PRIMARY PETITION I AM NOT THE ENDORSED CANDIDATE... WHAT TO DO….WHAT TO DO??? 1

READY FOR ACTION! Registrars be informed of party’s convention/caucus dates READY FOR ACTION! Registrars be informed of party’s convention/caucus dates 2

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4 ISSUED BY SOTS  U.S. Senator and Representative in Congress.  State Senator.  State Representative from multi-town districts. Issued by SOTS PRIMARY PETITION

ED-619 PRIMARY PETITION FOR MUNICIPAL OFFICE(S) AT-LARGE  A town, city or borough office for which only and all electors of such town, city or borough may vote.  State Representative in an Assembly District composed of a single town.  Judge of Probate in a Probate District of a single town.  Registrar of Voters 5 Issued by ROV

ED-619a PRIMARY PETITION FOR MUNICIPAL OFFICE(S) FROM A POLITICAL SUBDIVISION  A town, city or borough office for which only the electors of a political subdivision of such town, city or borough may vote.  State Representative in an Assembly District composed of a part of a single town. 6 Issued by ROV

Total number of signature need ( on page 1 of the instruction page). Provide at least 1 instruction page for each circulator. Provide 1 or more primary petition pages that can be duplicated  If the candidate is indigent, provide at least two times number of signature pages needed to contain the required number of signatures. Complete all blanks in Part A of each petition signature pages. Certify number of verified signatures and sign in Part E. 7

PRIMARY PETITION APPLICATION The person who is requesting primary petition must provide their own name and address, Candidate (s) name and address and office sought, 8

9 A statement signed by each candidate(s) requesting a petition Statement of Consent authorizing how his/her name to appear on the ballot.

5% of voters whose name appear on the active last-completed enrollment list of the party, or Lesser number as the party rules prescribe. 10 Number of Petition Signatures Pages to be provided: Upon completion of the above requirements, the Registrar of Voters shall give to the person requesting the petition form one or more signature pages suitable for duplication as he deems necessary. If the candidate or candidates are indigent, the Registrar shall provide a number of pages determined by such Registrar as at least two times the number sufficient to contain the required number of signatures. The number of signatures required is 370 (being at least 5% of the electors whose names appear on the active last-completed enrollment list of the party in the municipality or such lesser number as the party rules prescribe). Ed-619 PRIMARY PETITION FOR MUNICIPAL OFFICE(S) AT-LARGE HOW MANY SIGNATURES DO I NEED?

Ed-619a PRIMARY PETITION FOR MUNICIPAL OFFICE(S) FROM A POLITICAL SUBDIVISION 5% of voters whose name appear on the active last- completed enrollment list of the party in the political subdivision, or Lesser number as the party rules prescribe. 11 Number of Petition Signatures Pages to be provided: Upon completion of the above requirements, the Registrar of Voters shall give to the person requesting the petition form one or more signature pages suitable for duplication as he deems necessary. If the candidate or candidates are indigent, the Registrar shall provide a number of pages determined by such Registrar as at least two times the number sufficient to contain the required number of signatures. The number of signatures required is 150 (being at least 5% of the electors whose names appear on the active last-completed enrollment list of the party in the political subdivision or such lesser number as the party rules prescribe). Number of Petition Signatures required (first page) HOW MANY SIGNATURES DO I NEED?

ROV COMPLETE ED-619 – PRIMARY PETITION FOR MUNICIPAL OFFICE(S) AT-LARGE PART “A” So you have received the completed required Primary Petition request; …and you have determined it is for an at-large office… and you computed the # of signature needed your next step fill-in “PART A” on Petition Signatures Page; 12 A. REGISTRAR MUST FILL OUT THIS PART (A) BEFORE GIVING OUT THIS FORM City Town of ___Hartford_____________ Borough (Name of Municipality) (3) Democrat (4) August 9, 2016 (Party) (Date of Primary) NAME(S) OF CANDIDATE(S) ADDRESS OFFICE(S) SOUGHT TERM (Note: provide sufficient space) (1) Everyone Love-Petition (1) 50 Sunny Side Drive (2) State Representative 2 years 1 st Assembly District THIS PETITION MUST BE FILED WITH John Doe, (Name of Registrar of Voters) (5) 30 Trinity Street, not later than 4:00 p.m. on June 7, (5) (Address of said Registrar)

A. REGISTRAR MUST FILL OUT THIS PART (A) BEFORE GIVING OUT THIS FORM City (5) Political Subdivision Town of ___Hartford_ _______ Ward _1 st Assembly District Borough (Name of Municipality) District (3) Democrat (4) August 9, 2016 (Party) (Date of Primary) NAME(S) OF CANDIDATE(S) ADDRESS OFFICE(S) SOUGHT TERM (Note: provide sufficient space) (1) Everyone Love-Petition (1) 50 Sunny Side Drive (2) State Representative 2 years THIS PETITION MUST BE FILED WITH John Doe, (Name of Registrar of Voters) (6) 30 Trinity Street, not later than 4:00 p.m. on June 7, (6) (Address of said Registrar) 13 So you have received a Primary Petition application ….. and you have determined it is for a political subdivision, and you computed the # of signature needed…. the your next step is to fill-in “PART A” on Petition Signatures Pages;

LETS GET READY TO RUMBLE! 14

ALL STATE & MULTI-TOWN DISTRICT PETITIONS 15 Filed with ROV in the town in which such petitions were circulated. ROV ….only verifying signatures

CIRCULATOR'S NAME CIRCULATOR'S RESIDENCE ADDRESS (no., street, town) STATEMENT BY REGISTRAR OF VOTERS AS TO CIRCULATOR'S STATUS AS ENROLLED PARTY MEMBER C.Circulator must have Part C filled in by party’s Registrar in town in which circulator is enrolled before submitting it to party's Registrar in town in which the signers are enrolled. I, Registrar of Voters of the party named in Part A of this petition, in the town of _____________________, CT do hereby attest that the above circulator is an enrolled member of said party in said town. ____________________ ___________ Date Signature of Registrar of Voters 16 Ed-619 and ED-619A

CIRCULATOR'S STATEMENT OF AUTHENTICITY OF SIGNATURES D. Part D must be completed, by Circulator and by Acknowledging Officer, after obtaining all signatures on this page and before filing it with party's Registrar in municipality in which the signers of the page are enrolled. I am the Circulator of this petition page and I make this statement pursuant to the provisions of Chapter 153 of the General Statutes of Connecticut. My address is 27 High Drive, in the town of Granby. I am an enrolled member of the political party designated on this petition in said town. Each person whose name appears on this petition signatures page signed the same in person in my presence. I either know each such signer or such signer satisfactorily identified himself or herself to me. The spaces for candidates supported, offices sought and the political party involved were filled in prior to my obtaining the signatures. The number of signatures on this petition signatures page is 4. I hereby declare under the PENALTIES OF FALSE STATEMENT, that the statements made in the foregoing Circulator's Statement of Authenticity of Signatures are true. _______Miami Brown____ Signature of Circulator CERTIFICATION OF ACKNOWLEDGING OFFICER State of Connecticut } } ss: ____Hartford_ County of } (city or town) On this the 28 day of March, 2016, before me, the undersigned officer, personally appeared Miami Brown, known to me (or satisfactorily proven) to be the person whose ( Name of Circulator) name is subscribed to the foregoing Statement of Circulator and acknowledged that he executed the same for the purpose contained therein. In witness whereof, I have hereunto set my hand. _______Fantasy Snow_ Judge of a court of record or family support magistrate; clerk or deputy clerk of a court My commission expires: having a seal; commissioner of deeds or town April 1, 2018 (Date) clerk; notary public; justice of the peace; (Notary Public only) or attorney admitted to the Connecticut Bar 17 Ed-619 and ED-619A

INFORAMTION INCOMPLETE… REJECT! 18 CIRCULATOR'S STATEMENT OF AUTHENTICITY OF SIGNATURES D. Part D must be completed, by Circulator and by Acknowledging Officer, after obtaining all signatures on this page and before filing it with party's Registrar in municipality in which the signers of the page are enrolled. I am the Circulator of this petition page and I make this statement pursuant to the provisions of Chapter 153 of the General Statutes of Connecticut. My address is 27 High Drive, in the town of Granby. I am an enrolled member of the political party designated on this petition in said town. Each person whose name appears on this petition signatures page signed the same in person in my presence. I either know each such signer or such signer satisfactorily identified himself or herself to me. The spaces for candidates supported, offices sought and the political party involved were filled in prior to my obtaining the signatures. The number of signatures on this petition signatures page is 4. I hereby declare under the PENALTIES OF FALSE STATEMENT, that the statements made in the foregoing Circulator's Statement of Authenticity of Signatures are true. _______Miami Brown____ Signature of Circulator CERTIFICATION OF ACKNOWLEDGING OFFICER State of Connecticut } } ss: ____Hartford_ County of } (city or town) On this the 28 day of March, 2016, before me, the undersigned officer, personally appeared Miami Brown, known to me (or satisfactorily proven) to be the person whose ( Name of Circulator) name is subscribed to the foregoing Statement of Circulator and acknowledged that he executed the same for the purpose contained therein. In witness whereof, I have hereunto set my hand. _______Fantasy Snow_ Judge of a court of record or family support magistrate; clerk or deputy clerk of a court My commission expires: having a seal; commissioner of deeds or town April 1, 2018 (Date) clerk; notary public; justice of the peace; (Notary Public only) or attorney admitted to the Connecticut Bar STATEMENT BY REGISTRAR OF VOTERS AS TO CIRCULATOR'S STATUS AS ENROLLED PARTY MEMBER C.Circulator must have Part C filled in by party’s Registrar in town in which circulator is enrolled before submitting it to party's Registrar in town in which the signers are enrolled. I, Registrar of Voters of the party named in Part A of this petition, in the town of ___Hartford___________, CT do hereby attest that the above circulator is an enrolled member of said party in said town. ____3/28/16_____ John Doe______ Date Signature of Registrar of Voters CIRCULATOR’S NAME Barbie Doll CIRCULATOR’S RESIDENCE ADDRESS (no, street, town) 30 Trinity Street, Hartford Ed-619 and ED-619A

Voter’s name appear upon the last-completed enrollment list;  Voter’s name on the active list,  different address  and same DOB,  count and change address on enrollment list.  different address and  no DOB,  hunt up and try to count  do not change address on enrolment without further verification. 19

20 Voter’s name on the inactive list, same address; count and restore to active list. different address, same DOB, count, don’t restore, don’t change address on inactive list, until voter signs restoration form. different address, NO DOB…DO NOT COUNT.. Can send a Restoration form and note DOB is not required… can help in identifying voter.

MARK SIGNATURES PETITION (PART B.) We, the undersigned, being enrolled members of the above party in the above municipality, do hereby petition that there be printed on the voting machine ballot labels to be used in the primary individuals as candidates for nomination to the offices specified: 21 SIGNATURE OF ENROLLED ELECTOR PRINTED NAME OFELECTOR BIRTH DATE STREET ADDRESS Joe Smart 1/1/6411 Cheshire Drive Betty Boo 2/1/6011 Cheshire Drive Ben Hyde 11 Beasty way Gwen Sweet 4/1/4911 Cheshire Drive R ---Check mark indicating approval of signature ---Indicating rejection of signature R

ADDITIONAL INFORMATION WHEN VERIFY PRIMARY PETITION.  No person can sign more than once for the same candidate (s).  Any person who is blind may authorized his agent (not the circulator) to write their name followed by the word “by” and agent signature. 22 Circulator: Enrolled member of the party holding primary, No candidate may circulate petition for another candidate May not circulate petitions for more that the maximum candidate nominated for the same office.

CERTIFICATION BY REGISTRAR OF VOTERS OF NUMBER OF SIGNERS WHO ARE ON ENROLLMENT LIST E. The following is to be filled in by the Registrar of Voters in the town in which the signers of this petition signatures page are enrolled, before Registrar files with the Clerk of such municipality: I, Registrar of Voters of the party named in Part A of this petition in the municipality also named in Part A, hereby certify that the number of signers on this primary petition page who are enrolled members of such party in the municipality named in Part A is 3. (Number) Dated at Granby, Connecticut, this 28 day of March, ___John Doe_________ Signature of Registrar of Voters 23 ROV CERTIFICATION OF PETITION PAGE “PART E”

WHEW…FINISHED! Single-town district.  File verified petitions with Town Clerk and notice of primary (sufficient signatures are verified). Only statewide and multi-town districts.  ROV have 7 days to complete verification of signatures.  Once petition pages are reviewed and signatures verified, forward pages to SOTS office.  SOTS will tabulate, determine if there are sufficient signatures to qualify candidate and notify ROV and Town Clerks. 24

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26 Thank you