Billings, Steven - Ward 1 FORM(REVISED 1960)MILLER-OAVIS CO.,ST.PAUL,MN
AFFIDAVIT OF CANDIDATE & RECEIPT FOR FILING
TOWN OR CITY ELECTIONS /
State of Minnesota No.
A ss.
County of An.o K4
I,
S`h'e v e.h .t • C 5 Ire v e� � i (� � :� 9s
(Print name as wanted on ballot)
swear (or affirm) that I am qualified under the Constitution and Laws of the United States and State of Minne-
sota to seek the elective public office indicated below. I am a qualified voter in the subdivision where I seek
election. I will be 21 years of age or more on assuming office. I will be a resident of my election district for at
least 30 days by election day. I have not filled for any other office/at this election.
L-
I am seeking election to the office of 0U.4C i`/#7 Br", 4+0/a Div
I reside in the City or Township of 4-91 jpL C /✓
My post office address is
(Sign namWVwbnted on ballot)
Subscribed and sworn to before me this. -rH day of
.(Town), (City)Clerk—Notary Public
SEAL � Q. ` County,Minn.
NOMINATION PETITION
We, the undersigned, registered voters of the City of Fridley,
hearby nominate e�en •�� LL i A)Cn s , whose residence is
$a/ j L i4 t.t-h/ ST72 /l,� for the office of
06UjjCjMerA%ene- iN Ma.2 D 006' , to be voted for at
the election to be held on the RO day of 4DVE�nee.. z1998;
and we individually certify that we are registered voters and that
we have not signed more nomination petitions of candidates for this
office than there are persons to be elected thereto.
DATE NAME STREET AND ADDRESS
O K 1` 1 -
AA e-
Iz
—K
LQ��
OK c/• r�Um Lk
'e�eri �• n z being duly sworn, deposes and says, "I am
(Name of Circulator)
the circulator of the foregoing petition paper containing signatures,
and that the signatures appended thereto were made in my presence and
are the genuine signatures of the persons whose names they purport to
be.
I wish my name to appear on the ballot exactly as follows:
s•ke�e� �. � skc��� -3;11;� _
(Please Print)
(Signature of N i ee)
-Subscribe sworn to before ple this day
199
(Notary Public)
This petition if/f and insufficient by the City Clerk, shall be returned
to Gve / i r1 �' , at Number •7 0���1/4GOAAI-6 - 427-Street.
I hearby indicate my willingness to accept the office ofW
POUA41 L if duly elected thereto.
(Signature o7VMInee-
6/94
A�•����
IMIQ't a��iM�iw
NOMINATION PETITION
We, the undersigned, registered voters of the City of Fridley,
hearby nominate whose residence. is
for the office of
to be voted for at
the election to be held on the day of , 19 ;
and we individually certify that we are registered voters and that
we have not signed more nomination petitions of candidates for this
office than there are persons to be elected thereto.
DATE NAME STREET AND ADDRESS
being duly sworn, deposes and says, "I am
(Name of Circulator)
the circulator of the foregoing petition paper containing signatures,
and that the signatures appended thereto were made in my presence and
are the genuine signatures of the persons whose names they purport to
be. "
I wish my name to appear on the ballot exactly as follows:
(Please Print)
(Signature of Nominee)
Subscribed and sworn to before me this day
of
(Notary Public)
This petition, if found insufficient by the City Clerk, shall •be returned
to , at Number Street.
I hearby indicate my willingness to accept the office of
if duly elected thereto.
(Signature of Nominee)
6/94
CITY OF FRIDLEY
PUBLIC DIISCLOSURE STATEMENT BY CITY COUNCIL OR COpUNC L CANDIDATES
NAME T ,/ w DATE 7 /
TO: CITY CLERK
In conformance. with Sec. 5.04 of the City Code, I hereby make the
following declarations regarding my financial and personal interests:
1. Names of all business corporations, partnerships, other business
enterprises, or governmental agencies doing business with the City
of Fridley or located within the City of Fridley:
a. With which I have a financial interest.
(As used in Chapter 5, the term financial interest shall be deemed
to include ownership of more than 10% of: the outstanding stock in a
corporation, an interest in a partnership, proprietorship, or other
business entity, or an interest in real property. Financial interest
shall apply to real or personal properties owned by the person
making the disclosure and by said person's spouse.)
b. With which I have a personal interest.
(As used in Chapter 5, the term personal interest shall be deemed to
apply whenever a person required to make a disclosure under this
code of ethics shall be associated with a business as an employee,
officer, 'director, trustee, partner, advisor or consultant.)
NAME OF BUSINESS FINANCIAL PERSONAL
PARTNERSHIP, ETC. ADDRESS INTEREST INTEREST
adLac-lOATl9J
(use additional paper if necessary)
2. A list of the non-homestead real property located within the City
of Fridley in which I currently have a financial interest:
NON-HOMESTEAD REAL PROPERTY ADDRESS
r' I
(Use additional paper if necessary.)
3. A list of the non-homestead real property located within the City
of Fridley in which I have had a financial interest within the
proceeding three(3)years:
NON-HOMESTEAD REAL PROPERTY ADD
4. A list, of the names and nature of business of all corporations,
partnerships, or other business enterprises with which I have a
financial interest and in which I know one or more other persons
covered by this code of ethics also having a financial interest in
said enterprise. (This list shall indicate the name or names of such
persons or persons having such interest in said enterprise.)
NATURE OF BUSINESS - OF ALL CORPORATIONS
NAMES PARTNERSHIPS, OR OTHER BUSINESS ERPRISES
(Use additional paper if necessary.)
I do swear (or affirm) that this report is a 1 and e t nt
pursuant to Sec. 5.04 of the City Code.
(Signature)
Note: This statement must be filed annually or when there is a
material change in financial interest or in position held.