HomeMy WebLinkAbout05. Yttreness, RyanOffice of the Minnesota Secretary of State
AFFIDAVIT OF CANDIDACY
Instructions
All information on this form is available to the public. Information provided will be published on the Secretary of Sta e'swebsite. If filing for
partisan office and not a major party candidate, you must file both an affidavit of candidacy and a nominating petition. (Minn. Stat. 2048.03)
Candidate Information
Name, Office, and Party
Candidate Name (as it will appear on the ballot) / i///"/J T
Office Sought: (+6 if (-owl „ E't✓t` r Pf, "/ ,, fi r,
Political Party or Principle (State or Federal offices only)
Name of Incumbent (Judicial seats only)
Contact Information
Required (federal, judicial, county attorney, and county sheriff candidates are exempt)
Phone number /;— '5,?.:5F-'..,e.5e, "r7:5 Email (non -government issued)' le(a*��7"ti
Address Information
Residence Address Required (unless box is checked; federal, judicial, county attorney, and county sheriff candidates are exempt)
My residence address is to be classified as private data.
I certify a police report has been submitted, an order for protection has been issued, or I have a reasonable fear for my or my family's
safety; or my address is otherwise private by Minnesota law. I have attached a separate form listing my residence address.
Residence Address // , j P"r' � r. �a°a;� ._
Filing,M
Cash/heck #
Amount $
District #;
City ef)1
rye?
Campaign Contact Information (Address required if box above is checked)
Campaign Address
City
Check box if you do not have an email address El
0044: I
State ✓f Zip Code `/m y> ;�
State Zip Code
Campaign Website
Affirmation
For all offices, I swear (or affirm) that this is my true name or the name by which I am generally known in the community.
If filing for a state or local office, I also swear (or affirm) that:
• I am eligible to vote in Minnesota;
• I have not filed for the same or any other office at the upcoming primary or general election except as authorized by Minn. Stat. 2048.06, subd. 9;
• I am, or will be on assuming office, 21 years of age or more;
• I will have maintained residence in this district for at least 30 days before the general election; and
• If a major political party candidate, I either participated in the party's most recent precinct caucuses or intend to vote for a majority of that
party's candidates at the next general election.
If filing for one of the following offices, I also swear (or affirm) that I meet the requirements listed below:
• United States Senator — I will be an inhabitant of this state when elected and I will be at least 30 years old and a citizen of the United States for
not less than nine years on the next January 3rd, or if filled at special election, within 21 days after the election.
• United States Representative — I will be an inhabitant of this state when elected and I will be at least 25 years old and a citizen of the United
States for not less than seven years on the next January 3rd, or if filled at special election, within 21 days after the election.
• Governor or Lieutenant Governor — I will be at least 25 years old on the first Monday of the next January and a resident of Minnesota for not
less than one year on election day. I am filing jointly with
• Supreme Court Justice, Court of Appeals Judge, District Court Judge, or County Attorney — I am learned in the law and licensed to practice law
in Minnesota. My Minnesota attorney license number is and a copy of my license is attached.
• Supreme Court Justice, Court of Appeals Judge, or District Court Judge — I will not turn 70 years of age before the first Monday of next January.
• State Senator or State Representative — I will have maintained residence in Minnesota not less than one year and in this district for six months
on the day of the general or special election.
• County Sheriff— I am a licensed peace officer in Minnesota. My Board of Peace Officer Standards and Training license number is
and a copy of my license is attached.
• School Board Member — I have not been convicted of an offense for which registration is required under Minn. Stat. 243.166.
• County, Municipal, School District, or Special District Office — I meet any other gua,lifications for that office prescribed by law.
Candidate ',nature /
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"Notary public o otf
er officer empowered to take and certify acknowledgement
artman
Lori J. Hensen
NOTARY PUBLIC
MINNESOTA
ion Expires Jan. 31, 2027
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Rev..5/2024
FFICE OF THE INNESOTA ECRETARY OF STATE
2024 CANDIDATE NAME PRONUNCIATION FORM
Candidate's Name (clearly print): A
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Office Filed For (clearly print): ("e,y4-i gi"i
Type of District (circle one):
Federal State Judicial County S&WCD Ci y) Township School Hospital Park Other
District's Name (clearly print):-)AcLk:c
Candidate Name's Pronunciation:
Additional Notes:
Info of Staff form:
Name and Title: Member COO
l' ('nor s,���,,{'
Name of Your Jurisdiction:
District District District
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Date completed:
Date submitted to County Auditor's Office:
Date submitted to ERS Data -Entry Staff Member:
Date entered into ERS:
Form updated 5/1/2020KJM