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HomeMy WebLinkAbout08. Luce, MikeOffice 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 ',i a u Ono), f Stdtr's r ebyl . 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. 204B.03) Candidate Information Name, Office, and Party C r Candidate Name (as it will appear on the ballot) C-G� � . Office Sought (i ,�" f �� L� ®Gr4G J Political Party or Principle (tate or Federal offices only) Name of Incumbent (Judicial seats only) Contact Information Required (federal, judicial, county attorney, and county sheriff candidates are exempt) Check box if you do not have an email address n Phone numbers ,,�j f ��tf� L�l �6Email (non -government is 'N'! �`Ul C E'- ..�" it t a GfJeti'C non- overnment issued) 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 othen�rise private by M' nesota law. I have attached a separate form listing my residence address. Residence Address / , �_ City 512,4 1V- ,, O e Campaign Contact Information (Address required if box above is checked) Campaign Address I' City' State Zip Code District ti ;State A Zip Code P 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. 204B.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 7 (meet any other qualifications for that office prescribed by law. g � ` ' F ��.�..� �. Date$ Ii ^ Lori J. Hensen Candidate l nature —��� �f - rbe IAA s+ryrorr t q �� day : ��. ..w �. aa� NOTARY PUBLIC nm Subs tai laefore rye this of v ��--�� � �;'�+,.�°�..- 2CJ��• � MINNESOTA l`'j 7 My Comimssion Expires Jan. 31, 2027 Notary public orrtrio'icer empowered to take and certify acknowledgement st,`inp"� Rev. 5/2024 OFFICE OF THE MINNESOTA SECRETARY OF STATE 2024 CANDIDATE NAME PRONUNCIATION FORM Candidate's Name (clearly print): Office Filed For (clearly print): Type of District (circle one): Federal State Judicial County S&WCD District's Name (clearly print): Candidate Name's Pronunciation: Additional Notes: Info of Staff Member completing this form: Name and Title: ',< Name of Your Jurisdiction: 5, Date completed: Date submitted to County Auditor's Office: Date submitted to ERS Data -Entry Staff Member: Date entered into ERS: Farm updated 5/1/20201O44 Township School Hospital Park Other District District District