Independent Nominating Petition
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Independent Nominating Petition Sec. 6-140, Election Law I, the undersigned, do hereby state that I am a registered voter of the political unit for which a nomination for public office is hereby being made, that my present place of residence is truly stated opposite my signature hereto, and that I do hereby nominate the following named persons as candidates for election to public offices to be voted for at the election to be held on the 4th day of November, 2008, and that I select the name Libertarian Party as the name of the independent body making the nominations and the image to the right as the emblem of such body. Name of Candidate Public Office Place of Residence (also Post Office address if not identical) Bob Barr President of the United States 2256 Parkwood Place Ct SE, Smyrna, GA 30080
Wayne A. Root Vice President of the United States 4 Bloomfield Hills Dr., Henderson, NV 89052
Candidates for election to the public offices of Elector of President and Vice President of the United States:
Name of Candidate Place of Residence (also Post Office Name of Candidate Place of Residence (also Post Office address if not identical) address if not identical) Richard A. Cooper 2115 Valentines Road, Westbury, NY 11590 Ronald G. Moore 208 E 13 St, Apt 3F, New York, NY 10003 Max B. Kessler 120 Lehigh Ave, Rochester, NY 14619 Audrey M. Capozzi 7 Wigtel Lane, Bellport, NY 11713 (PO Box 93135, Rochester, NY 14692) (P.O. Box 613, Bellport, NY 11713) Estelle Edwards 1795 Osborne Ave #68, Riverhead, NY 11901 Nichole Hungerford 191 Elk Street, Albany, NY 12210 (PO Box 286, Riverhead, NY 11901) Jeffrey T. Russell 55 Via Da Vinci, Clifton Park, NY 12065 Gary S. Popkin 849 President Street, Brooklyn, NY 11215 Christopher B. Garvey 16 Nicoll Ave., Amityville, NY 11701 Christian Padgett 560 N. Erie Ave., Lindenhurst, NY 11757 Joseph L. Dobrian 215 East 26th St #3, New York, NY, 10010 Sean Sherman 9 Pamela Lane B, Rochester, NY 14618 James E. Harris 426 Center Street, Westbury, NY 11590 Kathryn Sundwall 889 Main St. Niverville, NY 12130 (PO Box 1036, Rockville Centre, NY 11571) (PO Box 503, Niverville, NY 12130) Loretta K. Hetzner 125 Ontario Street, Cohoes, NY 12047 Aaron Stadler 45 Fenton Rd., Rochester, NY 14624 Werner Hetzner 125 Ontario Street, Cohoes, NY 12047 Joel Salisbury 13475 Kendrick Rd., Waterport, NY 14571 John C. Mounteer 486 Bond Rd, Altamont, NY 12009 Adam Martin 27 W Bartlett Rd, Middle Island, NY 11953 Donald Silberger 44 Church Street, New Paltz, NY 12561-1509 (PO Box 456, Middle Island, NY 11953) (Post Office Box 1080, New Paltz, NY 12561-1080) Jim Lesczynski 455 FDR Drive #B1205, New York, NY 10002 Sam Sloan 1664 Davidson Avenue, Bronx, NY 10453 Ronald S. Ramo 135-25 114th St, Queens, NY 11420 Thomas Robert Stevens 53-50 194th Street, Flushing, NY 11365 Robert M. Cotton 114 Ridge Rd, Marlboro, NY 12542 Steven T. Becker 418 Helendale Rd., Rochester, NY 14609 Carl Sundwall 17 East Shore Drive, Valatie NY 12130 John Sundwall 125 County Route. 28B, Valatie, NY 12184 Gary Triestman 438 Acorn Hill, Olivebridge, NY 12461 Jeffery M. Doty 17C Sheridan Village, Apt 2, Schenectady, NY 12308 I do hereby appoint: Eric Sundwall 889 Main St. Niverville, NY 12130 Mark Axinn 175 East 73rd St, New York, NY 10021 (PO Box 503, Niverville, NY 12130) Christopher Edes 100 Raleigh St, Rochester , NY 14620 as a committee to fill vacancies in accordance with the provisions of the election law. In witness whereof, I have hereunto set my hand, the day and year placed opposite my signature. Name of Signer (signature required) Enter town or city Date (printed name may be added) Residence (except in NYC enter county) 1 / /08 X City or town: printed name: County: 2 / /08 X City or town: printed name: County: 3 / /08 X City or town: printed name: County: 4 / /08 X City or town: printed name: County: 5 / /08 X City or town: printed name: County: 6 / /08 X City or town: printed name: County: 7 / /08 X City or town: printed name: County: 8 / /08 X City or town: printed name: County: 9 / /08 X City or town: printed name: County: 10 / /08 X City or town: printed name: County: Complete ONE of the following 1) STATEMENT OF WITNESS I, (name of witness)______state: I am a duly qualified voter of the State of New York and I am also duly qualified to sign the petition. I now reside at (residence address)______. Each of the individuals whose names are subscribed to this petition sheet containing (fill in number)_____ signatures, subscribed the same in my presence on the dates above indicated and identified himself to be the individual who signed this sheet.
I understand that this statement will be accepted for all purposes as the equivalent of an affidavit and, if it contains a material false statement, shall subject me to the same penalties as if I had been duly sworn or affirmed. ______Date Signature of Witness WITNESS IDENTIFICATION INFORMATION: The following information for the witness named above must be completed prior to filing with the board of elections in order for this petition sheet to be valid. Town or City: ______County: ______
2) NOTARY PUBLIC OR COMMISSIONER OF DEEDS On the dates above indicated before me personally came each of the voters whose signatures appear on this petition sheet containing (fill in number) ______signatures, who signed same in my presence and who, being by me duly sworn or affirmed, each for himself, said that the foregoing statement made and subscribed by him was true. ______Date Signature and Official Title of Officer Administering Oath
C.D. ______Sheet No.: ______