Candidate Nomination: Candidate Nomination Petition Packet

Municipal General Election Tuesday, November 2, 2021

Candidate Nomination:

Candidate Nomination Petition Packet

City of Greeley

Office of the City Clerk

1000 10th Street

Greeley, CO 80631

Open Monday—Friday, 8am to 5pm

greeleygov.com/government/cc/elections

cityclerk@greeleygov.com

General Information

Candidate Qualifications

The Greeley Charter (§2-4) lists the

qualifications of persons eligible to the office of Mayor or Council Member as:

A citizen of the United States At least 21 years of age

A resident of the City of Greeley for at least one year immediately preceding the election, and resident of Ward for 90 days immediately preceding the election for Ward candidates No other elective office held

No felony convictions

Any or all of the above candidate qualifications are subject to verification following petition submittal.

Nomination Petition

A Nomination Petition is required and must be signed by at least 25 registered electors residing in the City of Greeley and residing within the Ward for Ward candidates. Petitions may be circulated and signed ONLY between August 3 and August 23, 2021. The petition must be filed in-person with the Office of the City Clerk no later than August 23, 2021 at 5:00 p.m. The Petition Circulator must certify the Petition with a signature before a Notary Public. The Petition Circulator may be the Candidate. The Candidate accepts nomination by signing the completed Petition, before a Notary Public, and certifying that the qualifications to run for a Greeley municipal office have been satisfied. The City Clerk will review the filed petitions and any petition may be amended to correct or replace those signatures which are found to be in apparent non-conformity with election requirements.

The Nomination Petition and Acceptance of Nomination forms are included in this packet.

Greeley City Clerk’s Office

Contact for Candidate filing, campaign finance reporting, placing a question on the ballot, petition processes, and basic election questions

Phone: 970-350-9740

Fax: 970-350-9828

Email: cityclerk@greeleygov.com

greeleygov.com/government/cc/elections

The City Clerk’s Office is located in Greeley City Hall at 1000 10th _{St, and is open business days}

from 8 am until 5 pm.

Weld County Clerk & Recorder

Contact for election administration questions and voter lists

Phone: 970-304-6525

Email: elections@weldgov.com Fax: 970-304-6566

www.weldvotes.com

If you need materials provided by the City of

Greeley in an alternative format or in

another language, contact us:

Phone: 970-350-9740

Email: cityclerk@greeleygov.com

Español (Spanish) - Atención. Si desea

Candidate Nomination Petition Page 1 of 3

2021 Candidate

Nomination Petition

May be circulated August 3

_{through August 23}

_only

THE TOP HALF OF THIS FORM MUST BE COMPLETED BY THE CANDIDATE BEFORE CIRCULATING

FOR SIGNATURES

To: Anissa Hollingshead, City Clerk

I, _________________________________________________________ (full name of candidate), who resides at ________________________________________________ (street address) in the City of Greeley, Colorado, hereby petition to be a candidate for the office of WARD II COUNCIL MEMBER , for the term of 4 (FOUR) years, to be voted upon at the Regular Municipal Election to be held on the 2nd _{day of November, 2021.}

(Optional): I hereby designate the following person(s) to fill a vacancy in this nomination should a vacancy occur: (For each person listed below, include full name, address, and telephone number)

1. _________________________________________________________________________________________ 2. _________________________________________________________________________________________ 3. _________________________________________________________________________________________

SIGNATURE OF PETITIONERS

Printed Name Signature Street Address Date 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30.

Affidavit of Circulator

I, ___________________________________________________________ (full name of circulator), hereby certify that I circulated this petition and that each signature is the signature of the person whose name it purports to be and that each signer has stated that he or she is a registered elector in the City of Greeley, Colorado.

________________________________________________________ ____________________________________

Signature of Circulator Date

STATE OF COLORADO )

)

COUNTY OF WELD ) SS.

)

CITY OF GREELEY )

Subscribed and sworn to before me this _________ day of _________________________________, 2021. (SEAL)

Candidate Nomination Petition Page 3 of 3

ACCEPTANCE OF NOMINATION

I, ____________________________________________ (full name of candidate), who resides at

_____________________________________(street address) in the City of Greeley, Colorado, being first duly sworn

upon oath, hereby affirms and states as follows:

1. I hereby accept the nomination for the position of

, and certify that I

satisfy the qualifications set forth in Section 2-4 of the Charter of the City of Greeley, Colorado, to apply for

Greeley municipal office. I understand that if I do not meet the qualifications set forth in Section 2-4 of the

Charter of the City of Greeley, Colorado, I will be deemed unqualified to be a candidate for Greeley

municipal office. I declare that I meet these qualifications as follows:

a.

I hereby certify that I am a citizen of the United States.

b.

I hereby certify that I am at least 21 years of age.

c.

I hereby certify that I will hold no other elective office if elected to the Greeley City Council.

d.

I hereby certify that I am a resident of the City of Greeley and have been for at least one year.

e.

I hereby certify that I have been a resident of the ward for which I have been nominated for

at least 90 days. (only if running for Ward Council Member)

f.

I hereby certify that have never been convicted of a felony.

2. I hereby certify that the statements set forth above are true and correct to the best of my current

knowledge and belief.

DATED this _____ day of _________________, 20____.

__________________________________________

Signature of Applicant

___________________________________________

Printed Name of Applicant

SUBSCRIBED TO AND SWORN before me this ____ day of ______________, 20__.

__________________________________________

Notary Public

My Commission Expires: ______________________