RECALL PETITION WARNING: IT IS AGAINST THE LAW:

M 1 8 2012 4/ :5'1p AY

EPC ELE REC'O

For anyone to sign this petition with any name other than one's own or to knowingly sign one's name more than once for the same measure or to knowingly sign the petition when not a registered elector. Do not sign this petition unless you are an eligible elector. To be an eligible elector you must be registered to vote and eligible to vote in Ellicott School District 22 elections. Do not sign this petition unless you have read or have had read to you the proposed recall measure in its entirety and understand its meaning.

PETITION TO RECALL MARY ANNA CLEMONS FROM THE OFFICE OF ELLICOTT SCHOOL DISTRICT 22
BOARD OF DIRECTORS.

We the voters ofElJicott School District 22, because of voting to limit public input at board meetings, poor fiscal oversight of District funds, failure to improve poor perfonnance on CSAP tests and CSAP scores, failure to correct poor high school teacher retention, failure to adequately improve district educational performance and failure to conununicate effectively, take back responsibility for the fiscal and educational needs of the children of Ellicott School District 22.

COMMITTEE MEMBERS
Michael Dahn, 1350 Langness Circle, Ellicott, CO. 80808; Gary Dahn 1350 Langness Circle, Ellicott, CO. 80808; Charles Howarth, 24115 McDaniels Road, Ellicott, CO. 80808, are herein referred to as the " Committee " that shall represent the signers in aU matters affecting this petition. I am an eligible elector in the political subdivision mentioned in this petition, as shown on the registration books of the county clerk and recorder. I have not signed any other recall petition to recall the aforementioned person for the aforementioned office.

A siJ!nature line consists of two lines, both a/which must be/ully completed by the signer unless physically unable.
Signature Residence Address (Street & Number) County

Printed Name

City I Town

Date of Signing

Signature

Residence Address (Street & Number)

County

Printed Name

City I Town

Date of Signing

Signature

Residence Address (Street & Number)

County

Printed Name

City I Town

Date of Signing

Signature

Residence Address (Street & Number)

County

Printed Name

City I Town

Date of Signing

Signature

Residence Address (Street & Number)

County

Printed Name

City I Town

Date of Signing

Signature

Residence Address (Street & Number)

County

Printed Name

City I Town

Date of Signing

Signature

Residence Address (Street & Number)

County

Printed Name

City I Town

Date of Signing

Signature

Residence Address (Street & Number)

County

Printed Name

City I Town

Date of Signing

Signature

Residence Address (Street & Number)

County

Printed Name

City I Town

Date of Signing

Signature

Residence Address (Street & Number)

County

10

Printed Name

City I Town

Date of Signing

RECALL PETITION WARNING: IT IS AGAINST THE LAW:

~

For anyone to sign this petition witb any name other tban one's own or to knowingly sign one's name more tban once for tbe same measure or to knowingly sign the petition when not a registered elector. Do not sign this petition unless you are an eligible elector. To be an eligible elector you must be registered to vote and eligible to vote in Ellicott Scbool District 22 elections. Do not sign this petition unless you bave read or have had read to you the proposed recall measure in its entirety and understand its meaning.

PETITION TO RECALL MARY ANNA CLEMONS FROM THE OFFICE OF ELLICOTT SCHOOL DISTRICT 22 BOARD OF DIRECTORS
I am an eligible elector in the political subdivision mentioned in this petition, as shown on the registration books of the county clerk and recorder. I have not signed any other recall petition to recall the aforementioned person for the aforementioned office.

A signature line consists oftwo lines, both ofwhich must be fully completed by the signer unless physically unable.
Signature Residence Address (Street & Number) County

11

Printed Name

City I Town

Date of Signing

Signature

Residence Address (Street & Number)

County

12

Printed Name

City I Town

Date of Signing

Signature

Residence Address (Street & Number)

County

13

Printed Name

City I Town

Date of Signing

Signature

Residence Address (Street & Number)

County

14

Printed Name

City I Town

Date of Signing

Signature

Residence Address (Street & Number)

County

15

Printed Name

City I Town

Date of Signing

Signature

Residence Address (Street & Number)

County

16

Printed Name

City I Town

Date of Signing

Signature

Residence Address (Street & Number)

County

17

Printed Name

City ITown

Date of Signing

AFFIDAVIT OF CIRCULATOR

r, --=-:------=--:-----c--:----~' swear that I reside at: - - - - Circulator-Printed Name City I Town and do further swear the following:

- - - - c - - - - , - - - - - - - - - , - -, - - - - -

Street Name and Number of Residence State

--------

County

Zip Code

I was a resident of Colorado, a citizen of the United States, and at least 18 years of age at the time this section of the petition was circulated and signed by the listed electors; I circulated this section of the petition; Each signature on this petition section was affixed in my presence; Each signature on this petition section is the signature of the person whose name it purports to be; To the best of my knowledge and belief each of the persons signing this petition section was, at the time of signing ,an eligible elector; I have not paid or will not in the future pay and [ believe that no other person has paid or will pay, directly or indirectly, any money or other thing of value to any signer for the purpose of inducing or causing such signer to affix his or her signature to the petition; ISeal]

Signature of Circulator STATE OF COLORADO COUNTYOF ______________

)

Date of Signing ) SS.

)
---:c-,------:-:-:---;;-;::-:--:- - - - - -

Subscribed and sworn to before me this _ _ day of _ _:-:-----=_-', 2012 by - Day Month

Printed Name of Circulator

Signature (and Title) of Notary I Official Administrating Oath _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ __ My Commission Expires: _ _ _ _ _ _ _ ___