UNION LOCAL 32BJ NOMINATING PETITION Building ______________________ Edificio LOCAL 32BJ SOLICITUD DE NOMINACIONES I hereby nominate the following persons as candidates for election to the union office shown, which election is scheduled for September 17, 2015. Los abajo firmantes nominamos a las siguientes personas como candidatos a ser elegidos a los puestos oficiales indicados durante las elecciones pautadas para el 17 de septiembre de 2015. CANDIDATE NAME OFFICE Héctor Figueroa Larry Engelstein Kyle Bragg Shirley Aldebol Kevin Brown Jaime Contreras Rob Hill Denis Johnston Gabe Morgan Roxana Rivera John Santos John Thacker Lenore Friedlaender Date Fecha President Executive Vice President Secretary-Treasurer Vice President Vice President Vice President Vice President Vice President Vice President Vice President Vice President Vice President Assistant to the President CANDIDATE NAME OFFICE Gabriel Acosta Margarita Alonzo John Egan Donald Killings Wayne MacManiman Elpidio Molina Emanuel Pastreich Anthony Castiglione Danuta Klimas Tonya Roman At-Large Exec. Board At-Large Exec. Board At-Large Exec. Board At-Large Exec. Board At-Large Exec. Board At-Large Exec. Board At-Large Exec. Board Board of Auditors Board of Auditors Board of Auditors Name (Sign & print) Nombre (Firme y imprima) Social Security (last 4 digits) Phone Teléfono Seguro Social (los 4 últimos digitos) ___________________________________________ Print: ___________________________________________ Sign: ___________________________________________ Print: ___________________________________________ Sign: ___________________________________________ Print: ___________________________________________ Sign: ___________________________________________ Print: ___________________________________________ Sign: ___________________________________________ Print: ___________________________________________ Sign: ___________________________________________ Print: ___________________________________________ Sign: ___________________________________________ Print: ___________________________________________ Sign: ___________________________________________ Print: ___________________________________________ Sign: ___________________________________________ Print: ___________________________________________ Sign: ___________________________________________ Print: ___________________________________________ Sign: STATEMENT OF WITNESS / DECLARACIÓN DEL TESTIGO I, _______________________, hereby state: I am a member in good standing of Local 32BJ, SEIU. Each of the individuals whose names are subscribed to this Nominating Petition signed in my presence and identified himself/herself to be the individual who signed this sheet. Yo, _______________________, declaro: Que soy miembro en buen estado de la Local 32BJ, SEIU. Cada uno de lost individuos cuyos nombres son suscritos en esta Solicitud de Nominaciones firmaron su nombre ante mi presencia y se identificaron como son firmantes de esta hoja. ____________________________________________________________________________ Signature of witness member / Firma del testigo Date / Fecha ___________________ 32BJ ____________________________________________________________________________ Building address of witness member / Edificio donde trabaja 5 1 E R A2T0E A M H T E O UER TOG FIG D S TAHNT H E H ÉC T O R WIT ________________________________________________________________________ Social Security # (last 4 digits) Telephone Seg. Soc. (los 4 últimos digitos) Teléfono Paid for by / Pagada por Stand Together 2015 UNION-9307
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