Schneider, Dennis - Ward 2 FORM 11(REVISED 1980)MILLER-DAVIS CO.,MINNEAPOLIS
AFFIDAVIT OF CANDOA & RECEIPT FOR FILING
TOWN OR CITY ELECTIONS
State of Minnesota JJ No, cX
County of— jtA-1�
5,1 4/D F-I r r
(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 filed for any other office at this election.
I am seeking election to the office of
I reside in the city or township of
My post office address is:
\ (Zip)
(Sign name as wanted on ballot)
Subscribed and sworn to before me this day of , 19y
Q�
(T wn), (City) Clerk-Notary Public
SEAL County, Minn.
NOMINATION MI=
We, the undersigned, registered voters of the City of Fridley,
hereby nominate Denni_g L. Schneider , whose residence is
6190 Stinson Blvd. , Fridley, MN 55432 , for the office of
City Councilman, Ward 2 , to be voted for at
the election to be held on the 8th day of November , 19 88 •
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.
SIE I `MSTR�= AND NUMBER
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Dennis T._ Schneider , being duly sworn, deposes and says, "I
(Niue of Circulator)
am 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:
DENNIS L. SCHNEIDER
(Please Priv
(Sig&ture of Nominee)
ibecl and sworn to before me this ?�jt dayQ4 —49 Rk cNice cM.(of �7/i�?e
NOTAP.Y PUBLIC-MINNESOTA,
w
HENNEPIN COUNTY
My commission expires August 10,1989
(Notary Public)
This petition, if found insufficient by the City Clerk, shall be returned
to j)PnniST.- Schneider , at Number 6190 Stinson Blvd. meet.
I hereby indicate my willingness to accept the office of City Councilman,
_ if duly elected thereto.
2 ,
(Signature of Nominee)
3/0/1/9
MINATION PET I'i' N PAGE 2
We, the undersigned, registered voters of the City of Fridley,
hereby nominate Tennis T SchnPider _, whose residence is
6190 Stinson Blvd- Fridley MN 55412 for the office of
City C.ounci l man, Ward 2 . to be voted for at
the election to be held on the 8th day of November , 1983_;
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.
NAME STREET AND NUMBER
joP
Dennis L. Schneider , being duly sworn, deposes and says, "I
(Name of Circulator)
am the circulator of the foregoing petition paper containing signatures,
and that the signatures appended thereto were made in mfr 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:
T._ gCNNFTDF,R
(Please Pr7-
'—(Signature
of Nominee)
Subs ed jand sworn to before me this qday
Of 19 Zoe r"'o c4iice &W. 'Wze
00TARY PUBLIC-MINNESOTA
HENNEPIN COUNTY
1/,AZ4 My commission expires August 10,1989
(Notary Public)
This petition, if found insufficient by the City Clerk, shall be returned
to Dpnni_. T.- SrhnPi cler , at Number 6190 Stinson Blvd. Street.
I hereby indicate my willingness to accept the office of City Councilman
if duly elected thereto.
"'/Y(Signature of NoImi.nee)
3/0/1/9
J 3
! CITY OF FRIDLEY
PUBLIC DISCIA6URE STATEMENT BY CITY COUNCIL OR COUNCIL CANDIDATES
NAME �-e l S �i/Jyi�i N f� DATE
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
C)
(Use additional gaper 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
U0 VF
(Use additional paper if necessary.)
I a
3. A list of the non-homestead real property located within the City of
Fridley in which I had a financial interest within the preceding three
(3) years:
NOWHOMESTEAD REAL PROPERTY ADERESS
IVC�M'�
(Use additional paper if necessary.)
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 CDRPORATIONS
NAME'S PARPERSHIPS, OR OTHER BUSINESS EWERRUSES
(Use additional gaper if necessary.)
I do swear (or affirm) that this re rt is a full and true statement
pursuant to Sec. 5. 04 of the City
(Signature)
Note: This statement must be filed annually or when there is a material
change in financial interest or in position held.
r
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