Full Text
Space Below For Office Use Only Form: CPF 1 Revised 08/2011 CANDIDATE AFFIDAVIT [Art. XXVIII, Sec. 2(2) & 1-45-110(1), C.R.S.] State, County, School District, and Special District Candidates file with the Secretary of State Municipal Candidates file with the Municipal Clerk This affidavit certifies that I, a member of the (Name*) party/organization (if applicable), am a candidate (Political Party*) for the election, [Art. XXVIII, Sec. 2(2)] for the office of (Year*) (Office*) District (if applicable), County (if applicable). (District*) (County*) I understand that campaign finance activities in Colorado are governed by Article XXVIII of the Colorado Constitution, Article 45, Title 1 of the Colorado Revised Statutes (also known as the Fair Campaign Practices Act (FCPA)), and the Secretary of State’s Rules Concerning Campaign and Political Finance. I further certify that I am familiar with the provisions of the Colorado Fair Campaign Practices Act (FCPA) as required in §1-45-110 of the Colorado Revised Statutes. Signature of Candidate* Date*: Physical Address of Candidate*: (Street/City/St/Zip*) Mailing address: Business Phone: Residence Phone*: Fax: Web Address: E-Mail Address*: Fields marked with * are required unless they do not apply to the race for which you are submitting this affidavit. The notary section below must be completed in full. STATE OF COLORADO COUNTY OF Before me, a notary/officer duly authorized to administer oaths, in and for said State, personally appeared whose name is subscribed to the foregoing Candidate Affidavit, and who affirms, that said statements are true and that he/she acknowledges the execution of said instrument to be of their own free act and voluntary deed for the uses and purposes therein set forth. Subscribed and affirmed to before me this day of (Seal) (Notary/Official Signature) (Commission Expires) Colorado Secretary of State Elections Division 1700 Broadway, Ste. 200 Denver, CO 80290 Ph: (303) 894-2200 ext. 6383 Fax: (303) 869-4861 www.sos.state.co.us ---PAGE BREAK--- Form: CPF 1 Revised 04/2010 CANDIDATE AFFIDAVIT INSTRUCTIONS Colorado Constitution Reference: Section 2(2), article XXVIII Colorado Revised Statutes: Section 1-45-110(1), C.R.S. Who uses this form? All candidates for public office. Purpose of form: This form is to be used by all candidates seeking an elected office. Is this form required for all candidates, including judges? YES, except that candidates in special district elections may file a self-nomination and acceptance form instead. When should this form be filed? Form must be filed with the appropriate election official within 10 days of becoming a candidate. When does an individual become a candidate? When the individual publicly announces an intent to seek public office and thereafter receives a contribution or makes an expenditure in support of the candidacy. What is the definition of Public announcement? Campaign and Political Finance Rule 1.12 states: “ ‘Publicly announced an intention to seek election to public office or retention of a judicial office’ means that a person has made a statement signifying an interest in the office by means of a speech, advertisement, or other communication reported or appearing in public media or in any place accessible to the public. Such statement includes a stated intention to explore the possibility of seeking an office. The registration of a candidate committee shall also constitute a public announcement of an intention to seek election or retention.” COMPLETING THE FORM 1. Print or type the name of candidate on the first line. 2. Print or type the political affiliation of the candidate, only if seeking a partisan office (one which has a party identification on the ballot). Do not complete for school district, special district or municipal candidates. 3. Print or type the year the office is up for election and the office being sought. 4. Indicate the district number of the office being sought, if applicable. 5. The candidate must sign and date the form. Signature must be notarized. 6. Print or type the physical address of the candidate. Include street, city, state and Zip Code (all are required). 7. Print or type the mailing address of the candidate if different than physical address. 8. Print or type the candidate’s business or residential telephone number. 9. Print or type the candidate’s E-Mail address. The Secretary of State’s office will use this address to send notices and correspondences. 10. The remainder of the form must be completed by a Notary Public. Please note that this form and the information contained within are considered public information. All information is required (except party and district where they do not apply).