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The California Republican Party is working to qualify a referendum on proposed State Senate lines.
Citation preview
6
The Attorney General of California has prepared the following circulating title and summary of the chief
purpose and points of the proposed measure:
REFERENDUM AGAINST A RESOLUTION OF THE CITIZENS REDISTRICTING COMMISSION
REFERENDUM TO OVERTURN STATEWIDE SENATE MAP CERTIFIED BY
THE CITIZENS REDISTRICTING COMMISSION
(11-0028) REDISTRICTING. STATE SENATE DISTRICTS. REFERENDUM. State Senate districts are revised
every ten years following the federal census. This year, the voter-approved California Citizens Redistricting
Commission revised the boundaries of the 40 Senate districts. This referendum petition, if signed by the required
number of registered voters and filed with the Secretary of State, will: (1) Place the revised State Senate boundaries
on the ballot and prevent them from taking effect unless approved by the voters at the next statewide election; and
(2) Require court-appointed officials to set interim boundaries for use in the next statewide election.
Please return petition to: FAIR, 5701 Lonetree Blvd., Suite 301, Rocklin, CA 95765
NOTICE TO THE PUBLIC: THIS PETITION MAY BE CIRCULATED BY A PAID SIGNATURE GATHERER
OR A VOLUNTEER. YOU HAVE THE RIGHT TO ASK.
☞1Fill in County
name here.
☞2Clearly print your
name, sign and
fill in residential
address.
☞3Have other family
and friends,
employees and
customers who
are registered
voters in the
same county
sign today. (All
lines need not
be completed
for petition to be
valid. Fill in as
many as possible
today.)
☞4Fill in all
additional
information in
purple shaded
area.
☞5
You must sign a
second time here
as circulator. All
signatures are
invalid if you
fail to sign as a
circulator.
URGENT!
DECLARATION OF CIRCULATOR (To be completed after the above signatures have been obtained.)
I, ___________________________________, am registered to vote or am qualified to register to vote in the State of
California.
My residence address is ___________________________________________________________________. I circulated
this section of the petition and witnessed each of the appended signatures being written. Each signature on this petition is,
to the best of my information and belief, the genuine signature of the person whose name it purports to be. All signatures
on this document were obtained between the dates of _____________________ and _____________________.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on ______________, _________, at ________________________________, California.
(month, day) (year)(place of signing)
(month, day, year)
(month, day, year)
(address, city, state, zip)
(print name)
MUST BE SIGNEDHERE ALSO➧
Complete Signature of Circulator (May be repeat of name on petition — include middle initial)
➧
All signers of this petition must be registered to vote in ___________________________County. EASY STEPS. Follow instructions carefully or signatures will not be valid.
5 This columnfor official
use only
City: Zip:
Signature As
Registered To Vote:
Print Your Name:
ResidenceAddress ONLY:
SAMPLE
City: Zip:
Signature As
Registered To Vote:
Print Your Name:
ResidenceAddress ONLY:
1.
City: Zip:
Signature As
Registered To Vote:
Print Your Name:
ResidenceAddress ONLY:
2.
City: Zip:
Signature As
Registered To Vote:
Print Your Name:
ResidenceAddress ONLY:
3.
City: Zip:
Signature As
Registered To Vote:
Print Your Name:
ResidenceAddress ONLY:
4.
City: Zip:
Signature As
Registered To Vote:
Print Your Name:
ResidenceAddress ONLY:
City:Signature As
Registered To Vote:
Print Your Name:
ResidenceAddress ONLY:
6.
John Doe 123 Any Street
AnyTown 90000
5.
Zip:
IMPORTANT INSTRUCTIONS PLEASE READ
Carefully follow the 5 Easy Steps to complete your petition, including signing a second time as Circulator at the bottom of the petition.
YES! I Signed the referendum to STOP liberal Sacramento Democrats from gaining the Super Majority votes they need to Raise the Car Tax and Abolish Proposition 13.
1 Fill in the County in which you are registered to vote.
2 Print and sign your name and fill in your address.
3 Ask as many other voters as you can reach today to fill in and sign the other spaces. Return your petition today even if you are the only signer.
4 Fill out every shaded space in the Declaration of Circulator and sign the petition again at the bottom of the Declaration of Circulator Section.
5 Please remember to sign the petition again as the petition circulator. If you don’t do thisall of the signatures on your petition will be invalid!
See the Back for contriBution DetailS.
Check all that apply:
q I have enclosed the signed referendum petition.
q I have enclosed my donation to help print more petitions and spread the word.
q $100 q $70 q $45 q $20 q Other $
Please make checks payable to: California Republican PartyFor contribution detailsor to contribute by Credit Card Please see reverse.
Please tear off and return with your petition
credit card contributionPlease charge my contribution of $_________ to my: m Visa m MasterCard m American Express
Name on Card: ____________________________________________________________________
Signature: _______________________________________________________________________
Card Number: __________________________________________________________________ CVV: Exp. Date:
contributor informationFederal law requires us to use our best efforts to collect and report the name, mailing address, occupation and name of employer of individuals whose contributions exceed $200 in a calendar year.
Name: _________________________________________________________________________
Employer: ____________________________________________ Occupation: ___________________
Mailing Address: ____________________________________________________________________
City: ______________________________________________________________________ State: Zip:
Email: _____________________________________________________________________ Phone:
Security Code
Contributions may be made in any amount by any contributor including corporations and permanent resident aliens (“green card” holders). Foreign citizens and nationals are prohibited from contributing. Paid for by the California Republican Party.