NAME
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OFFICE
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ADDRESS
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Thomas"Tom" Kuna
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U.S. Senator
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300 N. Jefferson, # 1
Jerseyville, Illinois
62052-1767
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INSTRUCTIONS FOR CIRCULATORS OF TOM KUNA'S NOMINATING PETITIONS AND FOR THOSE CIRCULATING
PETITIONS FOR STATEWIDE REPUBLICAN CANDIDATES HE SUPPORTS
Dear Reader,
Thank you for having studied my platform. If you wish to take action, please donate at the 20-4-40 page AND circulate a
nominating petition to put my name on the Republican Primary Ballot.
My platform is summarized at www.amend-the-constitutions.org and at www.tomkuna4ussenate.com If you want to
discuss these planks with me, please phone me at 1-618-494-5080 or e-mail me at tom_kuna@yahoo.com .If you agree
with at least a few of my planks, I hope you will circulate the petition to all Republicans, Independents and disaffected
Democrats you know, door-to-door in your precinct or neighborhood. The best place for signatures are bowling alleys
and HS and College sporting events. Say: "Tom Kuna, a friend of mine, has decided to run for US Senator from Illinois
and he needs your permission to put his name on the ballot." If they ask, say 'He's a Pro-Life, Pro-Working and Farming
Families Republican". If they want more information, give them my card. I can mail you more of the enclosed card. Just
call or e-mail me.
I also support Adam Andzejewski (And-GEE-eff-ski) for Governor (www.adamforillinois.com ) 630.899.9191
Don Tracy for Lt. Governor (www.tracyforillinois.com don@tracyforillinois.com 217.741.8612
Robert Enriquez (a naturalized USAer, born in Honduras; former US Marine) for Secretary of State
www.Enriquez2010.com robert@enriquez2010.com 312.675.2010
You may get copies of their petitions at their respective web-sites.
INSTRUCTIONS:
1. Circulators must be 18 years of age or older, and citizens of the United States, though not necessarily of Illinois.
2. All signers must be registered to vote at their residence addresses in the State of Illinois.
3. Circulators may not circulate petitions for more than one political party (e.g.circulating a petition for Republican Tom
Kuna for US Senate and a Democrat for State Representative). Circulators may circulate petitions for more than one
Republican candidate (e.g. Tom Kuna for US Senate and a Republican for State Representative).
4. Signers may not sign petitions for more than one political party (e.g., signing a petition for Republican Tom Kuna for
US Senate and a Democrat for State Representative). Signers may sign petitions for more than one Republican
candidate.
5. Circulators may sign (as petition signers) on any ONE page of a petition, which may be the one they ciculate
6. All petition signers must sign in the presence and observation of the circulator.
7 Petition signers may not sign the petition more than once.
8. Petition signers must sign for themselves only. They may not sign for spouses, family members or others, whether
authorized or not.
9. Petition signers must sign their names as they appear on their voter registration cards.
10. The Petition signers must sign and not print their names, unless their signature is always printed and their signature
is printed on their voter registration cards.
11. Blank spaces in the circulator's affidavits should be completed with the exception of the page number.
DO NOT NUMBER THE PETITION SHEETS!
12. DO NOT USE DITTO MARKS ["] FOR ANY PART OF AN ADDRESS.
13. Circulators must personally appear and sign the circulator's oath before a notary public (FREE at a Circuit Clerk's
Office!)
NOTARIZED PETITIONS SHOULD BE MAILED NO LATER THAN OCTOBER 26TH, 2009, TO:
Tom Kuna-4-US Senate Adam for Illinois Committee Don Tracy for Illinois Enriquez for Sec'ty of State
300 N. Jefferson No. 1 POB 1188 POB 256 (see Web-site or phone)
Jerseyville, IL 62052-1767 Elmhurst, IL 60126 Springfield, IL 62705
1-618-494-5080 -0256
JUST PRINT BOTH PAGES!
State of ___ILLINOIS._______ )
) SS.
County of________________ )
I, ____________________________(Circulator's Name) do hereby certify that I reside at ______________________________in the
City/Village/Unincorporated Area (circle one) of____________________if unincorporated, list municipality that provides postal service
(Zip Code) _________, County of _______________, State of ILLINOIS that I am 18 years of age or older, that I am a citizen of the United States, and that the
signatures on this sheet were signed in my presence, not more than 90 days preceding the last day for filing of the petitions and are genuine and that to the best
of my knowledge and belief the persons so signing were at the time of signing the petition qualified voters of the REPUBLICAN PARTY in the political
division in which the candidate is seeking nomination/elective office, and that their respective residences are correctly stated, as above set forth.
________________________________
(Circulator's Signature)
Signed and sworn to (or affirmed) by ______________________________before me, on_____________________________.
(Name of Circulator) (Insert month, day, year)
________________________________
(Notary Public's Signature)
(SEAL)
SHEET NO.______________
GENERAL PRIMARY PETITION
WE, the Undersigned REPUBLICAN VOTERS OF THE STATE OF ILLINOIS and AFFILIATED WITH THE
REPUBLICAN PARTY OF ILLINOIS do herewith Petition that the name of the following contender for the REPUBLCAN
PARTY'S NOMINATION FOR UNITED STATES SENATOR appear on the REPUBLICAN PRIMARY BALLOT at the
Primary Election to be held Tuesday, February 2, 2010
This is required pursuant to 10 ILCS 5/7-10.2, 8-8.1 or 10-5.1, complete the following (this information will appear on the ballot)
FORMERLY KNOWN AS _____________________UNTIL NAME CHANGED ON ________________________
(List all names during last 3 years) (List date of each name change)
SIGNATURE OF VOTER AS IT
APPEARS ON VOTER
REGISTRATION CARD
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STREET ADDRESS OR RURAL
ROUTE WHERE REGISTERED TO
VOTE
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CITY OR TOWN OF
POST-OFFICE
HANDLING VOTER'S MAIL
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COUNTY
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2
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IL
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IL
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IL
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5
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IL
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6
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IL
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IL
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8
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IL
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9
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IL
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10
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iL
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