rA.-c ope n r City:

CANDIDATE'S AFFIDAVIT

PENNSYLVANIA DEPARTMENT OF STATE BUREAU OF ELECTIONS 210 North Office Building

Harrisburg, PA 17120

Filer ID

2012C0011

1111111131111111111111111111111 —

Type of Print Firmly in Ink

Name:

034m 4 , alRACIC

Last Name First name

Middle Name or Initial Suffix

S-6 "4-,C co-A. 6gEtA (...) 00 d Av Street Address

State: IL Zip Code:00-57

Municipality: City, Boro, or Township:

eIo ell ffog teiv vt, COON G4-Veki S❑

9M £4

Mailing Address (if different from residential):

Residential Address: til1/4.114

City:

1.) Street Address

State: ff4---- Zip Code/1;2.2.7.—

Voting Precinct Name (Including Ward & Division, If applicable):

Office which you are seeking nomination: Pr2raett 6 ttivegie s -e-sifDistrict Number (if applicable):

E-mail Address: thE e__%617E1%.1414)• Caftn i___

CANDIDATE AFFIDAVIT - I do swear (or affirm) that my residence, my election district and the title of the office for which

I desire to be a candidate are as specified above, that I am eligible for said office, that I will not knowingly violate any election law or any law regulating and limiting nomination and election expenses, and prohibiting corrupt practices in connection therewith; that I am aware of the provisions of Section 1626 of the Pennsylvania Election Code requiring pre-election and post-election reporting of campaign contributions and expenditures; that unless I am a candidate for Judge of a Court of Common Pleas, the Philadelphia Municipal Court or the Traffic Court of Philadelphia, or the office of school board in a district where that office is elective of the office of magisterial district judge, my name has not been presented as a acandidate by nomination petitions of any other party for the same office; that if I am a candidate for any office of a political party I am a registered and enrolled member of such party; that if I am a candidate for Committed Delegate or Alternate Delegate to the National Convention the name of the candidate to whom I am committed is as indicated on my petition and that my signature on the Delegate's Statement was affixed to each page of my nomination petition prior to circulation of same; that I am not a candidate for an office which I already hold, the term of which is not set to expire in the same year as the office subject to this affidavit.

Sworn to and subscribed before me this I swear (or affirm) to the above part(s) as required by the law(s) applicable to the office I am seeking.

day of 20 Signature of Candidate

Signature of Officer Administering Affirmation Telephone Number

Official Title

My commission expires

County of Residence

1,3 ci=lt

n i---

OFFICE USE ONLY - :

--- $ 0 F Kix _ ,. , - c::, _-, COUNTY CODE: II AMOUNT RECEIVED:

U ZEO I CD , , , Ci — - - - 1. ----,

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OFFICE DISTRICT POLITICAL NUMBER OF DELEGATE PARTY PETITIONS STATUS

COMMENTS:

CHECKER INPUT VERIFY

White - Petition Copy

Yellow - Data Entry Copy

Pink - Accounting Copy

Golden Rod - Candidate Copy

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2012C,i!a2CI

111$111111111111111

Name _,P.444'. --„ /442i4ftv kziu t_ rimer rye emir

rfor of Prim VirnIfy in Irk

1-711s,e.. ,74& Lova) City

KARENIK1 I F.L,' GE

CANDIDATE'S AFFIDAVIT I

PENNSYLVANIA DEPARTMENT OF STATE BUREAU OF ELECTIONS 210 North Office Eiiiitting

Nerrisburg, PA 17120

*ado Norma

Residential Address; sr:xe snow ^d+M^sa

stew 7( cede, 27566.-

Municipality: City. Barn, or Towne/4D! „ , Gondol.; F M

Mailing MCIreSS (It dIfiefent from resideritiall• ?TS 26t2 s tate' 14":iiii6” 15Ccid y , 2292 •

Wang Precinct Name. (InCluding Ward & Uiv,Ffon, tf .

Mire which you ere seeking rominatvn: fikt$..r Djr7otir

rnaai Address:

District Number of 4031iCabie):

CANDIDATE AFFIDAVIT - I on swear (cr athrml that my residence ; my election district and the title of the office for which I desire to be a candidate ere as speegia(i above, that I ern eligible tdr said office,•that ! will not knowingly violate any eleChOrt law or any law regulating and NmetIng nomination and election expenses. and prohibiting corrupt practices ni ccr,,naction If.,irewith : that I am awara of the provislorts of Section 1.5Pe of the Ponnaytvania Election Code recoiling preelection and pr..0.0‘eleetiOn reporting of campaign contribirtfone end expenditures; that (inlet* t rim a candidate fOr Judgo el a Court of Common Pleas, the Philadelphia Murecioal Court or the Traffic Court err the office of schooi board in a district where that office is elective of the office at magisterial district judge. toy Iliirfl15 has not been meeented as tt actindidate by nomination pent:ins pt any other pany fax the sans Om & that # I am a candidate tar any ON* or o pc irticai party I am a registered and enrolled member of such party-. ma! H I am a r.tandklate Clomtnttted Dele.gekte o r

Alternate Delegate to the National CIXIVP aan the name at the canradate to whom I am cOmrnittart is as indicated on my etriticaand that my aigneture on the Delegate's Statement was attxtxt to as h page of my nomination pwition !Iran to Circulation at same; That I em not a candidate for an office which I aloteo hod, Iho term of which i a not set to aroiro if,

the same year as the office subject to this affidavit.

swear for affirm) to the above oorti.” aK required by the taw{Ft.apoItcattrjto the office I am seeking

_fatti*e

OFFICE USE ONLY

COUNTY CODE' ,.,„1 j AMOUNTZECEIVED: Ss , !“,,,,S,,,.!'777,.. ,.,. M .; .,

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COMMFNTS

VERIFY

- 01.ITI AL NU R OF DELEGATE PARTY PETITIONS STATUS

. .......„ ..

ClitECKER —I INPUT

1)- \\4. White - Petition Cr.inY Yeihnv - Data Entre Cady .Mnic .artamoun,rt Copy Candidate Copy

PA EIGNIFAONINEAL:TH CA3010.135 Ate. ND

EX44/11,13

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fle51deritial Address: .1tard2.0±1-4,

City.

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Sla te : /1004 Zip Code, 47.44.7,r

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CANDIDATE'S AFFIDAVIT

••■••■1111,1.1.11.11.

'Kalil el./ 4:0**14.016,

PENNSYLVANIA.DEPARTMENT OF STATE BUREAU OF agencoNs 210 Werth Office: Ihrilding

Harrisbonii PA 17120

Type of Pratt

Few tf)

261N:0418

ali,, ,24t4, IANAii4.141.Wr

1 Nerne:

I I

municipality Cay, Sort, or Township: „

Mailing Address (if different from residennely

Gender. 1- 1,j tt,4

C.ty• State: 7744?..... Code 4,4f,

vorirtg precinct Name irk: fading Ward a tbviieOft, if applicahl4 eel/11041i-

wrii,:t you arcs is nomonatiGn 0141 1;11.era .it.,k„a":421146f2tejOiatrict Nion4ar (if, vote-Awe). ---- Ri -moli Atitltoss 1 40111. .

CANDIDATE AFFIDAVIT - I do swag& Or attlithl irtat my fegtutence,.rny eletmon Ostriet and the tine 01 The etftice IQ! Ueslre lo be a candidate are as specified above. that I am attgittia for s.aicl 0Ifita that I will not it Flowingly violate any

election faw or, arty law reguiating and lin -dery nomination and a9e4ttort Oxporise$, anti prohibiting corrupt practices trt the,.ewith; that I arn. aware To4 Lt et provisions of SeCii4irt 182,6. or the Penh.syNaeie Elfictipn Cade !aq,u1ring

ore-eieetion end puatiAeqecin reporting PI campaign contributions an0 expenditures. that uniess I am etar4date tc Judge 0.oilrt of Common Pleas, the Philacleiptia Municipal Court or the Tieenrr. C.;ou if of Ptiatiartelptrca, rtir nfline tif ettnett)

tR:,60,4$ ut a *strict witOrfil treat 01I.O rS etectui, of the office at trtaGtctorial district ;L:,3ge,. my name Pas Ref Men PhaStrlierl as a acendideleby nomination petitions of any other party for she same office', that if I am a candidate 141 any antes c.t opiihr;ei party t ain rogisterod. and onreitpd rrionibor of sueF party; that it 4:,,i-Indiriate for COrnrrut1041 Daiegate Alternate •DelegetR, to Mho National Convention the name of the candidate lc *horn ; am committOCI tea Oa ;sulk:410d are ;ry petition anti Irrat..tny signatory on the Oetegate's Stwerreorit was affixed to dactl page cif ray, norm:viten petition prirar tc .....ircoaVors of seOta; that I am not a candidate tot an oftice which t already !No turn or year is not set io expire !ri rne carnet year its the Otos subieet to tttio>a affidavit:

Sworn is and $11trstribed berme me this

,„, day of ../7.4;12.. 12.2.,..e.:...".7.;:4

, . 20 .12; ,

J21a • C.

I swear ior alfiirro to the above pants) as required , by ine lawns) applicable to the e f am eierskinit.

r .0"

My commission of,*

ALL A,kfe►14 ittibk gip ,;',0471%;;A•

074612-i 441,500- a* June 4,10te

_ P. 7 AMOUNT REV_IVED: 5 at:.

COUNTY CODE. , ., .! Le is .2- v-i L'...4-..t" PI

li ekiaiTE ,4,1,41,11}!-; 14=-L-4--"'

Of FICE DISTRICT STATUS

COMMENTS...

le Coo!

whtte petton Co riiry CaPY

Pink - At countrig CoPy

PA COMMONWEALTH GOUP• taco No 85 M.E1 gni

EXHIBIT 22 17A\13efn

Yellow • Data

5O2T.LE8ZL ST:SO h02,74VS0

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44A.0.111., LALL so.,.........,,,,„,,,Pdeptteterw A80,44040

. '"woicgte

My commission expires

05/24/2004 06:15 7248971005

ATY: KARENk_I

CANDIDATE'S AFFIDAVIT

PENNSYLVANIA DEPARTMENT' OF STATE BUREAU OF ELECTIONS 2 -10 North Office Building

Harrisburg, PA 17120

Ref to S

20120320?

rirpa taf Print ritnay i i Ina

Name SmITO RUM, IC41.1/41b 1;;;;;14;;;xx

Pies ,rierit aal Address'. 10'401 CF, EAKC,U.? LANE %, oty , ,, ‘,„.,..L.glesj....„..;...F.A..L.,t6. . State. A. zip, cO44.2.0“,

Municipality: City. 8oro, or Township: F A 1 F. FAA ULAN Ty Gender: P 57 IA R

MailingAddrcsa (if different hoer fettideeli441): ..5.1.-:. ' 52)( ...-.32

City; 01'■

Stara:PA_ 7IP Coder 1 141 7

voting ?Toured Name (Including Ward & Uiv.i8ton, It appecable):

Office which you are seeking nomination, PRE s DENT E-mat. Address: ri CkSaftiforkL011 , COM

Di ,strct Norettel apoitcable t

CANDIDATE AFFIDAVIT - I do swear for Ohm) that my residence, my eteotion district rind the title al the Office for which I desire to be a I:Atria-fate We Its specified above, that I am ellgibte for said office.. that teal not $(44rtntring!y'viOlikttft any election law or any law regulating and iimiting nomination and election experiaes. and prohibiting corrupt practices in conroction therewith; thef I am ewers of the provisions ,f Section 1.,42f of the Pennsylvania Election Code requiring are etoPtk:n and post.eleCtion repOrtngre Oarnpargn contributions and e•oenditireas; that unless t air a candidate for Judge of a Coot of Cornier Pleas, the Phiiartelphia Municipal Court or the Traffic Crum of Philadelphia, or the office of school boarl in a district where that office is elective of the Ate of magisteilal dalriet judge. my name has not been presented as a acaockiate by nomination petitions of any oiler Marty for the same olltee, that III are a candidate for any office of ti politica! party l am a vgistered and entotied member of such party. that it t am a candidate for Committed DOlegatv of Alternate Detagaio to the National Como me of are candidate to when! I am committed is as indicetee on my petition and that my bigneturr eilt gm, tiffixt,d to ertch 1.1age, of toy nothinahor petition Prior tj vicufatton Of same: That I 4rn 110T 8 vesrch• I already hold. me term of woven its net set to expire i n the same year as the office subjec_

Sworn to and aubserlbed Won! 4 s- for affurr.!: to th Dove pert (8) ac rent8h80 by Wilt

4, .e if. '•11,"Vtt' . e* la

-plicattle to I seeking. • .

. 1. 1(1 day of IA 44414

4112 145'• LiCot REA1 ?UNITY* vikeN.IA

919eICE Me ONLY

COUNTY CODE:rill AMOUNT RECEIVED; $ At;',„ '.' F ' AI ;21

1.-71;711 E12:17.1 kZirirj '''.1".71:-,

LIBEA OF

L.)L.,....1 L,.-I...:1 oFFIce DISTRICT POLITICAL NU•• . DELEGATE

PARTY PETITIONS Surus

COMMENTS: .._.... ...-.. ., , „ - . . *_....;''' • , ,,

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VERIFY

Wh ite • Palittotl Copy

Yotiow - Data Entry Copy

Polk - Accounting Copy

Golder Rod - date Copy

sAC0MMONAMALTHCOuRT cald ra .t SS me. 2at2

EXWBIT 24' "

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