CandidateMajor Political

FilingParty or Nonpartisan

RECETVED4o

rf4AY L+20t8 * sEL 101rev 01/18

oRs 249.031

Primary Election I First Day to File I September 7,2OL7 | January 15, 2018May 11 2018 Last Day to File March 05, 2018 March & 2018 March 9, 2018

General Election I First Day to File I vt.y 30, 2018 | tuly 9, 2o1gNovember 5, 2018 Last Day to File August 28,2ot8 August 28,2oLB August 3L,2oL8

Filing Dates Candidate Filing State Voters' Pamphlet ate Withdrawal

Filing Information

This filing is an ! original I nrendment

Filing Officer ! Secretary of State I County Elections Official n CiaV Recorder (Auditor)

Office Information

Filing for office of: Douglas County Commissioner

District, Position or County: POSitiOn L

Party Affiliation' I Democratic Party ! nepublican Party f] tndependent party I Nonpartisan

Incumbent Judge (for judiciat candidates only)' I yes Iruo I rvondisclosure on file

Filing Method

! r""OfficeU nited States PresidentUnited States Vice PresidentUnited States SenatorU nited States RepresentativeStatewide OfficesState senator or RepresentativeCircuit Court Judge

Filing Feen/an/a

SrsoslooSrooSzsSso

OfficeDistrict AttorneyCounty Judge

MSD Executive Officer, MAD DirectorMSD CouncilorCounty OfficeCity OfficeJustice of the Peace

Filing Fee

Sso

ss0SrooSzsSsoSet by charter or ordinancen/a

I erospective Petition, in tieu of filing fee Some circulators may be paid I v"r I rvo

Candidate InformationName of Candidate

First

DanielMI Last

LoomisSuffix I ritt"

J. USA Retired CW4How you would like your name to appear on the ballot

Daniel LoomisCandidate Residence / Route Address

Street Add ress

9L1 Indian Bend Rd

City I st.t"Umpqua OR

| ,'o lc";y97486 Douglas

Candidate Mailing Address and Contact Information Only one phone number is required.

Street Address or PO Box

gLL Indian Bend Rd

City I st.t"

Umpqua OR

zip

97486Work Phone

N/AHome Phone

s41-4s9-3225Cell Phone

2s4-4s8-8868Fax

N/AEmail Address

da n ie l. loom is@gma i l.comWeb Site, if applicable

htt ps:/ /www. lin kedin.co m/ tn/ da n iel loom is/

Continued on poge 2 of this form

Occupation (present employment) lf no relevant experience, None or NA must be entered.

Prior Governmental Experience (elected or appointed lf no relevant experience, None or NA must be entered.

President, UCC Student Veterans/UCC Student/Veteran Advocate/Military Retiree/Disabled Veteran

Occupational Background (previous employment) lf no relevant experience, None or NA must be entered.

Aircraft Accident Investigator / Industrial Specialist / Co-Owner of a Service-Disabled Veteran-Owned Small Business (SDVOSB) /Senior Safety Program Manager / Senior Aviation Logistician / Production Control Manager / Supervisory Quality Assurance Office

Educational Background (schools attended) lf no relevant experience, None or NA must be entered.

Complete name of School (no acronyms)

Umpqua Community College

Last Grade completed Diploma/Degree/Certificate Course of Study

AAS Automotive Technology

Alabama Aviation & Technical College AAS Aviation Maintenance

University of Southern California Certificate Aviation Safety and Security

College of William and Mary Certificate Manufacturing & Supply Chain Mgmt.

Educational Background (other) Attach a separate sheet if necessary.

Central Texas College, Certificate, Microcomputer Specialist / Federal Aviation Administration, Certification, Airframe

and Power Plant (A&P) License / Defense Acquisition University, Certificate, Program Management

Currentty serve on the Douglas County VSO Advisory Council / Served as board member on City charter Review Committee, Copperas Cove, TX / Served as board member on Parks

Committee, Copperas Cove, TX / Served as board member on First Assembly of God-Copperas Cove, TX / 3+ years offederal service, as GS-11, for Dept. of Defense / 13 years of

management experience, as a US Army Commissioned Warrant Officer / 10 years of supervisory experience, as a US Army Non Commissioned Officer

Campaign Finance Information Not applicable to candidates for federal office.

Candidate Committee This section should not be amended at a later date.

I v"., I have a candidate committee.

n *o, I do not expect to spend or receive more than S75O during each calendar year. The 5750 includes personal funds spent for any campaign-

related costs, such as the candidate filing fee; however state voters' pamphlet filing fees are not included when calculating contribution orexpenditure totals. I understand I must still keep records of all campaign transactions and iftotal contributions or total expenditures exceed 5750during a calendar year, I must follow the requirements detailed in the Campaign Finance Manual.

NOTE: lf you have previously filed for office please check whh the Elections Division to verfi if you have an existing candidate commiftee.

I to, but will be filing a statement of organization for Candidate committee (SEL 220).

Candidate Attestation

By signing this document, I hereby state that:) | will accept the nomination for the office indicated above;

) | will qualify for said office if elected;) All information provided by me on this form is true to the best of my knowledge; and) No circulators will be compensated based on the number of signatures obtained by the circulator on a prospective petition

For Major Political Party Candidates) if not nominated, I will not accept the nomination or endorsement of any political party other than the one named

) | have been a member of said political party, subject to the exceptions stated in ORS 249.046, for at least 180 days before the deadline for filing anominating petition or declaration of candidacy (ORS 249.031). Does not apply to candidates filing for the office of US President.

WamlngSupplyiig false information on this form may result in conviction of a fulony with a fine of up to 5125,000 and/or prison for up to 5 years.

(ORS 260.715). A person may only file for one lucrative office or not more than one precinct committee person at the same election. Unless

the person has withdrawqfrom the first filjng, all filings are invalld. {ORS 249.013 and ORS 249,170}

{ate Signatu

For Office User Only I n itia ls Batch Sheet/CC Approval Code/ Receipt Number