
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION / Can~e's name ~t will appear on ballot:
ll:t(lct )1/-~ <Z D
Candidate's full legal n Date of birth: /0-:> - 5", (Month, Date, Year):
Title of ffice Sought: (indude district office or ward number if applicable)
Candidatels Residence Address: (Street, City, State, Zip) /J.-o., L.[ q ::J, /"a'1#
I am a registered voter in precinct # I? ~
in the County of ul;;?\.. Optional Information: Phone number: a Email Address:
';ISi Candidate for the ,.. .. R-e IMbl, co", Party o Independent Candidate D Nonpartisan Judicial Candidate
This Dedaration is accompanied by a (check one): Cashier's/Certified Check D Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? []yES ~NO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES iK]NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications forthe office that I seek, that I lIy qualified to become a candidate for said office, and that I will be fully qualified to hold sa if elected.
Stale of
My Commission expires
# of signatures ~ __ ~_
2018 State of Oklahoma Filing Packet Candidate Information and Oath 112
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot: William Andrews
544
Candidate's full legal name: Wi II iam Lawrence And rews Date of birth: (Month, Date, Year): 04/23/1970
Title of Office Sought: • (include district office or ward number if applicable) State Senate, Dist. 22 Candidate's Residence Address: 640 1 (Street, City, State, Zip) NW 234th St, Edmond, OK 73025 Candidate's Mailing Address: b (Street, City, State, Zip I "?. V.' c9 'f 2>12 b 2 (: J) tvuJ puJ 0/( l:')c)()3
I am a registered voter in precinct # 550034 in the County of Oklahoma
Optional Information:
Phone number: 4054265667 Email Address: [email protected] Website: www.andrewsforok.com
[i] Candidate for the xDsll1()Crnfic Party D Independent Candidate o Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): ~ Cashier's/Certified Check D Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES IZINo Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? DYES lZ]No If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a
candidate for said office, and that I will be fully qualified to hold sai~ ?ffi~'j if.eleC?n
Signature of Candidate aI, /;.vaIM -A---/lo.J4/\ I;VY"v-
My Commission expires
Title of Officer (Notary Public or Other Officer)
2018 state of Oklahoma Filing Packet Candidate Information and Oath / 12
~~:f4~~'l OKLAHOMA DECLARATION OF CANDIDACY ~~ __ -:-::::::-:::::-:-::-:-"7""C_a_n-.-d_id_a_t_e",:"ln:-f-:o_r_m",:"a-:-t-:io_n_a-::n-.-d_O_a_t-.-h_"7"':" _____ _
. """, .. .-' NOTICE: All information provided on this form will be made publicly available.
545
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot:
K'II..£' WEf!:,B Candidate's full legal name:
ILl/{ Le; Date of birth:
7/' /Nfo8 W A--R.t> EON We-B,S (Month, Date, Year):
Title of Office Sought: /{;:~ I<Ef' f!£$ el"rATI <..Ib S (include district office or ward number if applicable) uSC: of ;')(S'l. 28 Candidate's Residence Address: (Street, City, State, Zip) /378' S. ~ I-I.s H {YlAtZ.I6S"T P-l'::. tV! '-I..£lv i) OIL- ,'f8s / Candidate's Mailing Address:
p.o. (Street, City, State, Zip) f3o'f l'fb ;V1 LLoc/d I 01'- "'-''f9 S"I
I am a registered voter in precinct # Inooo'3 I in the County of ?or. Optional Information: Phone number:(l(oS-) «of) ~ IqoB
~ti~'t. {.~/'r. Email Address: I~ (eJ,-ue.hb 1+I~Zf!1!' Website:
o Candidate for the' Party Il2IIndependent Candidate o Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): [i1'Cashier's/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES ~o Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in
this or any other state or ofthe United States? []yES ~o If you answer YES to either ofthese questions, you are required to fill out a~d sign the Criminal History Disclosure
form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a
candidate for said office, and that I will be fully qualified to hold said office, if elected.
coun00 SubscrJbed and sworn to before me ~ 12, '20/g
SEAL My Commission expires (Qd. 3020"20 Commission Number 000 / eft> t./~
&~t.~ Officer Authorized to AdmInIster Oath
2018 state of Oklahoma Filing Packet Candidate Information and Oath / 12
r ,
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
546
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as It w1l1 appear on ballot:
..sfev-f; R..;.sse II Candidate's full legal name: Date of birth:
S)evevl 'D;;t~e Rvz:e.11 (Month, Date, Vear): ;t\;;>'f cS Iq63
Title of Office Sought: (Include district office or ward number if applicable) (JS C(J~re:>s I
5~t" D i>+~,--ct I Of::l a l-to.-rl;:J
Candidate's Residence Address: (Street, City, State, Zip) tz.q I 5ce.'\,'c --r r", L I C.l-toc1i!i W / ok 75020 Candidate's Mailing Address: (Street, City, State, Zip) Po Box 1$65 , Cf;toc-tZlW I ok: 7:;0;:0
I am a registered voter in precinct # 55 f)t!)20 in the County of (?k"I",/.toWi a Optional Information: Phone number: Email Address: Website: .s-i-e ve rlJ5Sf,/I.J.r UJ~irt», ""wi £9 Candidate for the , lZ.a(.1l2lrc <l1'l
) Party o Independent Candidate o Nonpartisan Judicial Candidate
This Declaration Is accompanied by a (check one): ICl' Cashier' s/Certifled Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DI~ClOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority In Oklahoma or in another state to b~uilty of a misdemeanor Involving embezzlement or of a felony under the laws of this state or of the United States, lJYES iZlNO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States, DVES 0NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
swear or i information provided in this Declaration of Candidacy Is true and correct, that I have read and .signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said office, if e}e.cted.
~f
Subscribed and sworn to before me _-.!IC.2I'-...!....!CL!.="'-~~l...!<. _____ _
My Commission expires ~ t... / '3. ! 7..0 Commission NU::'n y-Jacqueline M. Greco. /J~..&~ Notary Public, District of COlumb~~012Otary Public or Officer Authortzed to Administer Oath My Commission Expires 6{30{2020 n / :~ /'Y7
I v 117ff..k LI-.f U-I t!. ! f-A-Title of Officer Public or Other Officer)
2018 State of Oklahoma Filing Pac ket Candidate Information and Oath I 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
i (include district office or ward number if applicable)
Candidate's Residence (Street, City, State, Zip)
Candidate's Mailing (Street, City, State, Zip)
1 am a Optional Phone nUlnb,er:l:.{
I :
(PLfI- 41 Email Address:
Date of birth: (Month, Date, Year):
d~/Vi Website: 'NW-N . tI~#\olt1hm.
54'7
@ Candidate for the ' Party o Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): Check Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE:
Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or ofthe United States? QyES lZiNO _~ Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or ofthe United States? []yES ~NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm t the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a
candidate for said office, and that I will be fully qualified to hold said 0J:fJisJt!y!lec!J4'J;; Signature of Candidate rtu {I f\ (d0rt Ib
DIANA J. HOLLADAY Notary Public - State of Oklahoma
Commission Number 05006391 My Commission Expires Ju113, 2021
State of
SubscrIbed and sworn to before me ~ 11/ ;2 tJ 1....8 My Commission expires fry!) 2R4/ commission NUmber a,£C.(Jt2yf 3 '1,1
signatures ____ _
2018 State of Oklahoma Filing Packet Canclidate Information and Oath / 12
OI{LAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
546 NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
Ca Date of birth: (Month, Date, Year): '3:... f). 7. $;<j
(include district office or ward number if applicable) -5 i", + .... Candidate's Residence Address: (Street, City, State, Zip)
Candidatels I Address: (Street, City, State, Zip)
/70/)r1
73{,!S Email Address: ~t<.'''lO
Candidate for the _---'-D.e=w=.c"'~"'~..:f,...:: ...... "'___ ___ Party 0 Independent Candidate 0 Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): Check Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States?DYES [B1<fO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United states?DYES ~ If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information is true and correct, that I have read and signed the Candidate Qualifications forthe office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said office, if elected.
state of
Subscribed and sworn to before me .....:>J-I.¥l1l-L-J.,IlLL!:>..\.Ql-l-______ _
My Commission expires q -12 -ZtJ2IJ Commission Number ..IJlP-l:.J!..~.p..il<'---
to Administer Oath
2018 State of Oklahoma Filing Packet Candidate Information and Oath I 12
8 ___ O_K_L_A_H_~_aM_n_;_dD_at_EeC_IL_n~_:_r~_~_I~_jO_~_~_:_d C_oA_aN_th_D_ID_A_C_Y ____ 5 4 9
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot: Liz Brown
Candidate's full legal name: Le Nora Eliza beth Brown Date of birth: (Month, Date, Year): 08/04/69
Title of Office Sought: . . .., (include district office or ward number if applicable) Assoc. District. Judge - 15th Jud. District - Adair County
Candidate's Residence Address: • (Street, City, State, Zip) Rt. 2 Box 1270, Stilwell, OK 74960 Candidate's Mailing Address: PO B (Street, City, State, Zip) OX 1280, Stilwell, OK 74960
! am a registered voter in precinct '# 13 in the County of ADAIR
Optional Information: Phone number: Email Address: [email protected] Website:
D Candidate for the' Party D Independent Candidate [!J Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): ~ Cashier's/Certified Check D Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to b~uilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? ljYES [ZjNO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or ofthe United States? []YES iZlNO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold office, if elected.
Subscribed and sworn to before me -_-k"4'CLL.!..d~-'---........ '4'''-'1.LL __ --
My Commission expires
(~
2018 State of Oklahoma Filing Packet Condidate Information and Oath / 1 2
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
550
Date of birth: / e &~~e R.-. (Month, Date, Year): crl ;;u: ... j/9.JY
(include di~trict office or ward number if applicable) IJ:; ;,c)C i VI fe iJ;, s.7Ik) c r :1t.(J{tfj e. !Je~ l,p.¥t7'\7
Candidate's (Street, City, State, Zip)
Mailing (Street, City, State, Zip)
I am a voter in Optional Information: Phone number: qlJ' . if/{)
D Candidate for the .0' ________ _
CRIMINAL DISCLOSURE:
C:I;i'Io.rJpartisan Judicial Candidate
Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be gUilt~f isdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? []yES Have you been named in an outstanding warrant for ~res or a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES 0 If you answer YES to either of these questions, you are equired to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I that I am' fully qualified to become a candidate for said office, and that I will be fully qualified to hold said
1L==~ __ county of D6"'/d wM &-
Subscribed and sworn to before • -,-~ACL~~IZ=/-,I_-,/'--.::CJ~, -=..2=t?=--,-I_· "'F'--__ _ Mv
MARGIE C. SMITH Notary Public -- State of Oklahoma
Commission Number 13001718 My Commission Expires Feb 19, 2021
# of signatures
2018 state of Oklahoma Filing Packet
13po17/Y
Candidate Information and Oath / 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot:
JON K. /IJ/(SL£'(
551
Candidate's full legal name: I Date of birth: 0"N KcL Til f/-lR. 5 L. E V (Month, Date, Year): ('> tinA s; 111/1
Title of Office Sought: D is fr,'L'T J'" tI,e.. -- O'-Str,LI (include district office or ward number if applicable) 1. -- Of"r:tCE :i.
Candidate's Residence Address: (Street, City, State, Zip) 3,+10 Road RO<. G,'J ,'>'\ 0 N / 0)( 7 3 CJt.;2 Candidate's Mailing Address;
80x (Street, City, State, Zip) PO, /700 G LA J , . .", <"v) OK 73 '7 'f,;;
I am a registered voter in precinct U 70{) dOj in the County of T£XfiS Optional Information:
Tl'NKt';tl. A, r,; /ty@J1'.','f.{ ,~ebsite: Phone number: 580 -(,JT' '3 153 Email Address: fV'D v/2. <"
D Candidate for the Party D Independent Candidate. I8tNonpartlsan Judicial Candidate
This Declaration is accompanied by a (check one): j81Cashier's/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? _YES X-NO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or ofthe United States? _YES ){NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said office, if elected.
Signature of Candidate 'i)o-,,,,::(. P ~1'Y NOTARY
8tateof OISI,,#w,'1 .... ,' County of
Subscribed and sworn to before me -I'A->-t'(ll.lC_'L" >-1_.LI ,!-' "')..."'()<..luS''--______ _
My Commission expires U-J -I q Commission Number q q tJ /13' / ;~;i~i:LlC State of Oklahoma Texas CDunty
CHERYL BROOKS
My Commission Expiresl~mo17361
Title of Officer (Notary Public or Other Officer)
NIPD PETD It of signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
·~~ __ :-:-::-::::-::O_K_L::-::A_H:-~_aM_n...,.;_dD_at_EeC_I-:-~...,.f:_rA_mT_;_t~,....oN_n_~"",":d,.,.C_:_aN_th,....D_ID-,-A_CY ___ _
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
o Independent Candidate ONonpartisan JudIcial Candidate
This Declaration is accompanied by a (check one): i i Check Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled gullty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to b~uilty.£ia misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? UV'ES ~O Have you been named in an outstanding warrant for ar~t for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES ~O Jf you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I swear or the iii that f have read and signed the Candidate Qualifications for the candidate for said office, and that I will be fully qualified to hold --'u""'-'
Notarv Publlo
Statu )f '1klatUVM1m slon expires "!.:1'.~¢lU~c<'m"''''''m N'"m~~' ~f-+'4.L--'-"c:....1-''''~ BARBARA J JOHNSON WAGONER COUNTY COMMISSION #07004270
Comm. Exp. 04·26-2019
• 2018 State of Oklahoma Filing Packet
Candidate Information and Oath / 12
552
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Candidate's name as it will appear on ballot: Chantelle Cory
553
Candidate's full legal name: Chantelle Cheri Cory Date of birth: (Month, Date, Year): 06,29,1969
Title of Office Sought: • " (include district office or ward number if applicable) State Representative - District 43 Candidate's Residence Address: 60 1 (Street, City, State, Zip) S Willowood Dr, Yukon, OK 73099 Candidate's Mailing Address: 601 (Street, City, State, Zip) S Willowood Dr, Yukon, OK 73099
I am a registered voter in precinct # 090223 in the County of Canadian
OPtionallnformation:_~ Phone number: 405- 7555 Email Address: [email protected] Website:
[iJ Candidate for the Democratic Party D Independent Candidate D Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): ~ Cashier's/Certified Check D Petition
CRIMINAL HISTORY DISCLOSURE AND OATH
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to b~uilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? U¥ES [{INO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? DYES [ZjNO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
swear or i the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said
State of _--,-O",K=== ___ CountyOf Ca 16 < .. di Q.IA
Subscribed ond sworn to before me _----<.(-')"=II---'-IIL2.L-1-1 2,L!g"".l.i ""'¥'-______ _
My Commission oxplres D2} m 12-\ Commission Number I '1 0 CJ 1 2. 7 S C:' . Col-
Signature of Nota Public or Officer Authorized to Administer Oath
fu'HI,( f3 lion II .. d I E5R Title of O~ceT (Notary Public or Other
# of signatures ____ _
2018 state of Oklahoma Filing Packet Candidate Information and Oath / 12
_ OKLAHOMA DECLARATION OF CANDIDACY
~J __ -:-:-:=:---::-:--:C_a_n_d-:-i_d_a_te--:-:ln_f-:-o_rm--:-:a_ti:-o_n_a_n-:-d~O_a_th-:----:-:--:-_-:-:--:--__ , '" ,. NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot:
(include district office or ward number if applicable)
Candidate/s Residence (Street, City, State, Zip)
Mailing (Street, City, State, Zip)
CRIMINAL DISCLOSURE:
11
Date of birth: (Month, Date, Year):
554
Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guiltW. misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES ~O Have you been named in an outstanding warrant for a~.for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES ~O If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
=:..!.l1#JLlU!=~ County Of
Subscribed and sworn to bafon;) me _Lf--,--_·~_,.1i=. _-~'J=_. "Ru..._:-:--:-____ _
My CommISsion expires OS-X,· JOJ(lcommlSSlon Number # /7 Do Lf q'fi..{
?t/ocl2~ Signature Of NbbliC or Offlcer Author1zed to Administer Oath
UU/:+ a/ll~" Orl,(")or Title of Officer II
2018 State of Oklahoma Filing Packet Candidate Information and Oath I 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Candidate's name £dill ap~ on ~ rz Date of birth:
555
(Month, Date, Year): .;l ~3 ~/7.:;-1 Title of Office Sought: (include district office or ward number if applicable) .;+tJ Ch-u Candidate's Residence Address: (Street, City, State, Zip) .;loS //.JJ ST Candidate's Mailing Address: (Street, City, State, Zip) L( .:l c> S' /tJ 1: I ~-I/J S-r ok' (!.. c> k' r; 3 IJ /
I am a registered voter In precinct # 0 , ( 0 in the County of c>/(LA 40 M A Optional Information: -e del I ~ 00 D Phone number: 05 Z &1..1 y Email Address: <!. • 1"Cl-- Website: e,d
Ell Candidate for the ' 2J '2:m 0 e" R ~ Party 0 Independent Candidate 0 Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): ashiers/Certified Check 0 Petition
CRIMINAL HISTORY DISCLOSURE AND OATH
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to b~uilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? UVES ~O Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? DYES ~O If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am f'!!~iW!Ilifi€'dto become a candidate for said office, and that I will be fully qualified to hold said office, if elected.
Subscribed and sworn to before me _.wu...J.<1L.L"""'L...l-1L.\I..l=-'="---___ _
My Commission expires lfb 12.1 I 1.\ CommiSSion Number Jml.Qqz
annrdOt~ Signature of Notary Public or omcer Authorized to Administer Oat
signatures ____ _
2018 state of Oklahoma Filing Packet Candidate Information and Oath /12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
(include district office or ward number if applicable)
Candidate's Residence Address: (Street, City, State, Zip)
Candidate's Mailing Address: (Street, City, State, Zip)
J am a voter in Optional I Phone nUI11her1.",?/\ <r~rJ? Email Address:v./u.A
Date of birth: (Month, Date, Year):
•• , ....... "Website:
556
I!tI Candidate for the' 1fe(":;ldo /ileAC- Party D Independent Candidate D Nonpartisan ludiclal Candidate
Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be gUilty ~ a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES ~O Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? DYES ~o If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said elected.
state of 0 'lAMa""CA County of O'Llo. )oO'MO 'i!-'".... ...................................................... ..,subscrlbed and sworn to before me ~', \ ~ "" , 'LCrtl,
KAMERON UZOMA I A ..- '2. Notge~l'.blic - Siale 01 Oklahoma My Commission expires lli>. qfll 'lC!7Ccommlsslon Number l \Q{) \ 0 J , Commission Number 16010512
My Commission Expires Nov 4. 2020
#
2018 state of Oklahoma Filing Packet Candidate Information and Oath I 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot: LARRY BUS H
557
Candidate's full legal name: Larry James Bush Jr Date of birth: (Month, Date, Year): 09/12/1973
Title of Office Sought: (include district office or ward number if applicable) State Re p District 62 Candidat~'s Residen~e Address: 1820 SW 69th St L t Ok 73505 (Street, CIty, State, ZIp) • aw on Candidate's Mailing Address: (Street, City, State, Zip) 3130 NW Cache Rd Ste 1 Lawton Ok 73505
I am a registered voter in precinct # 160011 in the County of Comanche Optional Information: Phone number: 580-704-4468 Email Address: Ibush [email protected] Website: larrybushok.com
• Candidate for the Democrat Party o Independent Candidate o Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): • Cashiers/Certified Check D Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or olthe United States? DYES. NO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? DYES. NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this is true correct, that I have read and signed the Candidate Qualifications for the office that I ,cc~'lO,.~"j<"",","I" qualified to become a candidate for said office, and that I will be fully qualified to hold said
My CommIssion expires
signatures ___ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath I 5
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will app,ar on ballot:
R u, 0. '" rJ. Q .. vi J \ 'c:.J<
558
Title of Off~Sought: C) A I.,/" (include district office or ward number if applicable) v-\ ,::>"::,oC ~o.."'r\(. '\:J; "T \I;' CI "'\ 0'.L\" - (6~<J.".j (goAl ~
candid')!f!(fuillegal n~me: \) I ~ , I Date of birth: 8/1/ /97/ hu.<L\J\. L\«-\C\.\A \,,'" K.~(>\r\ \.cJ,e (Month, Date, Year):
Candidate's Residence Address: D n U \j (Street, City, State, Zip) ij(yG-. A0~<l\\.J~ \'--.. \0Q.ClJ~V, Oft 73QSZ-Candidate's Mailing Address: (Street, City, State, Zip)
! am a registered voter in precinct # Optional Information: Phone number: Email Address:
()' [) I
\Z--- 1~ ~G\ Ll ~ v () K (,31 '3 z.., in the County of is <2£t t/ e v
Website:
o Candidate for the __________ Party D Independent Candidate monpartisan Judicial Candidate
This Declaration is accompanied by a (check one): 0 Cashier's/Certified Check !a"'Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? _YES /No Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in
this or any other state or of the United States? _YES Ao If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
ersigned, swear or affirm that the information provi in this Decla that I have read and signed the Candidate Qualifications for the office that I candidate for said office, and that I will be fully qualified to hold said
S'a'.of oe3;:t%on10\'YOf 6ee.V £V Subscribed and sworn to before me CA na 7 e hj.:=.:.t 112 C\ h
SEAL My Commission expires ~SY!f::iY.~\m""'SS"Jn
of signatures -'.CL!!-__
2018 State of Oklahoma Filing Packet Candidate Information and Ooth f 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made pUblicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Candidate's name as it will appear on ballot: D 'T 1 C 'I eneCl8 ayor- assl
559
Candidate's full legal name: 0 'R hilT 1 C 'I Date of birth: enecla ac Xi ~ ay or- assl (Month, Date, Year): 08,07,1984
Title of Office Sought: I ~~ .-!()1i:::; " , (include district office or ward number if applicable) use Representative District #39 Candidate's Residence Address: , (Street,City,State,Zip) 1205 Scotch Pine, Edmond, OK, 73012 Candidate's Mailing Address: (Street, City, State, Zip) 1205 Scotch Pine, Edmond, OK, 73012
I am a registered voter in precinct # 550037 in the County of Oklahoma
Optional Information: Phone number: 405-388-9843 Email Address: Website:
I!I Candidate for the k'D 011 loti (' nY, Party o Independent Candidate o Nonpartisan Judicial Candidate I
This Declaration is accompanied by a (check one): IXI Cashier's/Certified Check D Petition
CRIMINAL HISTORY DISCLOSURE AND OATH
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES I{}lo Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES IZlNO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or rmation in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said if elected .•
CRYSTAL BAKER SEPftollry Public
Sllle 01 Oklahoma CommiSSion II 16003041
My Commission Expires Mlr21, 2020
2018 Siale of Oklahoma Filing Packel
Stat. of O\(\D rwn ()- County of or 10.0\('0 ()v
Subscribed and sworn to before rne On AfI i I /a :Yf-' c;:;::X)llS My Commission expires rra (~laJ))commlsslon NUmber H COO'?{)t{ I
Candidale Informalion and Oalh / 12
8 ____ 0 ____ K-LA __ H:_~a-~-:-id-~-;-ec:_I~-~o:_Rr-~-:-I~_:_ioN-n-~-:_d C_:_a_~h_D_ID_A_C_Y ___ _ NOTICE: All information provide" on this form will be made publicly available.
560
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Candidate's nam~Ai~ppeaF/~~~ ,
candidate'S;?;;;n?; Date of birth:
L'At/ /-/tJyd (Month, Date, Year): ~-¢./t?SJ Title of Office Sought: ..
J'r4fc-(include district office or ward number if applicable) S<,v., re 9'~ " Candidate's Residence Address:
tfJKC.~ ?:r/tJ! FI---t' (Street, City, State, Zip) 'IIJ. A/tJ 01 &~ Candidate's Mailing Address:
;0& IftJ~ te,tJJdl .. tJ~C &/t (Street, City, State, Zip) '7,f,l ~~
I am a registered voter in precinct # o,')()¥ in the County of &..-e /1fJ- hCJ IV /I Optional Information: Phone number: Email Address: Website:
.JJ~? for the' tie..NIdC,A..tI.·h'c Party o Independent Candidate o Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): Q!rCashier's/Certified Check D Petition
CRIMINAL HISTORY DISCLOSURE AND OATH
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES ~o Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? DYES ~NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications forthe office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said office, if eled"d"
State of -""""''''W''-'''=L..- County of
Subscrlbed and sworn to before me _4=---,-,1 ~,,-----,-I ~!2-_________ _
My Commission expires /0 -Ito..... [1 Commlss!on Number ;1..Jlfc:O~:=:::=t~=---
Title of Officer (Notary Public or Other Officer)
# of signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath I 12
t •.. :.:.7:r7,j~~.~.:~ OKLAHOMA DECLARATION OF CANDIDACY . ~ Candidate Information and Oath
¢~~~t ------~~~~~~----~----~~--~~~--~~----~~~~--~~------NOTICE: All information provided on this form will be made publicly available.
561
,
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Candidate's name as it will ana~~Jb;lIot:S .0 CI. IA-I d ( V\ .04
canr;::':;.~I~~t naA1:o.V\ So a u.ld ~ "- £\ ..J I Date of birth:
(Month, Date, Year): f -21-111tJ Title of Office Sought: ' . ..J (include district office or ward number if applicable) Ito (,(.,>" DisM'1- J..'1 i<.~ tP ('y' Se.~t) ~ Candidate's Residence Address:
(Street, City, State, Zip) ({)., 00 \03"" Ave WS, NOf I"t\ (i...>" DI~ '{ .3 0.;1. <,., Candidate's Mailing Address:
I'm tJ~ (Street, City, State, Zip) ~ '101:> 103"'" tJOI'WLa... .. OIL 73 0 ,).,1,..
I am a registered voter in precinct # 3Cp in the County of C.I e V oe. ) It.n 01 Optional Information: c,tQ..."~~(),.M"J,I"5 hd Z7@ ~VI'\.Q..'i \. to", Phone number: l\o5-:~c,1-5 ORo Email Address: Web' e:
-' En-Candidate for the ' ~"f....l.l\ ~!& '" Party o Independent Candidate o Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): fi9,.Cashier's/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or olthe United States? DYES i6]NO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES gjNO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said office, if elected.
.~ -~,~=:==~~~~-------------Signature of Candit1rC _..:>
NOTARY
Public or Officer Authorized to Administer Oath
Tille ot 0
NIPD PETD It of signatures ____ _
2018 state of Oklahoma Filing Packet Candidate Informotion and Oath / 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Candidate's name as itwill appear on ballot: Brad David Leverett
562
Candidate's full legal name: Brad David Leverett Date of birth: (Month, Date, Year):09/17/1959
Title of Office Sought: 0' t ' t J d 0' t ' t 3 Off 1 (include district office or ward number if applicable) IS riC U ge- IS riC - Ice Candidate's Residence Address: • (Street, CitV, State, Zip) 508 Casa Alegre Circle, Altus, Ok, 73521 Candidate's Mailing Address: C (Street, Citv, State, Zip) 508 asa Alegre Circle, Altus, Ok, 73521
I am a registered voter in precinct II 330002 in the Countv of Jackson Optional Information: Phone number: Email Address: Website:
D Candidate for the ' Partv o Independent Candidate [!] Nonpartisan Judicial Candidate
This Declaration is accompanied bV a (check one): ~ Cashier's/Certified Check D Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have vou been convicted, pled guilty or nolo contendere, or otherwise been determined bV a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor Involving embezzlement or of a felony under the laws of this state or of the United States? DYES 0NO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES 0NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in
that I have read and signed the Candidate QUalifications: :f:o~r: t::h::e~l~~~~~~~~~~=::;~::=~ candidate for said office, and that I will be fully qUalifiedc~o hold
My Commission expires
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
, , " ,
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot:
S+evt Weaver
563
Candidate's full legal name: s+ ~Gl\1 WectVer
Date of birth: l-l-/.p3 -even (Month, Date, Year):
Title of Office Sought:
S+(lte ~e ore.".:';,(Xl-tot-hvp Dh-\r;c t 9/p (include district office or ward number if applicable)
Candidate's Residence Address:
BvJf'i (lCi'+Dn ReI. ~ves+vd Ie 10K/a . '1 LjQiP5' (Street, Citv, State, Zip) \ 1~'1 Candidate's Mailing Address:
B l~ -f-.f \ Y\ g ton ~c\. Wes+vil \(1 ot\C{. ll{Cj uS' (Street, Citv, State, Zip) \\31
I am a registered voter in precinct # />{4V in the Countv of (tela ir Optional Information: _' swe..ilve('@wesh,t lIe.\<.\1...01<-.u.S Phone number: q 1'0 -'l q l-0310Email Address: Website:
~ Candidate for the' bel'" OCJ"C,.:-hc.. Partv D Independent Candidate D Nonpartisan Judicial Candidate
This Declaration is accompanied bV a (check one): 18 Cashiers/Certified Check o Petition ,
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to b~uilty of a misdemeanor involving embezzlement or of a felony under
the laws of this state or of the United States? UVES !ZINo Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES ~O If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure
form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct,
that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said office, if elected.
NIPD
Signature of Candidate ~v~i~k e --
"" .' , " NOTARY" ,- " '
~~hv ANN STOGSDILL Notary Public StOlte of Oklahoma
Commission Number 13008828 My Commission €xpire~ Sep 25, 2021
State of ~ County of (gJQ.J~, I
Subscribed and sworn to before me 01.QA·,.,. 0 I' j ;<'0 I R My Commission expires 01,1P..s.j.:J.! CommisstonNumber /2 Doll:!] ::LF
ubllc Of Other Officer)
# of signatures ____ _
2018 state of Oklahoma Filing Packet Candidate Information and Oath / 12
~~l OKLAHOMA DECLARATION OF CANDIDACY ~) Candidate Information and Oath
NIP
~18" -----------------------------------------------------------------------NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballqt:
-::s< e' \ \,() Date of birth: (Month, Date, Year)00J) • 3b Ilq~
Title of Office Sought: (include district office or ward number if applicable)
Candidate's Residence Address: (Street, City, State, Zip) '"1 \ Candidate's Mailing Address: (Street, City, State, Zip)
I am a registered voter in precinct # in the County of Optional Information: Phone number: q (r -'7 0 - il Address: C. (
171 Candidate forthe ~f' lbi'U'\,Q 0 Party D Independent Candidate D Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): ,Cashier's/Certified Check 0 Petition
CRIMINAL HISTORY DISCLOSURE AND OATH
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States?DYES.~NO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States?DYES ~NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration Candidacy is true correct, that I have read and signed the Candidate Qualifications for the office th I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold if elected. , / i..A ___
'-L1"..,. ....... """'''-'''"''-- County of
Subscribed and sworn to before me --"''''''''"'''''''''---1:A'''--'.cJt')~OW"'''''_''''-'-',/L-____ _ I
My Commission expires .!..L::±~~.!.l.LcOmmjSSIOn Number... LLe D l) [) \:] q
# of signatures ____ _
564
2018 Stote of Oklahoma Filing Packet Candidate Information and Oath / 12
,<~~!i~~.;.,;. '?~;0~B<~ OKLAHOMA DECLARATION OF CANDIDACY \k·~·:·'lll Candidate Information and Oath 'Z' . : :: . ::-Y ---:-:-:=-=---:-7:":'-::---:-----:-:--:---::-:--::__-~_:_--:___:__:__:_-_:__:_----
565
Zi'i!ii':-' NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Candidate's name as it will appear on ballot: Seneca Collins
Candidate's full legal name: Seneca Tyrone Collins Date of birth: (Month, Date, Yearl: 03/03/78
Title of Office Sought: • •• (include district office or ward number if applicable) State House of Representatives District 75 Candidate's Residence Address: 16921 (Street, City, State, Zip) E. 45th St. Tulsa,OK 74134 Candidate's Mailing Address: 16921 (Street, City, State, Zip) E. 45th St. Tulsa,OK 74134
I am a registered voter in precinct # 720150 in the County of Tulsa
Optional Information: Phone number: 918-360-2402 Email Address: [email protected] Website:
1!1 Candidate for the D!!mocrat Party D Independent Candidate D Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): ij] Cashier's/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES 0110 Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? DYES 0110 If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold
State of Coun~ 1 Subscribed and swom to before me ~1iL'!a""('-'-{dh=~~-LL.Ld.£..L!"---______ _
My Commission expires Of/;2- /20 L7I;;o mission Number /{ifDYJ S-
Signatur of Notary Public or Officer Authorized to Administer Oath
(/JrXn oUiC(F , Title of Officer (Notary Public or Other Officer)
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath 566
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION candidate's name as it will appear on ballot:
Rhonda Baker Candidate's full legal name: Rhonda
Ka~B9ker-oo Date of birth: (Month, Date, Year): 09/17/1968
Title of Office Sought: ) ~~ " (include district office orward number if applicable) ouse of Representatives Olst 60 Candidate's Residence Address:
4116 Rambling Rose Dr Yukon, OK 73099 (Street, City, State, Zip)
Candidate's Mailing Address: 4116 Rambling Rose Dr Yukon, OK 73099 (Street, City, State, Zip)
I am a registered voter in precinct # 090206 in the County of Canadian
Optional Information: Phone number: 405-623-6601 Email Address: [email protected] Website:
• Candidate for the Re(:)ublican Party D Independent Candidate D Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): • Cashiers/Certified Check D Petition
CRIMINAL HISTORY DISCLOSURE AND OATH
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES. NO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or ofthe United States? DYES .NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that information that I have read and signed the Candidate Qualifications for the ojfiCe)l~hat candidate for said office, and that I will be fully qualified to nOlo/Sj~I£!PlT'ICe,
My Commission expires
2018 Stote of Oklahoma Filing Packet
is true correct, fully qualified to become a
Candidate Information and Oath / 5
OI<LAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath 567
------~-------------------------------------------NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot: Bill Baze
Candidate's full legal name: Billy Joe Baze Date of birth: (Month, Date, Year): 07/17/1972
Title of Office Sought: • (include district office or ward number if applicable) AssocIate District Judge, District 179A I
Candidate's Residence Address: (Street,city,State,Zip) 1410 E. Duke St, Hugo OK 74743 Candidate's Mailing Address: 141 0 (Street, City, State, Zip) E. Duke St, Hugo OK 74743
I am a registered voter in precinct # 316 in the County of Choctaw
Optional Information: Phone number: 580.579.3112 Email Address: [email protected] Website:
D Candidate for the' Party o Independent Candidate [!J Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): ~ Cashiers/Certified Check D Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under
the laws of this state or of the United States? DYES IZINO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in
this or any other state orofthe United States? []yES [ZjNO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure
form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said office, if ele,cte,j.
State of ---'-'<.L{,"4-L{1L=_ County of
Subscribed and sworn to before me __ ---.1,k"'.·!'-L'o:ueU'l.;. Ii-ILdI?2jL/J.,.£'-fV'~ ______ _ , . SEAL My Commission expires / rrli ')OJ..Dcommlsslon Number ot'll / S-(JSS== ,
Signature of Notary Public or Officer Aut~orlzed to Administer Oath
11~. #I of signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath I 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
Date of birth: (Month, Date, Year):
568
~(i:nc:lu;d:e~d~is:t:ric:t~o~ff:ic=e~o~r~w=a:rd~n:u:m:b:e:r~if~a~p:p:lic:a:b:le~) __ l-ltllI£j}~~JJ~~2--t~~~~~~LhIJ~E-Jtl~~I'C+ ~ Candidate's Residence Address: (Street, City, State, Zip)
Candi Mailing Address: (Street, City, State, Zip)
I am a voter in
Optional Information: Phone nu mber:
gj Candidate for the ~'-t"-"¥'"'-U'-'-'--'-"",," ____ _ o Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): LaSl1iers/Certified Check Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to b~uilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? UV'ES ~O Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES ~O If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm the provided in this Declaration of Candidacy is true and correct, that I have read and Signed the Candidate Qualifications forthe office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said office, if ellected.
SEAL My Commission expires
;ZO~O£/90 seJldx3 UOlSSJUJWOO .II'j £Z;900H # UOISSIUJUJOO
'I'~OHV1>10,0 31'1'19 - 0l180d AW10N II!3pua~'\n>I 001 J<lwwnS
# of signatures ________ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
569
'~.\E~ -~~ OKLAHOMAdDECLARATION OF CANDIDACY ""., , ,.~ Candi ate Information and Oath
:",.:::.-; ------------------------------------""'1901 .,
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
Date of birth: (Month, Date, Year): dol
Title of Office Sought: (include district office or ward number if applicable)
Candidate's Residence Address: (Street, City, State, Zip)
Candidate's Mailing Address: [Street, City, State, Zip)
I am a voter in
Email Address:
-"-"-=F-''''-'-L-'-':.LL-J=-___ Party D Independent Candidate 0 Nonpartisan Judicial Candidate
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to b~uilty CJ[<ynISdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? l.JVES ~O Have you been named in an outstanding warrant for arr"",Yor a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES ~O If you answer YES to either ofthese questions, you are required to fill ou(and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of is true and correct, that I have read and signed the Candidate Qualifications for the office that I I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said c:>ffife,)f'eJE~~"':::::::;'
stateof Q~lr:d'tnN". County of
Subscribed and sworn to before me S~lRf\JlOl\ -r I cu..0 My Commission expires [);/113 ~:;20.)a--commlsslon Number i1fT) I Lj q l
St·~\..J"-~ J '!---avJ 6LI!ld-!dO I<L Signature of Notary Public or Officer Authorized to Administer Oath
C\t)~I'G~ 0 9-(:).).:I:Jl ,'~. Title of Officer (Notary Public or Other Officer)
signatures ____ _
2018 state of Oklahoma Filing Packet Candidate Information and Oath /12
1i1..0-tij:~~
~~~\.·~.:~.,:~·~.·.:;.~l OKLAHOMA DECLARATION OF CANDIDACY 570 '!Ii'::' .,:~ Candidate Information and Oath ~~~ij;~,/ ----==--------------------------------
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Candidate's name as it will appear on ballot: Rex L Lawhorn
Candidate's full legal name: Rex Lester Lawhorn I Date of birth: (Month, Date, Year): 1 0/25/1971
Title of Office Sought: (include district office or ward number if apPliCable)GOVernor
Candidate's Residence Address: (Street,City,State,Zip) 2600 W Ocala St., Broken Arrow, OK 74011 Candidate's Mailing Address:
2600 W
(Street, City, State, Zip) Ocala St., Broken Arrow, OK 74011
I am a registered voter in precinct # 720411 in the County of Tulsa Optional Information:
Phone number: 417 -294-5964 Email Address:[email protected] Website:rexforgovernor2018.com
Ii] Candidate for the xLibertarian Party o Independent Candidate o Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): ~ Cashiers/Certified Check D Petition
CRIMINAL HISTORY DISCLOSURE AND OATH
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to b,":Jiuilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? ljYES ~NO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES 0NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said&ty~cted/
Signature of Candidate I~/A }ft{11/L
NIPD
NOTARY
Stataof ~~countyof ~h~ Subscribed and sworn to before me () ~ I;L. ;;2..LJ / ? I )
,.. ... ~!'!!1 ........................... '-( My Commission expires j.. & /3 t!.tJJ..! Commission Number t2 5' cC> 4? 3 9/ ;)Cf\r5iANA J. HOLLADAY v '( '7
Notary Public - State of Oklahoma Commission Number 05006391
My Commission Expires Ju113, 2021
# of signatures ____ _
,
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
NIP
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath 571
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot:
T e..Y\ Y\ u. \=> '('Oe.."'" \ - \) Q. '-I Candidate's full legal name: ...) '-' Date of birth:
~.e:·(W",\ V\mQ('Ie.. r,(,OC\n \ - \)CA..-'-'\ (Month, Date, Year): \'2./11 IIq81 Title of Office Sought: 1) i S-\vi co\- \~ \)''5~iC-+ At\OY'Vle.'1
. (include district office or ward number if applicable)
Candidate's Residence Address: (Street, City, State, Zip) \ ",\-05' Wes-t So..V\ AvnoV'\io St 'Bm¥'eVl /wON I ()'K .-=qO\2.. Candidate's Mailing Address:
(Street, City, State, Zip) 'P. 0 . !3ox 4B2\ \U. \so. 6K 141Sq , I am a registered voter in precinct # I '2.04-Lc 3 in the County of \ u1 SC\. Optional Information: Phone number: Email Address:cto.\{iDtda (@qY\'llJ-.i \.C~ebsite: LOu:lti\ da.~.\'nda [OYY')
[D-Candidate for the IXYvIO ('XtA. -\; C. u
Party o Independent Candidate D Nonpartisan ludicial Candidate
This Declaration is accompanied by a (check one): ~hier's/Certified Check D Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States?DYES QNtJ Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States?DYES [k!Nt5 If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said office, if elect€4i
State of f)~ County of _._\.L::~==-=-_______ _ Subscribed and sworn to before me <lV' \ Id.-"Ib I QO 1 3'
SEAL My Commission expires ;2.11 ~l a\ Commission Number Ott> \\.n'3{) r-~--SHAN-.-N-ON-AN-DREWS---' ~::>
NotaryRJbIIo ~ State of Oldahoma Signature of Notary Public or Officer Authorized to Administer Oath
Commission #17001630 \. \N- '" I "'i'"'). '_\', " ExpIres: FebruEf')' 16. 2021 ~ 't""AO --
Title of Officer (Notary Public or Other Officer)
2018 State of Oklahoma filing Packet Candidate Information and Oath / 12
Af~!!~m:~'t;, M;~~~2~\) OKLAHOMA DECLARATION OF CANDIDACY 572 \~I __ -:-:-:=:-:=--:-::-:-:-c_a_n-:d_id_a_t_e-:-I-:-nf-:o_r_m-:-a-:-t-:io_n_a-:-n-:d_o_a_t-:h_-:-::--:-_-:--:--:-__
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot:
Scott Crane Candidate's full legal name: Donald Scott Crane
Date of birth: (Month, Date, Year): 12-25-61
Title of Office Sought: S H (include district office or ward number if applicable) tate ou se Rep District 98 Candidate's Residence Address: 1 007 (Street, City, State, Zip) E Dover St Broken Arrow OK, 74012 Candidate's Mailing Address:
Ahov<- fr (Street, City, State, Zip) v/lMe -"16
I am a registered voter in precinct # 720453 in the County of Tulsa
Optional Information: Website: Crane2018.com Phone number: Email Address:
[!] Candidate for the Republican Party o Independent Candidate o Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): [!] Cashier's/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States?DYES OONO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States?DYES [!]NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, h t I a liy qualified to become a candidate for said office, and that I will be fully qualified to hold said office, if el c
Signature of Candidate __ =~'It--''-''--'-''':''''::''' _________ _
NOTARY
St.te of O(;;J c..1M>'I'1A county of _1--'-U,=\"'6A"-" ________ _ r--~ _________ __"'Vbscrlbed and sworn to before me ~ =r "'X''''''.!,
SERGIO TORRES ~I I /,\ 1 04'· Nolfl.ryPttbtlcJnllJldforthe M CommlsslonexpJres UJ, lO V\VI Commission Number 0 DwOD
SlIlle of Oklahoma Comml~lon #07004{lOO
My Commmion expIres 5/10/2019
Public or Officer Authorized to Administer Oath
Titre of Officer (Notary Public or Other Officer)
NIPD PHD # of signatures ____ _
2018 State ot Oklahoma Filing Packet Candidate Information and Oalh / 12
~""IlI."",-~
~.::.:.:: ,i;:;~~ OKlAHOMA OEOARA llON OF CANOl OACY ~.:: ; .,..... Candidate Information and Oath
,:) ~'J::'~ --__:==::-~:_:_:---:-:---_:_~,....._,_:'c_:_-~:_:_-__:-_:_.,.,..,-_,,,....,_:_---.,,~ NOTICE All information provided on thisform will be made publidy available.
R..EAS:: 1l'F£ OR ffilNT
1 SJught: (indude district office or ward number if applicable)
(Sreet, Oty, Sate, Zip)
I (Sreet. Oty, Sate, Zip)
573
D Nonpartisan JJdidal Qmdidate
CRIMI NAL DI310SJRE Have you been ronvicted, pled guilty or nolo rontendere, or otherwise been determined by a rourt of proper authority in CKlahoma or in another state to b~uilty of a mi9::lemeanor involving embezzlement or of a felony under the laws of this state or of the United Sates? l.J.YES ~NO Have you been named in an outstanding warrant for arrest for a mi9::lemeanor involving embezzlement or a felony in this or any other state or of the United Sates? DYES illNO If you answer YESto either of these questions, you are required to fill out and sign the Qiminal History Di9::losure form and indude it in your Dedaration of candidacy.
I, the undersigned, swear or affirm that the I provided in i that I have read and signed the candidate Qualifications for the office t candidate for said office, and that I will be fully qualified to hold saicl-et.lfCe.
2018 State of Oklahoma Filing Packet Candidate Information and Oath I 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
i Residence (Street, City, State, Zip)
Candidate's Mailing Address: (Street, City, State, Zip)
I am a voter in
Optional Information: Phone number:
PLEASE TYPE OR PRINT
574
LanOidateforthe -=-'--,-<q;:LI14""=-4-<J.!lJ-!.-__ Party 0 Independent Candidate 0 Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): .
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty &l,~i misdemeanor involving embezzlement or of a felony under
the laws of this state or of the United States? DYES ~O Have you been named in an outstanding warrant for arn;sJ/or a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES 2EJNO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is that I have read and signed the Candidate Qualifications for the office seek, I am fully I candidate for said office, and that I will be fully qualified to hold said
SEAL
(.d~{fl~-tlt1:-- County of
Subscribed and swom to before me 9A1 /if'tl L fP.t ~ It I!/ ~ f')j-~ L fiJSj
My Commlss!on expires :;/ -. 3 ... ::t,,/ Commission N ber -'L7~oo:.:, ==--lL:.~'---__
Title of Officer (Notary Public or Other Officer)
signatures ____ _
2018 State of Oklahoma Filing Packet Canciiciate Information and Oath / 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available,
PLEASE TYPE OR PRINT
575
Date of birth: (Month, Date, Year): 03 -/7 -, q 1'5
Title Office Sought: .0 1.. /' '" L. . I)
(include district office or ward number if applicable) ~l. S, f\ e.-preSefl 'll riVe.. - I.J is, I I'd- 00
Candidate's Residence Address:
(Street, City, State, Zip) J/o Wheeler 11../'-1 /Q L{ Candidate's Mailing (Street, City, State, Zip)
lama
Optional I Phone number:
" F) 'I IS' 'Co(l6l(f~<). Com Email Address:J&..SO(J \C n Ie. 10 'I JWebsite: 1AJ\\lV~ ,Ill'
!H'Candidate for the ':'--'-"'-l'.J-L~LJ.,--,--,-,,~ __ Party D Independent Candidate D Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): Check Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty 0.J misdemeanor involving embezzlement or of a felony under
the laws of this state Dr of the United States? DYES l.\!1NO Have you been named in an outstanding warrant for ar~ for a misdemeanor involving embezzlement or a felony in
this or any other state or ofthe United States? DYES [YINO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy,
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said if elected,
State opklahoma County of Cherokee
Subscribed and sworn to before me -...:J-f-J.---1I-'~LL----,-I-,-g-=,,---------)"''''01110.;!~~:!,:!~~~~~-.--.'.IIrt ~', Commission expires 1/13/21
5 fClHRISTV BOLINGER. . NOT~Y p,uBUC".STATE Of OICIAHOMA
.~I5SlON 1I1,70Q0402' • , ~_~!~'~~1.n,.1$.20U ' ·_Th ...... hRUI_
# of signatures
2018 Siale of Oklahoma Filing Packel
Signature of Notary Pub!! Officer Authorize to tdmlnlster Oath
fJd=Qr~ Pl.~ .bQic) Title of Officer (Notary Publ or Other Officer)
Canciidate Information and Oalh I 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT ,
, CANDIDATE INFORMATION ,
Candidate's name as it will appear on ballot:
---:s-;.~O,.:l lJ. Stv.. &.u.G. " Candidate's full legal name: Date of birth:
576
~A.!:Pf'.\ )JEVA'bA <;; \M.~u.. to-" (Month, Date, Year): 63- 2(p - g t Title of Office Sought: (include district office or ward number if applicable) -=s. '"\p.. TlZ" S~.A .. t-G -:t:::so> "tn:", <-~ 'Z-~
Candidate's Residence Address: (Street, City, State, Zip) S'2..l( ~ q,'" ~c. ~ .... b D'" =i40':\"C Candidate's Mailing Address: (Street, City, State, Zip) S"2t{ J-) CfT" Av~ <,Hz., ..... t:> 0"'- -::t4o::\ct
I am a registered voter in precinct # \ in the County of L i ", ... 1 '" Optional Information: Phone number: Email Address: Website:
tKI Candidate for the' T2~\.U>I'. Party o Independent Candidate o Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): ~ Cashier's/Certified Check D Petition I , CRIMINAL HISTORY DISCLOSURE AND OATH
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty ~<ynisdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES bdNo Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES 0No If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy,
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications forthe office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said office, if elected,
5tateof
~ ;.:£, .;zo/ff SUbscribed and sworn to before me --'~'-'7'=""''--''--=7+-...::-'---'-'-~ ____ _
1""-~ 5E'l\'1AL .............. ~~~~ .... ~ My Commission expires g .. ,f. II Q.O 21commlsslon Number oc1'P Q a g 91 ulANA J, HOLLADAY , '/' 7
Notary Public ~ State of Oklahoma Commission Number 05005391
My Commission Expires Ju113, 2021
# of signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath I 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot: Rhonda Cox
577
Candidate's full legal name: Rhonda Annette Cox Date of birth: / (Month, Date, Year)2 15/65
Title of Office Sought: • (indude district office or ward number ifappliCable)State Representative #86 Candidate's Residence Address: 13244 H 82 C' (Street, City, State, Zip) wy -, Peggs, Ok 74452 Candidate's Mailing Address: P 0 (Street, City, State, Zip) •• Box 665; Locust Grove, Ok 74352
I am a registered voter in precinct # 16 in the County of Cherokee
Optional Information:
Phone number: 918-260-0199 Email Address:[email protected] Website:
~ Candidate for the xDemocratic Party o Independent Candidate o Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): ~ Cashier's/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE:
Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES ~O Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? DYES \2JNo If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information prOVided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold elected.
State of
NIP # of signatures ____ _
2018 state of Oklahoma Filing Packet Candidate Information and Oath /12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot:
---'.. i2... <:::, S ' Candidate's full legal name:
Title of Office Sought: (include district office or ward number if applicable)
Candidate's Residence Address: (Street, CitV, State, Zip)
I am a registered voter in precinct /I S-S e:.~ in the Countv of-
Optional Information:
Date of birth: (Month, Date, Year): ~-
Phone number: , ICf- _ ~ Website: "\ :-::,. '- .......
578
D Candidate for the ' ~ u Ie? l A (~rtv D Independent Candidate D Nonpartisan Judicial Candidate
This Declaration is accompanied bV a (check one): ashier's/Certified Check 0 Petition
CRIMINAL HISTORY DISCLOSURE AND OATH
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws ofthis state or of the United States? DYES GNO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []YES [!dNa-' If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in vour Declaration of Candidacy.
I, the undersigned, swear or irm that information provided in this Declaration of is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fuliV qualified to become a candidate for said office, and that I will be fully qualified to hold said if elected.
state of QJ.~~~~~-';o'"ntyof L.r, i /,' " (Je;-
Subscribed and sworn to before me --'=F---,-/<'-"c.:....! '(-~-"""'-'-r. _-tl-.JLL _____ _
SEAL My Commission expires /0 - 7 -dl () Commission Number () 3 0/ 0 3 9 f
slgnatu:aotNtary Public or Officer Authorized to Administer Oalh
Title of Offlcer (Notary Public or Other Offlcer)
# of signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot: K . D B h
evm . uc anan
579
Candidate'sfuHlegal name: Kevin Dwain Buchanan Date of birth: (Month, Date, Year): 08/16/1959
Title of Office Sought: • • (include district office or ward number if applicable) District Attorney, District 11 Candidate's Residence Address: .
1<:. .. , (l..lJ\o.(.k \ 1& (Street, Cit y,State, Zip) 2200 Sunshine Court Candidate's Mailing Address: • (Street, City, State, Zip) Bartlesville, OK 74006 l /
I am a registered voter in precinct # 740022 in the County of Washington
Optional Information: Phone number: 918 977 0083 Email Address: [email protected] Website: N/A
~ Candfdate for the x REPUBLICAN Party D Independent Candidate D Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): ~ Cashier' s/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES !ZINO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES !ZINo If you answer YES to either ofthese questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications forthe office that I seek, that I am fully qualified to become a
candidate for said office, and that I will be fully qualified to hold said ~ff.,e, ~ed.
Signature of Candidate -..LUv~d~~~~-==::::===== _____ _
State of
SUbscribed and sworn to before
My Commission explres ~<f-.'"'4CL.-i-Commlsslon Number b 7001./ 8?-J
# of signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
t •.. :~:.;."D;?l OKLAHOMA DECLARATION OF CANDIDACY ~.:: . ':ire Candidate Information and Oath
;.,.:::.;,.; ------------------------------------. "oo NOTICE;· All information provided on this form will be made publicly available.
580
PLEASE 1YPE OR PRINT
CANDIDATE INFORMATION
Candidate's name as it will appear on ballot:
Pl/UL4 t0Hl-c $:A)G-6-Candidate's full legal name:
PkuUt tYIF/i£ :;:;(G£ Date of birth: ;f ;/; (Month, Date, Year): b IJi ICj.s-1
Title of Dffice Sought: (include district office or ward number if applicable) P/S'-Tfi/c.-J JU0?6 :0 I ~ T ;;f-.S-: () pp / c:e:-. / Candidate's Residence Address: /
(Street, City, State, Zip) J-, / '!; b S. J{! t frJ £!2- 1/11 A-70KA- (9 J< ~ '1.0-3-Candidate's Mailing Address:
?ti (Street, City, State, Zip) '8t?,X I<;I,?- /1- '/lJ I< /t O!< 7 </.s--,.-J'
t am a registered voter in precinct # ;Z in the County of /J-Tt> k./r Optional Information: etu/IA. i'?1-?@ Phone number: Email dress: Il{ t' 'h . n J Website:
D Candidate for the' Party D Independent Candidate j:ii'{Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): I:8l.Cashier's/Certified Check D Petition
CRIMINAL HISTORY DISCLOSURE AND OATH
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under
the laws of this state or of the United States? DYES I8lNO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in
this or any other state or of the United States? []yES iRl,NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure
form and include it in your Declaration of Candidacy.
I, the undersigned, swear or that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a
candidate for said office, and that I will be fully qualified to hold said elected.
---............ ---................... ----- .. ------.. - • Subscribed and sworn to before me JZ:l'fll.JJ_!"'O!...,.c~~L--------
! 9 EMILY S. GILES : .~.. . : S~L Al Notary Publk: ! My Commission expires
; State d Oklahoma : : Commission # 11010346 Expl .... 1111S11g : I __________________________________ _
2018 State of Oklahoma Filing Packet Condidate Information and Oath / 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
. Iii! .. CANDIDATE INFORMATION
Candidate's name as it will appear on ballot: KIM B E R l Y FOB B S
581
Candidate's full legal name:KIMBERL Y ELAINE FOBBS f~:en~:,b~::~, Year) 08/05/65
Title of Office Sought: I E COMMISSION ER (include district office or ward number jf applicable) N S U RAN C Candidate's Address: S T E TULSA OK 74112 IStreet, Cit y,State, Zip) 236. OlEDO AV ., , Candidate's I Address: 0 BO 1 lSA OK 74153 IStreet, City, State, Zip) P.. X 3359 TU ,
ama voter in 720035 in the TULSA Optional Information: Phone number: 918-324-6034 Email Address:[email protected] Website: KIMBERL YFOBBS.COM
~ Candidate for the :"OE""M~O,:!CRA~TI'."C::,,' ____ _ Party 0 Independent Candidate 0 Nonpartisan Judicial Candidate
CRIMINAL DISCLOSURE:
Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under
the laws of this state or of the United States? DYES ~O Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES EjNO
If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure
form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct,
that I have read and signed the Candidate Qualifications for the office that I that I am fully qualified to become a
candidate for said office, and that I will be fully qualified to hold said nffii'",ofj o<O~;""..Iq ~:-.ic--;;
LANCE POLK Notary publifjfltate of Oklahoma Commission Number 13002990
My Commission Expires Mar 28, 2021
Subscribed and sworn to before me -ll-JQi\;,IJlllo.:R,~...lO\L.-~=--_________ _
My Commission B"Plr.s ()'3/.? ~ /;;lO;l.\:ommlsSion Number \-; 00;).1'10
nature of Notary Public or Officer Authorized to Administer Oath
# of signatures ____ _
2018 State of Oklahoma Filing Pocket Candidate Information and Oath / 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
582
Candidate's full legal name: Russell Singleton (Month, Date, Year):3-24-1968
(include district office or ward number if applicable) Dis tri ct J u d g eGa rfi e Ide 0 un ty Candidate's Residence Address: 1120 1 (Street, CitV, State, Zip) S. Michael Rd., Drummond, OK 73735 Ca Mailing Address: (Street, CitV, State, Zip) same
t am a r voter in Garfield
Optional Information: Phone number: Email Address:[email protected] Website:
o Candidate for the .c' __________ Partv D Independent Candidate I!I Nonpartisan Judicial Candidate
This Declaration is accompanied bVa (check one): Cashier's/Certified Check Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES 0NO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES 0NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm the information provided in this Declaration of Candidacy is true and that I have read and signed the Candidate Qualifications forthe office that I seek, that I am fully qualified tqA5ecorrie candidate for said office, and that I will be fully qualified to hold said offiice,:lf)electE,d.
# of signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot:
80J1l(1t. Fer.:qeson
583
Candidate's full legal name: , Date of birth:
q /,Jg/11b1 SOn~CL- plane.. FU,qeson (Month, Date, Year):
Title of Office Sought: (include district office or ward number if applicable) Le.1is/ahtre... -9« JU,U5e Or R.epc~ru.J\~j;)iM~ I Candidate's Residence Address: (Street, City, State, Zip) ctllOS C aduJeJj... aVe, DJce.. ot( 7~{70 Candidate's Mailing Address: (Street, City, State, Zip) J.I VS Coui. W<LL A1Jc. O~C- OK-. 181'10
I am a registered voter in precinct # 14 oooLf in the County of t!JeudMti. Optional Information:
Email Address: gOI\~a.~ r'l (a> S"""'(, tv~ite: Phone number: 40'0-(;.00/0
Ii2J' Candidate for the ' 1) e tn aQrit.t-i c., Party D Independent Candidate D Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): 0 Cashier's/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to b~uilty ~ misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? UVES l!:::JNO Have you been named in an outstanding warrant for ar~yfor a misdemeanor involving-embezzlement ora fBlony in this or any other state or of the United States? DYES E2[No If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said if elected.
state of ()t,LPrnom.A County of
Subscribed and sworn to before me So w 4 £\ fu.G1.1S'"O~ My Commission expires \\:)\ Dl\\'"LD1..,\ Commission Num er \3ECf\ 19 J
otary Public or Officer Authorized to Administer Oath
;-:?r
2018 state of Oklahoma Filing Packet Candidate Information and Oath / 12
OKlAFIOMADEClARATIONOFCA~uroACY Candidate Information and Oath
584
NOTICE: All information provided on this form will be made publicly available .
PLEASE TYPE OR PRINT
. . CANDIDATE INFORMATION
Ca I ., Residence Address: (Street, City, State, Zip)
Mailing (Street, City, State, Zip)
I am a voter In Optionallnfof<l1l'lati0l'K Phone number:
D Candidate for the .:' __________ Party
CRIMINAL DISCLOSURE:
•
Date of birth: (Month, Date, Year):
Nonpartisan Judicial Candidate
Haveyoubeenconvicted,pled.guiltyoT·nolo contendere, or otherwise' been determined-by.a court of proper a uth 0 rltY'in'Okla homa'o r- in -a not her state ,to 'b~u I Ity1ot:a'm Isdemea nor- involving em bezzlement' or' of a 'felonyu nder the laws ofthis state or of the United States? UVES . NO Have you been named in an outstanding warrant for a t for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES NO If you answer YES to either ofthese questions, you are re uired to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the . swear or affirm tnat the information provided in tnis 'that I' have rea da ndsigned 'th e 'ca ndidateQlJa I ifications forthe candidate for said office, and that I will be fully qualified to hold --:0-'"7"<"
My Commission expires
# of signatures ____ _
2018 state of Oklahoma Filing Packet
of Candidacy is true and correct, seek,that"iamfUlly qualified'tooecome a if elected.
Oath
Candidate Information and Oath / 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot:
fi1/i1i PY:;v /.Ie.. t.. i-
585
Candidate's full legal name: Date of birth:
6 8/16/79 ptfJl..::C,p l1/hT J-/GvV 'PYtJ ).len (Month, Date, Year):
Title of Office Sought: (include district office or ward number if applicable) L-r (roi/CP-}Jo'!2-Candidate's Residence Address: (Street, City, State, Zip) rr62-7.r e ' 1J 7V ft... 7UGf;A ,6K 7t-11'7 Candidate's Mailing Address: (Street, City, State, Zip) 13130 5· ()t.. y,{,j f7/ft frvC# ~'l' 71fL,7/J ok filr~ Z
I am a registered voter in precinct # '120158 in the County of TUCr,>A Optional Information: Phone number: Email Address: Website: ;tIfrr-r f':l'J/YCM '4}1
liD Candidate for the ' lZ-r: rf 1}5L-:UAN Party D Independent Candidate D Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): [lIlCashier's/Certified Check D Petition
CRIMINAL HISTORY DISCLOSURE AND OATH
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty~, misdemeanor involving embezzlement or of a felony under the laws of this state or ofthe United States? DYES lIIJ'IO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES rtiNO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy,
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said office, if elected,
Signature of Candidate --""~=\.LC.<:"':::::"'=-=-'-----------NOTARY
Stete of 0\1-)\0. h()'''Oc, County of -r...LL>,=,-,-\-,,50~' 4".--------
Subscribed and sworn to before me M-.Q... \ i ro \ e \~ <"~ SEAL My Commission expires t
Title of Officer (Notary Public or Other Officer)
NIPD PETD # of signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
~.7.:S~~ OKLAHOMA DECLARATION OF CANDIDACY ~., ., .. '. ~ Candidate Information and Oath ~ . . :jJ:.;,<:~ ---------~---------------------------'i, !!10'1'.
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as rJ:t.;;.;ar on
Candida's full legal name:
Title of Office Sought: (include district office or ward number if applicable)
Candidate's Residence Address: (Street, City, State, Zip) q ~ ~ Candidate's Mailing Address: (Street, City, State, Zip) 10 I am a registered voter in precinct # () q 0 of) b in the County of Optional Information: Phone number: t/" -3 Email Address:
Date of bi rth: (Month, Date, Year):
Website:
586
rnCandidate for the' I<.ep ublt'uYl Party D Independent Candidate D Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): Cashiers/Certified Check D Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty &misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES ~O Have you been named in an outstanding warrant for ar~Dr a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES ~NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said ffice, if electe
Signature of Candidate -LZlt.Uj~L~P<~!:::::l'.J..~'f,.;... ______ _
NOTARY
Slale of [J~(@l m'\'\-cv County of -,C=;dM.."",,,,a6L<d"'-G";HW-1 ~ ______ _
Subscribed and sworn to before me u;ru : L ( () .;l{) l K My Commission expires Cj.-:2&' -let Commission Number I Dao 3"5;;':)
(~~~ {)'~~ SEAL
~~~O~!I>'<-M SHELIAO'STEEN SEAl Notary Public In and fortha _ staIB 01 0Id1lhoma
-<ilj \0 CommIIlS!on#l0003526 B \.. My COInrnIsslon ftxplrus 4/28/2018
Signature of Notary Public or Officer Authorized to Administer Oath
ND+c.ur'j Pu..h/iG Title of Officer (Notary Public or Other Officer)
NIPD PETD # of signatures ____ _
2018 State of Oklahoma Filing Packet Canciidate Information and Oath I 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
----~~~~~--~--~~~~--~~------~--------NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot:
Evan Vincent
587
Candidate's full legal name: Evan Grant Ellis Vincent Date of birth: (Month, Date, Year): 08/12/1983
Title of Office Sought: State Senate District 30 (include district office or ward number if applicable)
Candidate's Residence Address: 11005 Redbud Lane Oklahoma City, OK 73120 (Street, City, State, Zip)
Candidate's Mailing Address: 11005 Redbud Lane Oklahoma City, OK 73120 (Street, City, State, Zip)
I am a registered voter In precinct # 550146 in the County of Oklahoma
Optional Information: Phone number: 405-608-4453 Email Address: [email protected] Website:
• Candidate for the ReQublican Party o Independent Candidate o Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): • Cashiers/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? 0 YES. NO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or ofthe United States? DYES .NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold safd ~~ct.e~ /
Signature of candidat~~ ~
My Commission expires
# of signatures ___ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath I 5
~ •. ·:t7~~~ OKLAHOMA DECLARATION OF CANDIDACY .. ::: ··::)~Candidate Information and Oath ~~.:::.-; ------------------------------------
"" - NOTICE: All information provided on this form will be made publicly available.
588
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot:
Tammy Westcott Candidate's full legal name: Date of birth:
Tammy Sue Westcott (Month, Date, Year): 07/16/1965 Title of Office Sought: (include district office or ward number if applicable) District Attorney - District 14 Candidate's Residence Address: (Street, City, State, Zip) 2508 W. 68th PI., Tulsa, OK 74132 Candidate's Mailing Address: (Street, City, State, Zip) 2508 W. 68th Pl., Tulsa, OK 74132
I am a registered voter in precinct # 720146 in the County of Tulsa Optional Information: Phone number: Email Address: Website:
I!I Candidate for the Republican Party o Independent Candidate o Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): I!I CashierS/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or ofthe United States? _YES ~ND Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? _YES )(ND If you answer YES to either olthese questions, you are required to fill out and sign the Criminal History Disclosure form and Include it in your Declaration of Candidacy.
I, the rsigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said
Subscribed and sworn to before me c..o.ce':{ ~~~ _SEAl CS' CommissIon expires '!..:I'-l-"""f2'JL!..:.1
COREY ROBERTS NOTARY PUBLIC·STATE OF OKLAHOMA
COMMISSION U 11010744 MY COMMISSION EXPIRES 11-29-2019
# of signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath I 12
589 1I:·:tJ~.~1; OKLAHOMA DECLARATION OF CANDIDACY · .. ::· .. :.:I~ Candidate Information and Oath .' .:::.' ------------------------------------~. (ir;j-,~
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot:
Rick D. Westcott Candidate's full legal name: Date of birth:
Rickey Dalton Westcott (Month, Date, Year): 10/15/1954 Title of Office Sought: (include district office or ward number if applicable) District Judge, District 14, Office 12 Candidate's Residence Address: (Street, City, State, Zip) 2508 W. 68 Pl., Tulsa, OK 74132 Candidate's Mailing Address: (Street, City, State, Zip) 2508 W. 68 Pl., Tulsa, OK 74132
I am a registered voter in precinct # 720146 in the County of Tulsa Optional Information: Phone number: Email Address: Website:
o Candidate for the Party o Independent Candidate ~ Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): • Cashier'slCertified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? _YES :J,.,NO Have you been named in an outstanding warrant for arr,er for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? _YES f-NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a
candidate for said office, and that I will be fUI~y qualified to h~ld saidV?, t1eleczt d~ r / /1 SIgnature of CandIdate !lLc. J!.::? ~ JA/\ ':j • ). -.. . .. , ;/ ,
NOTARY
SIal. of 6K:JO \"(),,,0- County of \G(...\""'\j;6,-""'''''-'. _________ _
Subscribed and sworn to before me (\rsc; <- (' 0..-~ () h !,!S'C) In
My CommissIon expires
NIPD PETD # of signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath I 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Candidate's name as it will appear on ballot: Natal ie Mai
590
Candidate's full legal name: Natalie N huM ai Date of birth: (Month, Date, Year): 02/19/1979
Title of Office Sought: • • (Include district office or ward number if applicable) 0 I strict J ud 9 e, District 7, Office 5 Candidate's Residence Address: 901 (Street, City, State, Zip) N.W. 7th #200, Oklahoma City, OK 73106 Candidate's Mailing Address: . (Street, City, State, Zip) 2800 N. Classen Blvd. Ste 107, Oklahoma City, OK 73106
I am a registered voter in precinct # 550205 in the County of Oklahoma Optional Information: Phone number: Email Address: Website:
o Candidate for the' Party D Independent Candidate [!J Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): ~ Cashiers/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or In another state to b~uilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? UVES 0-Jo Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? DYES IZINo If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said office, if el(lSted.-.-~
Signature of Candidate ~ NOTARY
SEAL
Signature of 0 ery Public or Officer Authorized to Administer Oath
lOoton! B.cb\tC , Tille of Officer (Ndtbry Public or Other Officer)
NIPD PETD tt of signatures ____ _
2018 state of Oklahoma Filing Packet Candidate Information and Oath / 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Candidate's name as it will appear on ballot: Jason Sansone
591
Candidate's full legal name: J S I Date of birth: ason Anthony ansone (Month, Date, Year): 06/18/1984
Title of Office Sought: ., • (include district office or ward number if applicable) Representative for House District 94 Candidate's Residence Address: • (Street, Cit y,State, Zip) 4009 Oakbrook Dr., Del City, OK 73115 Candidate's Mailing Address: 4009 (Street, City, State, Zip) Oakbrook Dr., Del City, OK 73115
I am a registered voter in precinct # 33 in the County of Oklahoma
Optional Information: Phone number: 405-550-4564 Email Address: [email protected] Website: www.jasonsansone.com
~ Candidate for the Republican Party D Independent Candidate o Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): ~ Cashier's/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? [)yES [{jNO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? DYES [ZINO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the swear or affirm that the information provided in this that I have read and signed the Candidate Qualifications for the office that I candidate for said office, and that I will be fully qualified to hold said otticl'(ilel.,lts'\f.
< (. ~.in-~""'>-4'
LUrE ANDRADE SEMbtary Public State of Oklahoma
Commission # 07000741 My Commission Expires Jan 22, 2019
~4£) QJ ~"'(g'>
It of signatures ____ _
2018 State of Oklahoma Filing Packet
Candidacy is true and correct, I am fully qualified to become a
r Authorized to AdmInister Oath
Candidate Information and Oath /12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION W'!',af'pear on ballot:
d Date of birth:
592
(Month, Date, Year): Lf·- gJ
(include district office or ward number if applicable)
Candidate's Residence (Street, City, State, Zip)
Candidate's Mailing (Street, City, State, Zip)
lama voter in Optional Phone n1l1mher:<CI Email Address: Website:
nl'jIJ"-l/..w'-""!L ____ Party 0 Independent Candidate D Nonpartisan Judicial Candidate
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty ~ misdemeanor involving embezzlement or of a felony under the laws ofthis state or of the United States? 0 YES ~NO Have you been named in an outstanding warrant for ar~ for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? DYES )l".NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it In your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said oj]lce;jVlelel:te,d.
State of _--"--'-'___ County of
Subscribed and sworn to before me _______________ _
SEAL My Commission expires .61 / b ;)6 Commission Number ---0_=,_.----\---
Oath
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 5
_:.1~.!.\ OKLAHOMA DECLARATION OF CANDIDACY ~::.: (J~ Candidate Information and Oath ~o' .:. :W----:---=------------------------------
;,.{Mi( . ., NOTICE: All information provided on this form will be made publicly available.
593
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot:
Date of birth: (Month, Date, Year): 5- 1"7-
Title of Office Sought: (indude district office or ward number if applicable)
Candidate's Residence Address: (Street, City, State, Zip)
i Mailing Address: (Street, City, State, Zip)
I am a I voter in
Optional I Phone n",nh,"·""
~ndidate for the' ?..,.J.Iit..4K
CRIMINAL DISCLOSURE:
in the
Email Address: Website:
Party D Independent Candidate D Nonpartisan Judicial Candidate
Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be gUilty~a isdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? QyES 0 Have you been named in an outstanding warrant for a r""tjPr a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES BlNo If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and Signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said office, if elected.
COURTNEY GREEN Not.r~ Public· State of Oklahoma Commiss~~l!mber t2008316
My Commission Expire. Aug 31. 2020
2018 State of Oklahoma Filing Packet
State of (t.t ('f,},1Cl(y\Q-- County of
Subscribed and sworn to before me lLly! I I 0 I Ii) lS? My Commission expires b -? t - ;:a:omm1SS10n Number'A,t;6!LA,..LJ.""-'L.l.'-'..!L_
\
SIgnature of Notary Public or 0 leer Authorized to Administer Oath
S±aJf Q{' t Ii)LU\±nd \ Title of Officer {Notary Public or
Candidate Information and Oath / 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Candidate's name as it will appear on ballot: Scott William McEachin
59t1
Candidate's full legal name: Scott William McEachin I Date of birth: (Month, Date, Year): 12/12/1 951
Title of Office Sought: • (include district office or ward number if applicable) State Representative, H D67 Candidate's Residence Address: (Street, City, State, Zip) 7032 E 100TH ST, Tulsa, OK 74133 Candidate's Mailing Address: 7032 E (Street, City, State, Zip) 100TH ST, Tulsa, OK 74133
I am a registered voter in precinct # 154 in the County of Tulsa
Optional Information:
Phone number: (918) 798-3167 Email Address: [email protected] Website: www.scottmceachin.com
iii Candidate for the ~RE>publica" Party D Independent Candidate DNonpartisan JudiCial Candidate
This Declaration is accompanied by a (check one): ~ Cashiers/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH
CRIMINAL DISCLOSURE: Have you been convicted, pled gUilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES !lINO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES !Z]NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the swear or that the information provided in this Declaration of Candidacy Is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that 1 am fully qualified to become a candidate for said office, and that I will be fully qualified to hold s'!i!t!l.m.~itle,lec:te(f.
TERESA EUBANKS Notary PI/QlIJi. . State of Oklahoma Commis~fun ~umber 1600~200
My Gpmmission ExpireS May 25 .. 2020
1l1::!Qlli!l.D~_ cp; ,or,
Subscribed and sworn to before me -'--"-:...f\ __ ---' __ ...:=: _______ _
My Commission expires 01~ LS ,1J)29 Commission Number Ild';(jJj'2c;iJ
~JA~ Signature of Notary Public or Officer Authorized to Administer Oath
I,»<>-'M '1?v 'oL L Title of Public or Other
# of signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
OKLAHOMA DECLARATION OF CANDIDACY ______ C_a_n_d_i_da_t_e_l_nf_o_r_m_a_ti_o_n_a_n_d_O_a_t_h _______ 5Cf5
NOTICE: All information provided on this form will be made publicly Glvailable.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Candidate's name as it will appear on ballot: Misty Fields
candidate'sfulllegalname:Misty Miranda Fields Date of birth: (Month, Date, Year): 1 0102/1976
Title of Office Sought: • . (include district office or ward number if applicable) District 12, Seat 1, District Judge
Candidate's Residence Address: 1 . (Street,City,State,Zip) 07 Chukker Drive, Pryor, OK 74361 Candidate's Mailing Address: • (Street,City,State,Zip) 107 Chukker Drive, Pryor, OK 74361
I am a registered voter in precinct #490132 in the County of Mayes Optional Information: Phone number: 918-949-0553 Email Address:[email protected] Website:mislyfll,lldsformayescoufltydistricijudge.com
o Candidate for the' Party D Independent Candidate I!I Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): ~ Cashier's/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES I!::]NO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES 0NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am to become a candidate for said office, and that I will be fully qualified to hold said ~'iI',...,.,,,,el'ected ..
rr~~!Fil1E'~:'7.~7::7,'!==~ My Commission expires ~~~AGAN ALLEN
Notary Public, State 01 Oklahoma Commission 1117008930
My Commission Expires 09·22-2021
# of signatures ____ _
2018 State of Oklahoma Filing Packet
Signature of tary Public or Officer Authorized to Administer Oath
NDtRVVl fVLkil;c Title of Officer (Notary Public or Other Officer)
Candidate Information and Oath /12
NIP
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Candidate's name as it will appear on ballot: Eric Roberts
596
Candidate's full legal name: Eric Van Roberts Date of birth: (Month, Date, Year): 08/21 /1962
Title of Office Sought: (include district office or ward number if applicable) State Senate District 30 Candidate's Residence Address: • (Street, Cit y,State, Zip) 3449 Stone Brook Ct, Oklahoma City, OK 73120 Candidate's Mailing Address: P 0 B (Street, City, State, Zip) OX 166, Oklahoma City, OK 73101
I am a registered voter in precinct # 550145 in the County of Oklahoma
Optional Information:
Phone number: 405-640-2452 Email Address: [email protected] Website: EricRobertsforSenate.com
Ij] Candidate for the xRepublfcall Party o Independent Candidate o Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): ~ Cashier'sjCertified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES !{]No Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES [ZjNO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or that the in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said office, if elected.
State of 0 \<,w\@(I.I,p.county of -,D,,-,~===='I'\'-l-______ _
Subscribed and sworn to before me ERic..... 'R.o B IZR.TS
SEAL My Commission expires \1/ \'2../20 \ <t' Commission Number \Ito I 0 \ "\ ;3
Signatur f N ubllc or Officer Authorized to Administer Oath
~c~'f. fv!OlA.~ Title of Officer (Notary Public or Other Officer)
# of signatures ____ _
2018 state of Oklahoma Filing Packet Candidate Information and Oath / 12
• OKLAHOMA DECLARATION OF CANDIDACY \"8':: .. ':/1; Candidate Information and Oath o~,,~~.;, ___________________________________ _
NOTICE: All information provided on this form will be made publicly available,
PLEASE TYPE OR PRINT
Date of birth:
597
(Month, Date, Year): oq J If 197'1 Title of Office Sought: (include district office or ward number if applicable)
i Residence (Street, City, State, Zip)
Candidate's Mailing (Street, City, State, Zip)
ok 13/35
Website:
~~!2.Q~:£i.JtLJ~ ___ Party 0 Independent Candidate 0 Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): Check Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty ofa misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? []yES ,!:sJNO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or ofthe United States? []yES 1iS;lNO If you answer YES to either ofthese questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy,
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office~tha~ k, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said OffiCe, if l ectJ1_ ~
Signature of Candidate ---''''''''-'O' __ ~..J..<~ __ ~-'';.<:.... ______ _
NOTARY
State of 0./::1."""5 county of e( '/!0 e/ \t.1 r1
Subscribed and sworn to before me .!.tIl=Ic'-"(,!!!qJ!C(~O~',t;,=«~( _________ _
SEAL My CommIssIon expires 04·U,· 2-c'].6
gnature of Notary Public or Officer Authorized to AdminIster Oath
UVlI(ur~\( ~~v1lle! Title of Officer (Notary Public or Other Officer)
NIPD PETD # of signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
if~ OKLAHOMA DECLARATION OF CANDIDACY ~~ __ -:-::=:=-~-;-C_an_d-:-:-i_d_a_te-:-In:-f-:-o_r_m-:-a:-t-:-io_n_an-:-d:-:-O_a_t_h _______ _
NOTICE: All information provided on this form will be made publicly available.
598
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
candidate'l-\Tej~tn~tPl2arOiA/~
candldate'Alei4Ih~eS ('{5A~nt Ktir itt/A Date of birth: it ~/J I
(Month, Date, Year): 05) Iv 1174 1
Title of Office Sought: v
5 tM-t 5tf1Al-t, lJl~1rit-+ I ~ (include district office or ward number if applicable)
Candldatels Residence Address: t
(Street, City, State, Zip) iI''t S. f¥l«ud,t5 Wlvt NW'vYWl, e~ 73vh1 Candidate's Mailing Address~( ~
,
(Street, City, State, Zip) 0 <¥ {pJ3-1 NvV"Mn, ~ 7~D7V I am a registered voter In precinct # 5'1 in the County of (,14't-~ Optional Information:
Phone number: 40\J-oIt~"'If{ Email Address: 0.lii.sMt~JC6}:~ Website: t(W~~~Stnl'Jt.C1)r ~ Candidate for the' })llvl D uA -IV./ J
Party o Independent Candidate o Nonpartisan Judicial Candidate
This Dedaration is accompanied by a (check one): :g) Cashiers/Certified Check D Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES ~NO Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES ~NO If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said office, if electe:9·,
S. E. PATTEN Nota!y'puQ1ic - State of Oklahoma Co~&k>n Number 09003471
My Commission Expires Apr 20, 2021
2018 State of Oklahoma Filing Packet
Stateot --'''''-'==== County of
511\ ~ iJ\~ Subscribed and swom to before me -='--'-"'-.:....::'--'-_=----'---'-'-'-_____ _
My CommissIon expIres '-i \ 2 0(Z0 2( Commission Number 0 q DO '3,'11/
M Pur:JIJt?= Signature of Notary Public or Officer AuthorIzed to Admlnlstar Oath
N o..f-... "'--J P LA.b ( " L
Title of Officer Public or Other Officer)
Candidote Information and Oath / 12
OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath 599
NOTICE: All information provided on this form will be made publicly available.
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION Candidate's name as it will appear on ballot:
JA ;,.)£ )JOu!hJ Candidate's full legal name;...-;--
U1H J tfl ,:II~ Date of birth: (Month, Date, Year): -")'0; - :5~
Title of Office Sought: (include district office or ward number if applicable)
Candidate's Residence Address:
~(~St_re~e7~_Ci7~~,S~ta~te_,~ZiP~)~ __ ~'~~~~-=D~;LJ __ ~d~~~~~M~4~/~~~~~k~C~'~~~(~+-~~~v~~~~~~~'7~ Candidate's Mailing Address:
(Street, City, State, Zip) ;?Z-O AJ lZ.£2JA.. ';'<[;.4", eJL ·u (' I am a registered voter in precinct # 72-D 11'7' I in the County of ~ ? 0--Optional Information: Phone number: (f] ?'I15l~S Email Address: Website:
ITcandidate for the' &ft<?-/r CO<. v- Party 0 Independent Candidate 0 Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): Cashier's/Certified Check D Petition
CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to be guilty &misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? DYES lJ!jNO Have you been named in an outstanding warrant for arr~1)or a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? []yES l)2INo If you answer YES to either ofthese questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
e undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said
SEAL
# of signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12
~tt~"~~~ OKLAHOMA DECLARATION OF CANDIDACY
,(~ __ -:-:--:::-:::-:-::-:-:-C_a_n-:d_id_a_t_e-:-I:-nf-:o_r_m-:a-:-t-:io_n_a-:n::-d:-O_a_t:-h:---:-:--:-_"7'"':'"-:--__ "',.,". NOTICE: All information provided on this form will be made publicly available.
600
PLEASE TYPE OR PRINT
CANDIDATE INFORMATION
Candidate's name as it will appear on ballot: Dean Howe
Candidate's full legal name: Robert Dean Howe I Date of birth: (Month, Date, Year): 02-16-1950
Title of Office Sought: • • (include district office orward number if applicable) State Representative, Dlst 76 Candidate's Residence Address: (Street, City, State, Zip) 2611 West Canton Street, Broken Arrow, OK 74012 Candidate's Mailing Address: (Street,CitY,State,Zip) 2611 West Canton Street, Broken Arrow, OK 74012
I am a registered voter in precinct # 720458 in the County of Tulsa Optional Information: Phone number: Email Address: Website:
ICI Candidate for the' KI':.Pu &1...( Cil ,J Party o Independent Candidate o Nonpartisan Judicial Candidate
This Declaration is accompanied by a (check one): (gJ Cashiers/Certified Check o Petition
CRIMINAL HISTORY DISCLOSURE AND OATH
CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to b~uilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? UVES lZlNo Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? DYES 0-10 If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.
undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully I to become a candidate for said office, and that I will be fully qualified to hold said office, if .,tftfed.
State of 0 ) c.., County of 'rv\s,,\
Subscribed and sworn to before me _.::4:..t..::----L.' k.==--t.'-<lv='-_______ _ MyCommlsslonexplres 9--"t.-L.--'"?( GommlsslonNumber Q ~- 0081>-15
9 ture of Notary Public or Officer Authorized to Administer Oath
C-\k.FL nUe of Officer (Notary Public or Other Officer)
signatures ____ _
2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12