Professional Documents
Culture Documents
X Suggested
December 2021
SBE No. P-12-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of and affiliated with the Republican Party and qualified primary electors of the
Republican Party, in the 35th Legislative District of the State of Illinois, do hereby petition that
Eli Nicolosi who resides at 3750 Gray Fox Run. Rockford, Illinois in the City of Loves Park Zip Code 61114
County of Winnebago and State of Illinois, shall be a candidate of the Republican Party for the nomination for the
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the prirriary election to be held on
June 28th, 2022 (date of election).
A Full Term Is sought, unless an unexpired term is stated here: year unexpired term
If required pursuantto 10 ILCS 5/7-10.2, 8.8.1 or 10-5.1, completethe folIoing (this information ill appear on the ballot)
FORMERLY KNVN AS UNTIL NAME CHANGED ON
-- (List all names duiina It 3 wars) (List date of ear.h nsms ohnnt
NAME . VOTER'SPRINTED STREET ADDRESS OR CITY,TOWN OR
(VOTER'S SIGNATURE) VILLAGE COUNTY
NAME (optional) RR NUMBER
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Stateof' IIlfV)Jc
SS.
County of (1V 'vi e.
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illage/Unincorporated Area of Pcc K'ah17'
(Circulatois Name) do hereby certify that I reside at q (: /1/
(if unincorporated, list municipality that provides postal service)(Zip Codeff / 9
+I'C{ I'\(/ I? in the
County ofCUI ' b9ô, State of. f,'1ithat I am 18 years of age or older (or 17 years of age and qualified to vote in Illinois), that I am
a citizen of the United States, and that the signatures on this sheet were signed in my presence, during the period of January 13, 2022 through
March 14, 2022, 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 Rf_P(AM 1/c Ls Party in the political division in which the candidates is seeking nominationleleotive office, and
that their respective residences are correctly stated, as above set forth.
(Circulators Signature)
//(
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10 ILCS 5/7-10, 8-3.1
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51:ate of
C:cu0ty of
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Cou'ity of State
a citizer! cf the United States, and that th Hi
March 14, 202.2, and are genuine, and that :.
qualified voters of the -'ft..
that their respective residences ore colrc-ctly atated, o'
?-- --- Z7
Signed and sworn to (or affirmed) by .7(r
(Name of Circulator) -"i
(SEAL)
CAR LAsl(
Official Seal
Notary Public - State of 'llinois
My Commjssjo0 ExpIres Dec
8, 2024
10 ILCS 5/7-10, 8-.1
Repubican tt 1.
EU Nicolosi who re-ido- .
County of Winnebaqo
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State
County of \A!,
(SEAL)
CARA LASK
Official Seal
Notary Public - State of Illinois
My Commission Expires Dec 2, 2024
10 ILCS 5/7-10, 8-8.1
County of Winnebaqo
office of STATE SENATOR of the State nt lI;
June 28th, 2022 (date ef nIcH.
(VOT'S /TIJt
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State of -1LLi1Lui
County of
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(SEAL) ' CARALASK
Official Seal
Notary Public - State of Illinois
My Commission Expires Dec 8, 2024
10 ILCS 5/7-10, 8-8.1
ReDublican Party, in
(VT' SliiTUR)
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County of ( P; (t p S
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illage/Unincorporated Area (j ............. I r .... .... .
CountyofLlc State . .
(SEAL)
CARA LASK
Official Seal
Notary Public - State of lllfnoj
My Commission Expires Dec 8, 2024
10 ILCS 517-10,8-8.1 X...BIND I1ERE...X Suggested
December2021
SBE No. P-12-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of and affiliated with the Republican Party and qualified primary electors of the
Reoublican Party, In the 35th LegislatIve District of the State of Illinois, do hereby petition that
Eli Nicolosi who resides at 3750 Gray Fox Run. Rockford. Illinois . in the City of Loves Park Zip Code 61114
County of Winnebago and State of Illinois, shall be a candidate of the Republican Party for the nomination lbr the
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the primary election to be held on
June 28th, 2022 (date of election).
A Full Term Is sought, unless an unexpired term Is stated here: ______year unexpired term
If required pursuanttolo ILCS5l7-10.2, 8-8.1 or 10-5.1, conpletethbrofto4ng hIs InfonaUonlIl appearontheballot)
FORP...Y KNQNN AS UNTIL NAME CHANGED ON
List all names dujlnn lest 3 ware Lletdateofeaohnrenec
NAME VOTER'SPRINTED STREET ADDRES8 OR CITY,TOWN OR
VILLAOE COUNTY
(VOTER'S SIONATURE) NAME (optional) RR NUMBER
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CARA LASK (Nàtary Public's SIgnature)
Official Seal
A Full Term Is soiht, unless in unexpired term Is stated here: ______year unexpired term
If required pursuanttola 1LC85!7-1O.2, 8.8.1 a 10.51, completethefoOo,g (this informaUonwill appearon the ballot)
FORMERLY KNVN AS UNTIL NAME CHANGED ON
(List all names duilna l 3 east I List date of eaoh name chanae
NAME VOTER'S PRINTED STREET ADDRESS OR CITY, TOWN OR
VILLAGE COUNTY
(VOTERS SIGNATURE) NAME (optional) BR NUMBER
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Stateof.-L-tI v1dl
55.
County of( 1U i kx9 L )
10 t/1(LAÔ.3 (CircuIatois Name) do hereby certify that I reside at (99 /Vtr'?' 1,1e K 2c , in the
illags!Unlncorporated Area of tZ iCVuJ (if uniricorporated,-list municipality that prevides postal service)(Zip Code)f//9
County ofrtJc 'l A b&9 C), State ofI! !'1crS that I am 18 years of age or older (or 17 years of age and qualified to vote In Ilfinole), that I am
a citizen of the United States, and that the signatures on this sheet were sIgned in my presence, during the period of January 13. 2022 thmugh
March 14, 2022, and are genuln. and that to the best of my knowledge and belief the persons so signing were at the lime of signing the petition
qualified voters of the Party in the political division in which the candidates is seeking nominatlonlelective office, and
thattheir respective residences are correctly stated, as above set forth.
(Clrculators Signature)
Signed and sworn to (or affirmed) by 1' 1'L_42,t U IE/1 (.1(O before me, on
(lnsertmo
(Name of CIrculator)
I
10 ILCS 517-10,8-81 X..BIND I16RE...X Suggested
December2021
SBE No. P-12-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of end affiliated with the Republican Party and qualified primary electors of the
Reoublican Party, In the 35th District of the State of Illinois, do hereby petition that
Legislative
Eli Nicolosi who resides at 3750 Gray Fox Run. Rockford. Illinois . in the City of Loves Park Zip Code 61114
County of Winnebago and Stale of Illinois, shall be a candidate of the Republican Party for the nomination for the
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the pnmary election to be held on
June 28th, 2022 (date of election).
A Full Term Is sought, unless an une*plred term Is stated here: _____year unsipVrcd term
If required pursuenttolO ILCS5f7-1O.2, 8.8.1 or io-5.i, ccmpletethefolloWng (this lnlbrmsion MIi appearontheballot)
FORMERLY KNONN AS UNTIL NAME CHANGED ON
- (LletaIlnameedwnaI3ears) IList
dateofeachnamechance)
NAM VOTER'S PRINTED STREET ADDRESS OR CITY, TOWN OR
VILLAGE COUNTY
(VOTER'S SIGNATURE) NAME (optional) RR NUMBER
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a Signature)
(SEAL)
CARA LASK (NotaIVPblIc's Signature)
Official Seal
Notary Public - State of IllinoIs HEET NO.
My Commission Expires Dec 8, 2024
10 ILCS 5/7-10, 8-8.1 X...BIND HERE...X Suggested
December 2021
SBE No. P-12-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of and affiliated with the Republican Party and qualified primary electors of the
Republican Party, in the 35th Legislative District of the State of Illinois, do hereby petition that
Eli Nicolosi who resides at 3750 Gray Fox Run. Rockford, Illinois . in the City of Loves Park Zip Code 61114
County of Winnebago and State of Illinois, shall be a candidate of the Republican Party for the nomination for the
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the primary election to be held on
June 28th, 2022 (date of election).
A Full Term Is sought, unless an unexpired term is stated here: ______ year unexpired term
If required pursuant to 10 ILCS 5/7-10.2, 8.8.1 or 10-5.1, completethe folIong (this information aill appear on the ballot)
FORMERLY KNO/VNAS UNTIL NAMECHANGEDON
List all names dunci It 3 sears List date of each name chance
NAME VOTER'S PRINTED STREET ADDRESS OR CITY, TOWN OR
VILLAGE COUNTY
(VOTER'S SIGNATURE) NAME (optional) RR NUMBER
1. / IL
L /7 r1-1 -t
State of /(! oj5
SS.
Countyof ('iiebjc
,l ' ;fi,U++
iI¼,UIOWI a MGI IIC/ lAid CI CI.J .C1 Lily CL
I ri +
-- .•) 1" in the
CityjVillage/Unincorporated Area of LcJ' 5 i2t t- t'- (if unincorporated, list municipality tha' ///+
County of J'J '\ ic.'t, State of\l flQiS thatl am 18 years of age or older (or 17 years of age and qualified to vote in Illinois), that I am
a citizen of the United States, and that the signatures on this sheet were signed in my presence, during the period of January 13, 2022 through
March 14, 2022, 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 V....k i2 t. CY% Party in the political division in which the candidates is seeking nomination/elective office, and
that their respective residences are correctly stated, as above set forth.
(Circulators Signature)
Signed and sworn to (or affirmed) by (T-. ( tJ( C....O (1O before me, on Z Z
(Name of Circulator) (Insert month, day, year)
p p -pp_p_p
(SEAL)
CARA LASK
(Nota 'ubIic's Signature
Offic/al Seal
Notary Publ/c - State of Ill/nois
HEET NO. // C
My Commission Expires Dec 8, 2024
10 ILCS 517-10, 8-8.1 X...BINDHERE...X Suggested
December 2021
SBE No. P-12-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of and affiliated with the Republican Party and qualified primary electors of the
Republican Party, in the 35th Legislative District of the State of Illinois, do hereby petition that
Eli Nicolosi who resides at 3750 Gray Fox Run. Rockford. Illinois in the City of Loves Park Zip Code 61114
County of Winnebago and State of Illinois, shall be a candidate of the Republican Party for the nomination for the
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the primary election to be held on
June 28th, 2022 (date of election).
A Full Term Is sought, unless an unexpired term is stated here: year unexpired term
If required pursuantto 10 ILCS 5/7-10.2, 8-8.1 or 10-5.1, completethe following (this information will appear on the ballot)
FORMERLY KNONNAS UNTIL NAME CHANGEDON
List all names dudno lest 3 sears List date of each name chance
NAME VOTER'S PRINTED STREET ADDRESS OR CITY, TOWN OR
VILLAGE COUNTY
4TER)S SIGNATURE) NAME (optional) RR NUMBER
,. 1. ii
1.
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State of T(L
SS.
Countyof
7 (,c; (Circulator's Name) do hereby certify that I reside at .'fl 5 0 r-.L)r[ in the
\Cityl/illageltjnincorporated Area of LLt-S f' L (if unincorporated, list municipality that provides postal service)(Zip Code) I \ \'r
County of I A\Lb , State of \ \ ((LS that I am 18 years of age or older (or 17 years of age and qualified to vote in Illinois), that I am
a citizen of the United States, and that the signatures on this sheet were signed in my presence, during the period of January 13, 2022 through
March 14, 2022, 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 t?—' O \\CGLr\ Party in the political division in which the candidates is seeking nominationlelective office, and
that their respective residences are correctly stated, as above set forth. / . . (1 y..
1,
J
(Circulator's Signature)
A Full Term Is sought, unless an unexpired term Is stated here: year unexph'ad term
it required pumuarittolO 1L08517-1O.2, 8.8.1 ar1D-1, canplete the TolloWn (this Infonnatlon will appear on the ballot)
FORMERLY KNN AS UNTIL NAME CHANGED ON
- - (LIetell names dudnø lest 3 %eare) tUstdateof each nameoharce)
NAME VOTER'S PRINTED STREET ADDRESS OR CITY, TOWN OR
(VOTER8 SIGNATURE) RR NUMBER VILLAGE COUNTY
NAME(optional)
8. L'Zs •jL-'tt-
L#
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Countyof tAJi1Vby3 )
375c r-
_Z ( ,A (.-7' (Cpulator's Name) do hereby certify that I reside at (2_L (C -o( LI, iI (P t
in th
illage/Unincorporated Area of I C ' (f IK (if unincorporated, list municipality that provides postal service)(ZIp Code) U
lnty of t') (tY >, State of 1'/ Ii '°i> that I am 18 years of age or older (or 17 years of age and qualified to vote in Illinois), that I am
a citizen of the United States, and that the signatires on this sheet were signed in my presence, during the period of January 13, 2022 through
Maroh 14, 2022, 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 i-c'('cihI C "- Party in the political division in which the candidates Is seeking nomination!elective office, and
thatthelr respective residences are correctly stated, as above set forth.
(ClrcuIators Slgnabare)
(SEAL)
CARA LASK
(Notary ublic's Signattire)
Official Seal
/ /
Notary Public - State of Illinois HEET NO.
My Commission Expires Dec 8, 2024
10 ILCS 5/7-10, 8-8.1 X...BIND HERE...X Suggested
December 2021
SBE No. P-12-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of and affiliated with the Republican Party and qualified primary electors of the
Reeublican Party, in the 35th Legislative DistTict of the State of Illinois, do hereby petition that
Eli Nicolosi who resides at 3750 Gray Fox Run. Rockford. Illinois . in the City of Loves Park Zip Code 61114
County of Winnebago and State of Illinois, shall be a candidate of the Republican Party for the nomination for the
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the pnmary election to be held on
June 28th, 2022 (date of election).
A Full Term is sought, unless an unexpired term Is stated here: ______ year unexpired term
If required pursuantto10 1LC55(7-10.2. 8.8.1 or 10-5.1, complatethe foIIong (this Infomiaban will appearon the ballot)
FORMERLY KNOJN AS UNTIL NAME CHANGED ON
LIst all names durIng eat 3 'ean List date of each name chance
NAME VOTER'S PRINTED STREET ADDRESS OR CITY, TOWN OR
VILLAGE COUNTY
(VOTER'S SIGNATURE) NAME (optional) RR NUMBER
i' ,IL
tJIu3 c11
4 - 4
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IL
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7_'/7 L A T?
10. IL
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State of ILL/,'/Ji3'
) SS.
County of W i4 ii ' 13 ii
/37 /< /ftEL_ E )')1iJ L(Circulator's Name) do hereby certify that I reside at 3id I 3ftik)?L1PT <T in the
illage/Unincorporated Area of /''4.FLiIZ2) (if unincorporated, list municipality that provides postal service)(Zip Code)
County of iii i/i1I e'R6i) , State of that I am 18 years of age or older (or 17 years of age and qualified to vote in Illinois), that I am
a citizen of the United States, and that the signatures on this sheet were signed in my presence, dunng the period of January 13, 2022 through
March 14, 2022, 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 /<E?Z 3L 1 .-11i( Party in the political division in which the candidates is seeking nomination/elective office, and
that their iespective residences are correctly stated, és above set forth.
iViehil , r44
(Circulator's Signature)
Signed and sworn to (or affirmed) by ( > 2zT: Z77(f befo7, <i ( 0 r)-c
/(Insert
— month day, year)
(Name of Circulator)
i' Lt E a/
(SEAL)
(Notary ti6iic's Signature)
CARALASK
A Full Term is sought, unless an unexpired term is stated here: ______ year unexpired term
if required pureuanttolo ILCS 517-10.2, 8.8.1 or 10-51, canpletethe followng (this informaon wii appear onthe ballot)
FORMERLY KNCNN AS UNTIL NAME CI-IANGEDON
(List at names durinc lest 3 sears List date of each name chance
NAME VOTER'S PRINTED STREET ADDRESS OR CITY, TOWN OR
VILLAGE COUNTY
(VOTEWB SIGNATURE) NAME (optional) RR NUMBER
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27q -/ 'i/*4iT
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Stateof
Ss.
County of L4' 411j2 LA
TI I(.jLA.LI &". L)'/ (. (Circulator's Name) do hereby certify that I reside at B'' tT 'h'? , in the
llagelUnincorpo1ated Area of I/u..kkt42L (if unincorporated, list municipality that provides postal service)(Zip Code)
County of LA]' State of that I am 18 years of age or older (or 17 years of age and qualified to vote in Illinois), that I am
a citizen of the United States, and that the signatures on this sheet were signed in my presence, during the period of January 13, 2022 through
March 14, 2022, and are enuine erd 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 ( #ii'' 'a"- Party in the political division in which the candidates is seeking nomination/elective office, and
that their respective residences are correctly stated, as above set forth.
(Circulator's Signature)
#
(SEAL)
CARALASK (Notary . .Iic'- Signature)
4 Official Seal
/ fL7L
Notary Public - State of Illinois SHEETNO.
My Commission Expires Dec 8, 2024
10 ILCS 5/7-10, 8-8.1 X...BIND HERE...X Suggested
December 2021
SBE No. P-12-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of and affiliated with the Republican Party and qualified primary electors of the
Reoublican Party, in the 35th Legislative District of the State of Illinois, do hereby petition that
Eli Nicolosi who resides at 3750 Gray Fox Run. Rockford. Illinois in the City of Loves Park Zip Code 61114
County of Winnebago and State of Illinois, shall be a candidate of the Republican Party for the nomination for the
office of STATE SENATOR of the State of Illinois, for the 35th Legislative Distriot to be voted for at the primary election to be held on
June 28th, 2022 (date of election).
A Full Term Is sought, unless an unexpIred term Is stated here: ______year unexpired term
if required pursuantto 10 ILCS 517-10.2, 8-8.1 or 10-5.1, cunpietethefollowng (this information 4lI appear onthe ballot)
FORMERLY KNONN AS UNTIL NAME CHANGED ON
(List all names dunn lest 3 eare) IList date of each namechanael
NAME VOTER'S PRINTED STREET ADDRESS OR CITY, TOWN OR
(VOTER'S SIGNATURE) VILLAGE COUNTY
NAME (optional) RR NUMBER
I IL
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State of j L.jII1
SS.
County of
(Circulator's Signature)
(SEAL)
(Notary ic's Signature
CARA LASK
Official Seal
A Full Term Is sought, unless an unexpired term is stated here: year unexpired term
If required pursuant to 10 ILCS 7-10.2, 8-8.1 or 10-5.1, complete the foIloing (this information Il appear on the ballot)
FORMERLY KNWN AS UNTIL NAME CHANGEDON
(Listall narnesduna Isst 3 eaisl ( List date of each name chance
NAME VOTER'S PRINTED STREET ADDRESS OR CITY, TOWN OR
VILLAGE COUNTY
(VOTER'S SIGNATURE) NAME (optional) RR NUMBER
1.
tM (4-1) 2c
IL
( 7c
I'- -
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v7 305
:
6. IL
7. IL
8. IL
9. IL
10. IL
(C tors Signature)
Signed and swvrn to (or affirmed) by JCtSCV\ U(\ before me, on 3 (p.- ;))
(Name of Circulator) (InsenttTdyy, year)
—i2
(SEAL)
CARALASI( (Notary Public's Signature)
Official Seal
Notary Public - State of Illinois SHEET NO.
My Comnission Expires Dec 8, 2024
10 ILCS 5/7-10 8-8.1 X...BINDHERE...X Suggested
December 2021
SBE No. P-12-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of and affiliated with the Republican Party and qualified primary electors of the
Republican Party, in the 35th Legislative District of the State of Illinois, do hereby petWon that
Eli Nicolosi who resides at 3750 Gray Fox Run Rockford Illinois in the City of Loves Park Zip Code 61114
County of Winnebago and State of Illinois, shall be a candidate of the Republican Party for the nomination for the
office of STATE SENATOR of the State of Illinois, for the 35th Legislave District to be voted for at the primary election to be held on
June 28th, 2022 (date of election).
A Full Term is sought, unless an unexpired term is stated here: year unexpired term
If required pursuant to 10 ILCS 5/7-10.2, 8-8 1 or 10-5 1, coinpletethe followng (this information 'Mu appear on the ballot)
FORMERLY KNOVN AS UNTIL NAME CHANGEDON
Listall names dunna last 3 sears (List date of each nam e chanoet
NAME VOTER'SPRINTED STREET ADDRESS OR CITY, TOWN OR
VILLAGE COUNTY
(VOTER'S SIGNATURE) NAME (optional) RR NUMBER
IL
JIA'L (LcAI 75 iiA' /iiL1:; iiiLJ
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9. IL
10. IL
(SEAL) 4
CARALASK (Notary Public's Signalure)
Official Seal
4 Notary Public - State of Illinois
My Commission Expires Dec 8, 2024
SHEET NO. 1/?
10 ILCS 5/7-10, 8-8.1 X...BIND HERE...X Suggested
December 2021
SBE No. P-12-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of and affiliated with the Republican Party and qualified primary electors of the
Republican Party, in the 35th Legislative District of the State of Illinois, do hereby petition that
Eli t'licolosi who resides at 3750 Gray Fox Run, Rockford. Illinois in the City of Loves Park Zip Code 61114
County of Winnebago and State of Illinois, shall be a candidate of the Republican Party for the nomination for the
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the primary election to be held on
June 28th, 2022 (date of election).
A Full Term Is sought, unless an unexpired term is stated here: ______ year unexpired term
If required pursuant to 10 ILCS 5/7-10.2, 8-8.1 or 10-5.1, complete the folIoing (this information ll appear on the ballot)
FORMERLY KNVNAS UNTIL NAME CHANGEDON
List all names durino lest 3 wars List date of each name chance
NAME VOTER'S PRINTED STREET ADDRESS OR CITY, TOWN OR
VILLAGE COUNTY
(VOTEWS SIGNATURE) NAME (optional) RR NUMBER
IL
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State of t(IL( .(\lS
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County of Ui-' 1k
Cirulator'(Signiture)
(SEAL)
CARALASK -
4 Official Seal (Ndtary PubIic''Signáfüre
Notary Public - State of Illinois
My Commission Expires Dec 8, 2024 HEET NO. /(9
10 ILCS 517-10, 8-8.1
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a citan of the United States, and that the stjna1uren oi ':11 '--. '-i ' :' -
March 14, 2022, and are genuine and thaI' to Iho ioir1. ..........: k
qualified voters of the -.;
that their respective residences arm correctly etsitmd, nr' 'lhlo'n 'iii i
(SEAL)
CARA LASK
Official Seal
Notary Public - State of Illinois
My Commission Expires Dec 8, 2024
10 ILCS 517-10, 8-8.1 X...BIND HERE...X Suggested
December 2021
SBE No. P-12-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of and affiliated with the Republican Party and qualified primary electors of the
Reoublican Party, in the 35th Legislative District of the State of Illinois, do hereby petition that
Eli Nicolosi who resides at 3750 Gray Fox Run. Rockford. Illinois . in the City of Loves Park Zip Code 61114
County of Winnebago and State of Illinois, shall be a candidate of the Republican Party for the nomination forthe
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the primary election to be held on
June 28th, 2022 (date of election).
A Full Term is sought, unless an unexpired term is stated here: ______year unexpired term
If required puteuantto 10 1LCS517-1a2, 8-8.1 or 10-si, copiatethe folIovAng (this informaton will appear on thebailot)
FORMERLY KNCWN AS UNTIL NAME CHANGED ON
List all names durina lest 3 reast
NAME VOTER'S PRINTED STREET ADDRESS OR CITY, TOWN OR
VILLAGE COUNTY
(VOTEWS SIGNATURE) NAME (optional) RR NUMBER
,lL
7'V\ 6feivz O i( I Ro
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State of fl/5fl
SS-
County of LQ >'1r#_)/j/)
(2).h44/ L ' b7k (Circulator's Name) do hereby certify that I reside at 3?I , in the
I,
IlIageIUnincorporated Area of k1?.Z' (if unincorporated, list municipality that provides postal service)(Zip Code) c
County of tJfl6b4j'b State of that I am 18 years of age or older (or 17 years of age and qualified to vote in Illinois), that I am
a citizen of the United States, and that the signatures on this sheet were signed in my presence, during the period of January 13, 2022 through
March 14, 2022, and ereenuine 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 l(jyi-44/i4 Party in the political division in which the candidates is seeking nominationlelective office, and
that their respective residences are correctly stated, as above set forth.
-
(Circulator's Signature)
/1 I 2) 7)22
Signed and eom to (or affirmed) by before me, on
(Insei' mon, day, year)
(Name of Circulator)
(SEAL)
(rtary Public's Signa re)
CARA LASK
Official Seal -7(;V
Notary Public - State of Illinois SHEET NO.
/
My Commission Expires Dec 8, 2024
10 lLCS 5/7-10, 8-8.1 X...BINDHERE...X Suggested
December 2021
SBE No. P-12-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of and affiliated with the Republican Party and qualified primary electors of the
Republican Party, in the 35th Legislative District of the State of Illinois, do hereby petition that
Eli Nicolosi who resides at 3750 Gray Fox Run. Rockford. Illinois . in the City of Loves Park Zip Code 61114
County of Winnebago and State of Illinois, shall be a candidate of the Republican Party for the nomination for the
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the primary election to be held on
A Full Term is sought, unless an unexpired term is stated here: year unexpired term
If required pursuantto 10 ILCS 5/7-102, 8-8.1 or 10-5.1, completethe foIIong (this information 'Mu appear on the ballot)
FORMERLY KNWN AS UNTIL NAME CHANGED ON
List date of each name chanoe
NAME VOTER'S PRINTED STREET ADDRESS OR CITY, TOWN OR
VILLAGE COUNTY
(VOTER'S SIGNATURE) NAME (optional) RR NUMBER
t'J" fC
'i\k kr1
GJ?E'r I
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SS.
County of
I, /)P4/14,J I (Circulator's Name) do hereby certify that I reside at 3Z) 147(2' ' 'V , in the
. illage/Unincorp rated Area of /ZI-~PIZJ) (if unincorporated, list municipality that provides postal service)(Zip Code) é'22.7
County of , State of /L - that I am 18 years of age or older (or 17 years of age and qualified to vote in Illinois), that I am
a citizen of the United tates, and that the signatures on this sheet were signed in my presence, during the period of January 13, 2022 through
March 14, 2022, 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 Party in the political division in which the candidates is seeking nomination/elective office, and
that their respective residences are correctly stated, as above set forth.
C74
(Circulator's Signature)
(SEAL)
CARALASK (Nota 'ubIics Signature)
Official Seal
Notary Public - State of Illinois SHEET NO.
Mv Cnmrn.cc4nn C',...4.-.,,. r,..... a
L 0, LUL4
10 ILCS 5/7-10, 8-8.1 X...BIND HERE...X Suggested
December 2021
SBE No. P-12-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of and affiliated with the Republican Party and qualified primary electors of the
ReDublican Party, in the 35th Legislative District of the State of Illinois, do hereby petition that
Eli Nicolosi who resides at 3750 Gray Fox Run Rockford, Illinois in the City of Loves Park Zip Code 61114
County of Winnebago and State of Illinois, shall be a candidate of the Republican Party for the nomination for the
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the primary election to be held on
June 28th, 2022 (date of election).
A Full Term Is sought, unless an unexpIred term is stated here: year unexpired term
If required pursuantto 10 ILCS 5/7-10.2, 8.8.1 or 10-5.1, completethe following (this information ll appear onthe ballot)
FORMERLY KNO,iVNAS UNTIL NAME CHANGEDON
List all names durino last 3 sears
NAME VOTER'S PRINTED STREET ADDRESS OR CITY, TOWN OR
VILLAGE COUNTY
(VOTER'S SIGN*TURE) NAME (optional) RR NUMBER
, ;
r3
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m. IL
7
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10. IL
Stateof
SS.
County of '\l .
J457l Liis (Circulator's Name) do hereby certify that I reside at /3 // AI/'J/ic/ L 1 , in the
lIageJUnincorporated Area of fr (if unincorporated, list municipality that provides postal serice)(Zip Code) (/(o /
County of I State of- I! c:. that I am 18 years of age or older (or 17 years of age and qualified to vote in Illinois), that I am
a citizen of the United States, and that the signatures on this sheet were signed in my presence, during the period of January 13, 2022 through
March 14, 2022, 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 hi ;c k'i Party in the political division in which the candidates is seeking nomination/elective office, and
that their respective residences are correctly stated, as above set forth.
TS&\ -
Signed and sworn te (or affirmed) by " before me, on
(Name of Cirtulator) ay, year)
(SEAL)
CARALASK (Notary Public's ighature)
4 Official Seal
4 Notary Public - State of Illinois HEET NO.
My Commission Expires Dec 8, 2024
IOILCS5/7-10,8-8.1 X...BINDHERE...X Suggested
December 2021
SBE No. P-12-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of and affiliated with the Republican Party and qualified primary electors of the
Republican Party, in the 35th Legislative District of the State of Illinois, do hereby petition that
Eli Nicolosi who resides at 3750 Gray Fox Run. Rockford. Illinois in the City of Loves Park Zip Code 61114
County of Winnebago and State of Illinois, shall be a candidate of the Republican Party for the nomination forthe
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the primary election to be held on
June 28th, 2022 (date of election).
A Full Term is sought, unless an unexpired term is stated here: year unexpired term
If required pursuantto 10 ILCS 5/7-10.2, 8.8.1 or 10-5.1, completethe followng (this informahon iII appear on the ballot)
FORMERLY KNONNAS UNTIL NAME CHANGED ON
List all names durino led 3 sears
NAME VOTER'S PRINTED STREET ADDRESS OR CITY, TOWN OR
VILLAGE COUNTY
(VOTER'S SIGNATURE) NAME (optional) RR NUMBER
IL
7. / v- / ;lL
/ S
a. IL
9. IL
10. IL
State of
SS.
County of (,kCij)
(Circul. .. -, ignature)
Signed and som to (or affirmed) by Ci.S Q/1 )"\ (j.Q( before me, on 3.. (0
(Name of Cirtulator) Jnrt day, year)
,_-2
(SEAL)
CARA LASK (Notary Public's Signathr
Official Seal
Notary Public - State of IllinoIs SHEET NO.
My Commission Expires Dec 8, 2024
10 ILCS 5/7-10, 8-8.1 X...BIND HERE...X Suggested
December 2021
SBE No. P-12-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of and affiliated with the Republican Party and qualified primary electors of the
Republican Party, in the 35th Legislative District of the State of Illinois, do hereby petition that
Eli Nicolosi who resides at 3750 Gray Fox Run. Rockford. Illinois in the City of Loves Park Zip Code 61114
County of Winnebago and State of Illinois, shall be a candidate of the Republican Party for the nomination forthe
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the primary election to be held on
June 28th, 2022 (date of election).
A Full Term Is sought, unless an unexpired term is stated here: year unexpired term
If required pursuantto 10 ILCS 5/7-10.2, 8.8.1 or 10-5.1, cnpletethe followng (this information Il appear on the ballot)
FORMERLY KNNAS UNTIL NAME CHANGEDON
(List all names duna last 3 sears) (List date of each name chanoat
NAME . VOTER'SPRINTED STREET ADDRESS OR CITY, TOWN OR
(VOTER'S SIGNATURE) VILLAGE COUNTY
NAME (optional) RR NUMBER
rft
(\ /4;L,\ J (
J_
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J
4. - -
( ) I ir fr(/t
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8. IL
9- IL
10. IL
TVillage/Unincorporated Area of (if unincorporated, list municipality that provides postal service)(Zip Code) /,
County of 1n)I%i"/czj i-i , State of . //n ' that I am 18 years of age or older (or 17 years of age and qualified to vote in Illinois), that I am
a citizen of the United States, and that the signatures on this sheet were signed in my presence, during the period of January 13, 2022 through
March 14, 2022, and are nuine and that to the best of my knowledge and !.9lief the persons so signing were at the time of signing the petition
qualified voters of the /2LbtiQ-1 Party in the political divisioj, in which the candidates is seeking nomination/elective office, and
that their respective residences are correctly stated, as above set forth.
(
(CircuLasSignature)
Signed and sworn to (or affirmed) by CtS (i'x L)nCj2 I before me, on
(Name of Cirtulator) day, year)
(SEAL)
CARA LASK (Notthi'y-Ptiblic's Signature)
Official Seal
Notary Public - State of Illinois SHEET NO.
My Commission Expires Dec 8, 2024
10 ILCS 517-10,8-81 X.,.BIND I1ERE...X Suggested
December2021
SBE No. P-12-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of and affiliated with the Republican Party and qualified primary electors of the
Republican Party, In the 35th Legislative District of the State of Illinois, do hereby petition that
Eli Nicolosi who resides at 3750 Gray Fox Run. Rockford. Illinois . in the City of Loves Park Zip Code 61114
County of Winnebago and State of ililnois, shall be a candidate of the Republican Party for the nomination for the
-
office of STATE SENATOR of the State of Illinois, for the 35th - Legislative District to be voted for at the purr aryelectiontobeheldon
June 28th, 2022 (date of election).
A Full Term Is souiht, unless en unexpired term Is stated here: _____year une3iplred term
If iquIred prreuanttolo ILCS7-1O.2, 8.8.1 1O5.1, ccmpletethefoliong hIs InformatIomMil appearonthe ballot)
FORMERLY KNONN AS - UNTIL NAMECHANGEDON
,IL
3.; 7 l-{ ,iL ,-
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Stateof -4-LLi'i'l)i" )
SS.
CoufltyofL1/L(hit)
I, /)i 14-L64_t £ 27a' (_ (Circulator's Name) do hereby certify that I reside at .V(2A1 '' '( , in the
illagelUnincorporated Area of f LtLç (2 (if unincorporated, list municipality that provides postal service)(Zip Code) //L 7
County of IA.J 1 4n_l.5.'4 State of 1 that I am 18 years of age or older (or 17 years of age and qualified to vote in Illinois), that I am
a citizen of the United States, and that the signatures on this sheet were signed In my presence, during the period of January 13, 2022 through
March 14, 2022, and are enulne and iat to the best of my knowledge and belief the persons so signing were at the time of signing the petition
qualified voters of the h ( 'ciJ\ Party in the political dMsion in which the candidates is seeking nomlnation!elective office, and
that their respective residences are correctly stated, as above set forth.
a Z1
/?
(Circulator's Signature)
Signed and sv,om to (or affirmed) by ('1i J26i £ ' before me, on
(Nam. of Circulator) (lnserjnanth, day, year)
7<
(SEAL)
(No'ry Public's Signature)
CARA LASK
Official Seal
Notary Public - State of Illinois HEETNO.
4
My Commission ExpireS Dec 8, 2024
10 ILCS 517-ID, 8-8.1 X..BIND 1IE2E...X Suggested
December2021
SBE No. P-I2-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of and affiliated with the Republican Party and qualified primary electors of the
Reoublican Party, in the 35th Legislative District of the State of Illinole, do hereby petition that
Eli Nicolosi who resides at 3750 Gray Fox Run. Rockford. Illinois . in the City of Loves Park Zip Code 61114
County of Winnebago and State of Illinois, shall be a candidate of the Republican Party for the nomination for the
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the primary election to be held on
June 28th, 2022 (date of election).
A Full Term Is se&ht, unless an unexpired term Is stated here: year unexpired term
If required pumuanttolO 1LC8517-10.2, 88.1 or 10-5.1, oampletethefoIlolng (this lnformaon 4li appearontheballot)
FORMERLY KNVN AS UNTIL NAME CHANGED ON
(Ustall names dudna lest 3 ware) I Ust
date of each name ohane)
NAME VOTER'S PRINTED STREET ADDRESS OR CITY,TOWN OR
(VOTER'S SIGNATURE) RR NUMBER VILLAGE COUNTY
NAME (optional)
1.
2.
3.
I/LL / f
,IL
4. IL
5. ,lL
6. IL
7. IL
8. ,lL
9. ,IL
10. ,lL
State of -i-1 I
) 55.
County of (Li• flAdO45 '3 )
(CltylvllagelUnlncorpomted Area of ( (if unincorporated, list municipality that provides postal seMce)(ZIp Code) i2t7
County of t' ,State of J/I- thatl am 18 years of age or older (or 17 years of age and qualified to vote in Illinois), thati am
a citizen of the United States, and that the signatures on this sheet were signed In my presence, during the period of January 13, 2022 through
March 14, 2022, 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 Fe'I) Party in the political division in which thepnldateeis seeking nominationlelective office, and
thatthelr respective residences are correctly stated, as above set forth.
(CIrpuor'eSignatUre)
( (
Signed and ewemte (or affirmed) by ) (4 S( Y' L)I\ Uk before me, on
(Name of Cimulator) J .---- (Insert month, say, year)
7
(SEAL)
CARA LASK - (Note ic'i Signature)
Official Seal
Notary Public - State of ililnois SHEET NO.
My Commission Expires Dec 8, 2024
10 ILCS 5/7-10, 8-8.1 X...BIND HERE...X Suggested
December 2021
SBE No. P-12-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of and affiliated with the Republican Party and qualified primary electors of the
Republican Party, in the 35th Legislative District of the State of Illinois, do hereby petition that
Eli Nicolosi who resides at 3750 Gray Fox Run. Rockford, Illinois in the City of Loves Park Zip Code 61114
County of Winnebago and State of Illinois, shall be a candidate of the Republican Party for the nomination for the
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the primary election to be held on
June 28th, 2022 (date of election).
A Full Term is sought, unless an unexpired term is stated here: year unexpired term
If required pursuant to 10 ILCS 517-10.2, 88.1 or 10-5.1, cornpletethe followng (this information iIl appear on the ballot)
FORMERLY KNO'VN AS UNTIL NAME CHANGED ON
(Listall names during last 3 eais) (List date of each namechanael
NAME VOTER'SPRINTED STREET ADDRESS OR CITY,TOWN OR
VILLAGE COUNTY
(VOTER'S SIGNATURE) NAME (optional) RR NUMBER
4. IL
5. IL
6. IL
7. IL
8. IL
9. IL
10. IL
Stateof
SS.
County of
(Circulators Name) do hereby certify that I reside at /3q (4/i,k L11 in the
illage/Unincorporated Area of (if unincorporated, list municipality that provides postal service)(Zip Code) '4" 7
County of l) , State of //,fr1O2- . that I am 18 years of age or older (or 17 years of age and qualified to vote in Illinois), that I am
a citizen of the United States, and that the signatures on this sheet were signed in my presence, during the period of January 13, 2022 through
March 14, 2022, 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 / 1 *)iL44- Party in the political division in which the candidates is seeking nomination/elective office, and
that their respective residences are correctly stated, as above set forth.
(QiedTht0r's Signature)
Signed and sworn to (or affirmed) by') C(S(Y U (' c( before me, on
(Name of Circulator) Insertnth, day, year)
(SEAL)
Public's Signature
CARA LASK
Offictal Seal
Notary Public - State of IllinoIs HEET NO.
My Commission Expires Dec 8, 2024
10 ILCS 5/7-10, 8-8.1 X...BIND HERE...X Suggested
December 2021
SBE No. P-12-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of and affiliated with the Republican Party and qualified primary electors of the
Republican Party, in the 35th Legislative District of the State of Illinois, do hereby petibon that
Eli Nicolosi who resides at 3750 Gray Fox Run, Rockford, Illinois in the City of Loves Park Zip Code 61114
County of Winnebago and State of Illinois, shall be a candidate of the Republican Party for the nomination for the
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the primary election to be held on
June 28th, 2022 (date of election).
A Full Term is sought, unless an unexpired term is stated here: ______ year unexpired term
If required pursuantto 10 ILCS 517-10.2, 8.8.1 orlO-5.1, completethe foIlong (this information will appearon the baflot)
FORMERLYKNONNAS UNTILNAMECHANGEDON
ist date of each name chance
NAME VOTER'S PRINTED STREET ADDRESS OR CITY, TOWN OR
VILLAGE COUNTY
(VOTER'S SIGNATURE) NAME (optional) RR NUMBER
IL
M -\ ,.--rLt- :
IL
JA,rpi 1/27 ,f/ -f 'f
/ ,/ IL
/VCiJ(.. .-) I 4'' '-'J5S
4. IL
C4 ,IU-A-
5. ( IL
(2OttArL/) LLi2 j i{' 1< C1J—& <(' It 7"'
9. IL
10. IL
Stateof
SS.
CountyofLL)1 [\vLL)
iIatô?s Signature)
,,
Signed and sv40rn to (or affirmed) by T5 SO(\ (..) (\ C j 1&( beforeme,on I:;
(Name of Circulator) , -
h, day, year)
(SEAL)
CARALASI( (Notary Public Signature)
Official Seal
Notary Public - State of IIIjnj HEET NO. / Af3
My Commission Expires Dec 8, 2024
10 ILCS 5/7-10, 8-8.1 X...BIND HERE...X Suggested
December 2021
SBE No. P-12-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of and affiliated with the Republican Party and qualified primary electors of the
Republican Party, in the 35th Legislative District of the State of Illinois, do hereby petition that
Eli Nicolosi who resides at 3750 Gray Fox Run. Rockford. Illinois in the City of Loves Park Zip Code 61114
County of Winnebago and State of Illinois, shall be a candidate of the Republican Party for the nomination forthe
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the pnmary election to be held on
June 28th, 2022 (date of election).
A Full Term is sought, unless an unexpired term is stated here: ______ year unexpired term
If required pursuantto 10 ILCS 5/7-10.2, 8.8.1 or 10-5.1, completethe foIIoing (this information iII appear on the ballot)
FORMERLY KNONN AS UNTIL NAME CHANGED ON
List all names durino last 3 sears
NAME VOTER'S PRINTED STREET ADDRESS OR CITY, TOWN OR
VILLAGE COUNTY
SIGNATURE) NAME (optional) RR NUMBER
,41../
¶YTER'S /
I
IL
3. IL
4. IL
5. IL
6. IL
7. IL
8. IL
9. IL
10. IL
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State of
SS.
County of uJ11kc YL5
(Circulators Name) do hereby certify that I reside at ,/.3// //Ay in the
c&yJVillage/Unincorporated Area of (if unincorporated, list municipality that provides postal service)(Zip Code)
County of i) , State of P// .. that I am 18 years of age or older (or 17 years of age and qualified to vote in Illinois), that I am
a citizen of the United States, and that the signatures on this sheet were signed in my presence, during the period of January 13, 2022 through
March 14, 2022, and are g3uine 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 Party in the political division in which the candidates is seeking nomination/elective office, and
that their respective residences are correctly stated, as above set forth.
I
(Cr.c(ators Signature)
Signed and sworn to (or affirmed) by jQ S Cí iii 1') (2 1 before me, on ((i
(lñsertmqnth, day, year)
(Name of Circulator)
(SEAL)
CARALASK PuI1ic's"ignature)
Official Seal
Notary PUblIc - State of tllinois SHEET NO.
My Commjssio Expires Dec 8, 2024
10 ILCS 5/7-10,8-8.1 L.RIN KERE...X Suggested
December 2021
SBE No. P-12-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of and afluiated with the Republican Party and qualified primary electors of the
Republican Party, in the 35th Legislative District of the State of Illinois1 do hereby petition that
Eli Nicolosi who resides at 3750 Gray Fox Run. Rockford. Illinois . in the City of Loves Park Zip Code 61114
County of Winneb50o and State of Illinois, shall be a candidate of the Republican Party for the nomination lbr the
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the primary election to be held on
June 28th, 2022 (date of election).
A Full Term Es sought, unless an unexpired term is stated here _____year unexpired term
l?requlrad pursuanttololLCS5!7-1r12, 8.8.1 or 1O.51, ccmpletethefoIlo4ng (this infom,atimiII eppearon the ballot)
FORMERLY KNONN AS UNTIL NAME CHANGED ON
(List all names dudna I 3 ears (List date of e5oh nchenoe
NAME - VOTER'SPRINTED STREET ADDRESS OR CITY,TOWN OR
(VOTERS SIGNATURE) VILLAGE COUNTY
NAME (optional) RR NUMBER
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Stateof
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i, . (Clrculatov's Name) do hereby Certify that I reside at /3( / , in the
illagelUnlncorporated Area of (if unincorporated, list municipality that provides postal service)(Zip Code) ( 7,
County of Wd4_ -5 , State of,_T71t' ' that I am 18 years of age or older (or 17 years of age and qualified to vote in Illinois), that I am
a citIzen of the United States, and that the signatures on this sheet were signed in my presence, during the period of January 13. 2022 through
March 14, 2022 and are enuine 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 Party in the political division in which the candidates is seeking nominationletective office, and
that their respective residences are correctly stated, as above set forth.
—
(Circylatof-s Signature)
(SEAL) (
CARA LASK (Notary Pub C's Signature)
Official Seal
•1' 2J
Notary Public - State of lIiirioj HEETNO. 1 .7
My Commiss70 Expires Dec
8, 2024
101LCS5/7-10,8-8.1 X...BINDHERE...X Suggested
December 2021
SBE No. P-12-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of and affiliated with the Republican Party and qualified primary electors of the
Republican Party, in the 35th Legislative District of the State of Illinois, do hereby petition that
Eli Nicolosi who resides at 3750 Gray Fox Run. Rockford, Illinois , in the City of Loves Park Zip Code 61114
County of Winnebago and State of Illinois, shall be a candidate of the Republican Party for the nomination forthe
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the primary election to be held on
June 28th, 2022 (date of election).
A Full Term is sought, unless an unexpired term is stated here: year unexpired term
If required pursuantto 10 ILCS &7-10.2, 8.8.1 orlO-5. 1, completethe foIIong (this information ell appear on the ballot)
FORMERLY KNINAS UNTIL NAMECHANGEDON
(List all names duno last 3 sears) (List date of each name chanael
NAME VOTER'S PRINTED STREET ADDRESS OR CITY, TOWN OR
VILLAGE COUNTY
(VOTER'S SIGNATURE) NAME (optional) RR NUMBER
1
4. (i t
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6.
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I, -QA (Circulators Name) do hereby certify that I reside at 6'3 tt t.' iC) —, in the
City/ViIlageirporated)4rea of iC_O(CJ. (if unincorporated, list municipality that provides postal service)(Zip Code) Cot (Cl,
County of."-< 'v\ C-nc , State of o ç that I am 18 years of age or older (or 17 years of age and qualified to vote in Illinois), that I am
a citizen of the United States, and that the signatures on this sheet were signed in my presence, during the period of January 13, 2022 through
March 14, 2022, 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 QPA\ Lc----. Party in the political division in which the candidates is seeking nomination/elective office, and
that their respective residences are correctly stated, as above set forth.
(Circulators SignatUfe)
( ___
Signed and sworn to (or affirmed) by ' before me, on -
(Name of Circulator) (Insert month, day, year)
L/
(SEAL)
CARALASK ic's ignature)
Official Seal
Notary Public - State of Illinois SHEET NO.
My Commission Expires Dec 8, 2024
10 ILCS 5/7-10, 8-8.1 X...BIND HERE...X Suggested
December 2021
SBE No. P-12-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of and affiliated with the Republican Party and qualified primary electors of the
Republican Party, in the 35th Legislative District of the State of Illinois, do hereby petition that
Eli Nicolosi who resides at 3750 Gray Fox Run, Rockford. Illinois , in the City of Loves Park Zip Code 61114
County of Winnebago and State of Illinois, shall be a candidate of the Republican Party for the nomination for the
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the primary election to be held on
June 28th, 2022 (date of election).
A Full Term is sought, unless an unexpired term is stated here: year unexpired term
If required pursuantto 10 ILCS 5/7-10.2, 8.8.1 or 10-5.1, ccrnpletethe folloamg (this information will appear on the ballot)
FORMERLY KNONN AS UNTIL NAME CHANGED ON
List all names dudna Isst 3 sears List date of each name chancte
NAME VOTER'S PRINTED STREET ADDRESS OR CITY, TOWN OR
VILLAGE COUNTY
(VOTER'S SIGNATURE) NAME (optional) RR NUMBER
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6. IL
7. IL
8. IL
9. IL
10. IL
l.
Stateof
SS.
Countyof L3 \1\ôC' -
I, (Circulators Name) do hereby certify that I reside at 7(3 £/( i4Ibaii> in the
ityNillage/Unincorporated Area of k (if unincorporated, list municipality that provides postal service)(Zip Code) /('7,
County of frJiv,-lOi ,State of 7/it that lam 18 yearsof age or older(or 17 years of age and qualified to vote in Illinois), thatl am
a citizen of the United States, and that the signatures on this sheet were signed in my presence, during the period of January 13, 2022 through
March 14, 2022, 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 /'?eft/3Idt,_) Party in the political division in which the candidates is seeking nomination/elective office, and
that their respective residences are correctly stated, as above set forth.
Aiiculators Signature)
Signed and srn to (or affirmed) by ic6 So1 O(\ ((2i' before me, on ((--;.-
(Name of Circulator) J (lnsertmo -, 'ay, year)
(SEAL) CARALASK
Publics Signature)
Official Seal
Notar Public.- State of Illinois
My Commission Expires Dec 8, 2024 SHEET NO.
1OILCS5/7-10,8-8.1 X..,BINDHERE...X Suggested
December2021
SBE No. P-12-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of and affiliated with the Republican Party and qualified primary electors of the
Republican Party, in the 35th Legislative District of the State of Illinois, do hereby petition that
Eli Nicolosi who resides at 3750 Gray Fox Run, Rockford. Illinois in the City of Loves Park Zip Code 61114
County of Winnebago and State of Illinois, shall be a candidate of the Republican Party for the nomination for the
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the primary election to be held on
June 28th, 2022 (date of election).
A Full Term is sought, unless an unexpired term is stated here: year unexpired term
If required pursuantto 10 ILCS 7-1O.2, 8.8.1 or 10-5.1, completethe folloMng (this information iII appear on the ballot)
FORMERLY KNWNAS UNTIL NAME CHANGEDON
List date of each name change
NAME VOTER'S PRINTED STREET ADDRESS OR CITY, TOWN OR
VILLAGE COUNTY
5yOTER'S SIGNATURE) NAME (optional) RR NUMBER
c
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5. IL
6. IL
7. IL
8. IL
9. IL
10. JL
State of J_/(
SS.
County of
.2Ci (/('1,.. (Circulator's Name) do hereby certify that I reside at /-' , in the
illage/Unincorporated Area of OC k- c-i (if unincorporated, list municipality that provides postal service)(Zip Code)
County of t' kelj.? , State of Plio that I am 18 years of age or older (or 17 years of age and qualified to vote in Illinois), that I am
a citizen of the United States, and that the signatures on this sheet were signed in my presence, during the period of January 13, 2022 through
March 14, 2022, 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 Iph[(. Party in the political division in which the candidates is seeking nomination/elective office, and
that their respective residences are correctly stated, as above set forth.
etr's Signature)
A Full Term Is sought, unless an unexpired term is stated here: year unexpired term
If required pursuantto 10 ILCS 5/7-10.2, 8-8.1 or 10-5.1, completethe following (this information iIl appear onthe ballot)
FORMERLY KNWVNAS UNTIL NAME CHANGEDON
(List all names duna lt 3 earst (list clstp nfsh nsms
4: // / 9 C2,2 ,'Y'
2. IL
3. IL
4. IL
5. IL
6. IL
7. IL
8. IL
9. IL
10. IL
Stateof
SS.
County of (U 'bc - 5
)
(Circi -, Signature)
(SEAL)
CARALASI( ublic' Sigthre)
Official Seal .3cy/
Notar Publlc - State of Illinois SHEET NO.
My Commission Expires Dec 8, 2024
101LCS517-10,8-8.1 X...BINDHERE...X Suggested
December 2021
SBE No. P-12-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of and affiliated with the Republican Party and qualified primary electors of the
Republican Party, in the 35th Legislative District of the State of Illinois, do hereby petition that
Eli Nicolosi who resides at 3750 Gray Fox Run. Rockford Illinois in the City of Loves Park Zip Code 61114
County of Winnebago and State of Illinois, shall be a candidate of the Republican Party for the nomination for the
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the primary election to be held on
June 28th, 2022 (date of election).
A Full Term is sought, unless an unexpired term is stated here: ______ year unexpired term
If required pursuantto 10 ILCS 5/7-10.2, 8-8.1 or 10-5.1, ccmpletethefollong (this information WIll appear on the ballot)
FORMERLY KNONN AS UNTIL NAME CHANGEDON
List all names durina last 3 bears List date of each name chanoe
NAME VOTER'SPRINTED STREET ADDRESS OR CITY, TOWN OR
VILLAGE COUNTY
VOTER'S SIGNATURE) NAME (optional) RR NUMBER
1. IL /
L
IL
(44[..
)? / 7 .
7.
8. IL
9. IL
10. IL
'i (Circulator's Name) do hereby certify thatl reside at //4/1// /i_i- in the
Ilage/Unincorporated Area of i-oc/L!cr'( (if unincorporated, list municipality that provides postal service)(Zip Code)
County of State of that I am 18 years of age or older (or 17 years of age and qualified to vote in Illinois), that I am
a citizen of the United States, and that the signatures on this sheet were signed in my presence, during the period of January 13, 2022 through
March 14, 2022, 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 ).72 Li1 ca'1 Party in the political division in which the candidates is seeking nomination/elective office, and
that their respective residences are correctly stated, as above set forth.
—Th
(Circulator's Signature)
(SEAL) CARALASK
Official Seal
Notary Public - State of Illinois
My Commission Expires Dec 8, 2024 SHEET NO.
10 ILCS 517-10, 8-8.1 X...PIND HERE...X Suggested
December2021
SBE No. P-12-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of and affiliated with the Republican Party and qualified primary electors of the
- Republican Party, In the 35th LegislatIve District of the State of Illinois, do hereby petition that
Eli Nicolosi who resides at 3750 Gray Fox Run. Rockford. Illinois . in the City of Loves Park Zip Code 61114
County of winnebago and State of Illinois, shall be a candidate of the Republican Party for the nomination forthe
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the primary election to be held on
June 28th, 2022 (date of election).
A Full Term Is sought, unless an unexpired term Is stated here: ______year unexpired term
lfrequlred ptnsuanttolo lLCS6i7-10.2, 8-8.1 or 10-5.1, completetheiblloWng (this infbrmaflonIIi sppearonthebsliot)
FORMRLYKNO/NAS UNTILNAMECHANGEDON
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Countyof
(Circulator's Signature)
(SEAL) (,,,
ik-_--- C><' £Y1/(
CARA LASK (Notary PubHs'Signalure)
Official Seal
tary Public - State of Illinois HEETNO.
/ ;';
A Full Term Is sought, unless an unexpired term is stated here: ______ year unexpired term
If required pursuantto 10 ILCS 5/7-10.2, 8.8.1 or 10.5.1, complete the followng (this information rll appear on the ballot)
FORMERLY KNOINAS UNTIL NAME CHANGEDON
List all names durino It 3 sears
NAME VOTER'S PRINTED STREET ADDRESS OR CITY, TOWN OR
VILLAGE COUNTY
(VOTER'S SIGATURE) N)AME
(optial RR NUMBER
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State of ( 0, S
SS.
County of C1 i1t'L2 fx9 o
2 (Circulators Name) do hereby certi that I reside at L) Cc in the
illage/Unin,corporated Area of I Vçf.c L (if unincorporated, list municipality that provides postal service)(Zip Code)
County of CJ (iJ , State of.iT..., i ' that I am 18 years of age or older (or 17 years of age and qualified to vote in Illinois) that I am
a citizen of the United States, and that the signatures on this sheet were signed in my presence, during the period of January 13, 20 2 through
March 14, 2022, and are genuine and that to the best of my knowledge and belief the •ersons so signing the time of signing e petition
qualified voters of the [2 (' p Party in the political division in w he candida - is see g nomination/electiv office, and
that their respective residences are correctly stated, as above set forth.
na re)
(SEAL) / (i—
Republican Party, in the 35th Legislative District of the State of Illinois, do hereby petition that
Eli Nicolosi who resides at 3750 Gray Fox Run. Rockford. Illinois . in the City of Loves Park Zip Code 61114
County of Winnebago and State of Illinois, shall be a candidate of the Republican Party for the nom nation for the
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the primary election to be held on
June 28th, 2022 (date of election).
A Full Term Is sought, unless an unexpired term is stated here: year unexpired term
If required pursuantto 10 ILCS 5/7-10.2, 8.8.1 orlo-5.1, coi,pletethe follo1ng (this information wrll appear on the ballot)
FORMERLY KNO,AIN AS UNTIL NAME CHANGEDON
(List all names durina Iret 3 sears) (List date of each name channel
NAME VOTER'S PRINTED STREET ADDRESS OR CITY, TOWN OR
VILLAGE COUNTY
(VOTER'S SIGNATURE) NAME (optional) RR NUMBER
c7
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State of
SS.
County of LIJ/i)k4e
/ /
- (Circu tors
,
y1Jlage/Unincorporated Area of (if unincorporated, list municipality that provides postal servie)(Zip Code) '// 7
County of k" klyk.&) , State of //,'io 1 that I am 18 years of age or older (or 17 years of age and qualified to vote in Illinois), that I am
a citizen of the United States, and that the signatures on this sheet were signed in my presence, during the period of January 13, 2022 through
March 14, 2022, and are enuine 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 Party in the political division in which the candidates is seeking nomination/elective office, and
that their respective residences are correctly stated, as above set forth.
K (Circula)2t'sidnature)
(SEAL)
CARA LAS}< (Notary Public'è Sigliature)
Official Seal
Notary Public - State of Illinois SHEET NO.
My Commission Expires Dec 8, 2024
10 ILCS 5/7-10, 8-8.1 X...BINDHERE.X Suggested
December 2021
SBE No. P-12-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of and affiliated with the Republican Party and qualified primary electors of the
Republican Party, in the 35th Legislative District of the State of Illinois, do hereby petition that
Eli Nicolosi who resides at 3750 Gray Fox Run. Rockford Illinois in the City of Loves Park Zip Code 61114
County of Winnebago and State of Illinois, shall be a candidate of the Republican Party for the nomination for the
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the primary election to be held on
June 28th, 2022 (date of election).
A Full Term Is sought, unless an unexpired term is stated here: year unexpired term
If required pursuant to 10 ILCS 5/7-10.2, 8.8.1 or 10-5.1, complete the foIloing (this i formation MU appear on the ballot)
FORMERLY KNOJVN AS UNTIL NAMECHANGEDON
List all names dudna last 3 sears List date of each name chanoe
NAME VOTER'SPRINTED STREET ADDRESS OR CITY, TOWN OR
VILLAGE COUNTY
(VOTER'S SIGNAAURE) NAME (optional) RR NUMBER
Vt Uo4t F
LoJk! )vtrik
ii,Ju% 'ii;Lc'v'
M& i ijc 3q 2q ?-r2 )
IL
' \
State of
SS.
County of
I, (YiU..' L3e.kC4. (Circulators Name) do hereby certify that I reside at av'tb t , in the
Qi/iIlage/Uninorporated Area of L(3.iS 'C—( L (if unincorporated, list municipality that provides postal service)(Zip Code) (a/f/f
County of Li ..), State of T5 LLtPIQ that I am 18 years of age or older (or 17 years of age and qualified to vote in Illinois), that I am
a citizen of the United States, and that the signatures on this sheet were signed in my presence, during the period of January 13, 2022 through
March 14, 2022, and are genuine and that to the best of my knowledge and belief . - - - ins so sigJjer- at the time of signing the petition
qualified voters of the '-t2L)'C)I CGf\. Party in the political divisi king nomination/elective offlceid
that their respective residences are correctly stated, as above set forth.
(SEAL)
CARA LAS K Noublic's igna re
Official Seal
Notary Public - State of Illinois HEET NO.
My Commission Expires Dec 8, 2024
1OILCS5/7-1O,8-8.1 X...BINDHERE...X Suggested
December 2021
SBE No. P-12-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of and affiliated with the Republican Party and qualified primary electors of the
Republican Party, in the 35th Legislative District of the State of Illinois, do hereby petilion that
Eli Nicolosi who resides at 3750 Gray Fox Run. Rockford. Illinois in the City of Loves Park Zip Code 61114
County of Winnebago and State of Illinois, shall be a candidate of the Republican Party for the nomination for the
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the primary election to be held on
June 28th, 2022 (date of election).
A Full Term Is sought, unless an unexpired term is stated here: year unexpired term
If required pursuant to 10 lLCS &7-10.2, 8.8.1 or 10-5.1, completethe follo1ng (this information lII appear on the ballot)
FORMERLY KNOWN AS UNTIL NAME CHANGEDON
tList all names durina It 3 ears) ( List date of each name chanoe
NAME VOTER'S PRINTED STREET ADDRESS OR CITY, TOWN OR
VILLAGE COUNTY
(VOTER'S SIGNATURE) NAME (optional) RR NUMBER
IL
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State of
SS.
County of t./%J rtb
I, (• 5 (Circulator's Name) do hereby certify that I reside at bi 3 rIf i-. (R.t( , in the
CityNiIlage ieArea of R CI,'2Fe2 (if unincorporated, list municipality that provides postal service)(Zip Code) (cU c'
County of L , State of U . V ' that I am 18 years of age or older (or 17 years of age and qualified to vote in Illinois), that I am
a citizen of the United States, and that the signatures on this sheet were signed in my presence, during the period of January 13, 2022 through
March 14, 2022, 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 C a-- Party in the political division in which the candidates is seeking nomination/elective office, and
that their respective residences are correctly stated, as above set forth.
(Circulator's Signa e)
(SEAL)
CARA LASX ta Public's Signature
Official Seal
Notary Public - State of Illinois
My Commission Expires Dec 8, 2024
HEETNO. I L>
10 ILCS 541 0. 8-8.1 X...BINDHERE...X Suggested
December 2021
SBE No. P-12-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of and affiliated with the Republican Party and qualified primary electors of the
Republican Party, in the 35th Legislative District of the State of Illinois, do hereby petition that
Eli Nicolosi who resides at 3750 Gray Fox Run. Rockford Illinois in the City of Loves Park Zip Code 61114
County of Winnebago and State of Illinois, shall be a candidate of the Republican Party for the nomination for the
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the pnmary election to be held on
June 28th, 2022 (date of election).
A Full Term is sought, unless an unexpired term is stated here: ______ year unexpired term
If required pursuantto 10 LOS 517-10.2, 8-8.1 or 10-5.1, completethe foIIoing (this information II appear on the ballot)
FORMERLY KNAIN AS UNTIL NAME CHANGEDON
(List all names durina last 3 arst (I ist dt nf pch nsm ,hnr,pt
NAME VOTER'SPRINTED STREET ADDRESS OR CITY, TOWN OR
(VOTER'S SIGNATURE) VILLAGE COUNTY
NAME (optional) RR NUMBER
r) v\ \ iI)jCC c lL \ t r
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occ v-i'l-
IA L
Stateof "\l,_ic
SS.
Countyof
I -- c ' ' (Circulator's Name) do hereby certify that I reside at 5 ''w Ii i-" cCk (R- A. , in the
CityiViIIagei orate 'Area of R0 C -Pit 'C' (if unincorporated, list municipality that provides postal service)(Zip Code) ' ( t
County of '\rt( State ofJ S that I am 18 years of age or older (or 17 years of age and qualified to vote in Illinois), that I am
a citizen of the United States, and that the signatures on this sheet were signed in my presence, during the period of January 13, 2022 through
March 14, 2022, 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 (..t2t_4-1D1 C Pv— Party in the political division in which the candidates is seeking nominatioriIelective office, and
that their respective residences are correctly stated, as above set forth.
(Circulator's Signature)
Signed and sorn to (or affirmed) by'" ' ' before me, on
(Name of Circulator) (Insert month,y, year)
(SEAL) -
We, the undersigned, members of and affiliated with the Republican Party and qualified primary electors of the
Republican Party, in the 35th Legislative District of the State of Illinois, do hereby petition that
Eli Nicolosi who resides at 3150 Gray Fox Run, Rockford. Illinois in the City of Loves Park Zip Code 61114
County of Winnebago and State of Illinois, shall be a candidate of The Republican Party for the nomination for the
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the primary election to be held on
June 28th, 2022 (date of election).
A Full Term is sought, unless an unexpired term is stated here: ______year unexpired term
If required pursuantto 10 ILCS 5/7-102, 8.8.1 or 10-5.1, completethe followng (this information rlI appear on the ballot)
FORMERLY KNO/VN AS UNTIL NAME CHANGEDON
List all names dunno lest 3 ea List date of each name change
NAME VOTER'S PRINTED STREET ADDRESS OR CITY, TOWN OR
VILLAGE COUNTY
TER'S SIGNATURE) NAME (optional) RR NUMBER
c/
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SLi caZi
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Pf/ (r2 I /77 r4/L p Jk
10. / ;.54L; #t/tA114,./
r
State of
SS.
County of 0
1 (Cirulator's Name) do hereby certify that I reside at j// L1-1 in the
illage/Unincorporated Area of (if unincorporated, list municipality that provides postal service)(Zip Code) ' /7 1'
County of W '77 State of_IIJ,io9 that I am 18 years of age or older (or 17 years of age and qualified to vote in Illinois), that I am
a citizen of the United States, and that the signatures on this sheet were signed in my presence, during the period of January 13, 2022 through
March 14, 2022, 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 Rhiiuiz- Party in the political division in which the candidates is seeking nomination/elective office, and
that their respective residences are correctly stated, as above set forth.
(Circula ignature)
Signed and sworn to (or affirmed) by T5QS ('Y (- rlCi ( before me, on
(Name of Circulator) (Insert me day, year)
(SEAL)
CARA LASI( (Notary Publics Signature
Official Seal
Notary Public - State of t1Inojs SHEET NO. I
My Commission Expires
Dec 8, 2024
10 ILCS 517-10, 8-8.1 X...BIND HERE...X Suggested
December 2021
SBE No. P-12-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of and affiliated with the Republican Party and qualified primary electors of the
Reoublican -
Party, In the 35th Legislative District of the State of Illinois, do hereby petition that
Eli Nicolosi who resides at 3750 Gray Fox Run. Rockford. Illinois . in the City of Loves Park Zip Code 61114
County of Winnebago and State of Illinois, shall be a candidate of the Republican Party for the nomination for the
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the primary election to be held on
June 28th, 2022 (date of election).
A Full Term Is sought, unless an unexpired term is stated here: ______ year unexpired term
if required pursuantto 10 ILCS &7-10.2, 8-8.1 or 10-5.1, ccmpietethe 1oiiolng (this informabon will appear onthe ballot)
FORMERLY KNOVN AS UNTIL NAME CHANGED ON
List all names durinc eat 3 bears LIst date of each name chance
NAME VOTER'S PRINTED STREET ADDRESS OR CITY, TOWN OR
VILLAGE COUNTY
(VOTERS SIGNATURE) NAME (optional) RR NUMBER
5?' ~ AjA
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3. i_I IL
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4. J IL
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8.
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IL
Stateof
) SS.
County of LUt1I OCi '
I. -D1 (/f (Cijculaors Name) do hereby certify that I reside at I3/ /4//_22.I7 in the
- illage/Unincorporated Area of 'ockjz, >-t_ (if unincorporated, list municipality that provides postal service)(Zip Code) 6/7' '/,
County of £JJtt-O State of jiIito: that I am 18 years of age or older (or 17 years of age and qualified to vote in Illinois), that I am
citizen of the United States, and that the signatures on this sheet were signed in my presence, during the period of January 13, 2022 through
Maith 14, 2022, 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 /?fy.2iv b 11?Ti"1 Party in the political division in which the candidates is seeking nominationlelective office, and
that their respective residences are correctly stated, as above set forth.
(Circulator' ature)
signed and srn to (or affirmed) by D/C3.er before me, on ' C:'- .)
(?1ame of Cireulator) _..,- (Insert mpntI day, year)
Republican Party, in the 35th Legislative District of the State of Illinois, do hereby petition that
Eli Nicolosi who resides at 3750 Gray Fox Run. Rockford. Illinois in the City of Loves Park Zip Code 61114
County of Winnebago and State of Illinois, shall be a candidate of the Republican Party for the nomination for the
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the primary election to be held on
June 28th, 2022 (date of election).
A Full Term is sought, unless an unexpired term is stated here: year unexpired term
If required pursuantto 10 ILCS 5/7-10.2, 8.8.1 or 10-5.1, completethe foIIo4ng (this informatori lI appear on the ballot)
FORMERLY KNONN AS UNTIL NAME CHANGEDON
te of each name chance
-
Stateof
SS.
County of ..A.)i,-\ ,
-\e
..Y9-1-i (Circlators Name) do hereby certify that I reside at / // 4/b6ny L1-1 in the
(if unincorporated, list municipality that provides postal service)(Zip Code) /t ,
'illage/Unincorporated Area of ,/k1r)
ounty of b);fl4y") , State of .7.IIh ) 4. that I am 18 years of age or older (or 17 years of age and qualified to vote in Illinois), that I am
a citizen of the United States, and that the signatures on this sheet were signed in my presence, during the period of January 13, 2022 through
March 14, 2022, 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 £epbtc2it- Party in the political division in which the candidates is seeking nomination/elective office, and
that their respective residences are correctly stated, as above set forth. v— )
(Circulator's Sign_-
S
Signed and sm te (or affied) by ' before me, on -
(Name of Cirtulator) (Insert mgjDtl1, day, year)
(SEAL)
CARA LASK (NotarTPublic's SIgnature)
Official Seal
Notary Public - State of Illinois 1EET NO.
/qt/
My Commission Expires Dec 8, 2024
101LCS5/7-1O,8-8.1 X...BINDHERE...X Suggested
December 2021
SBE No. P-12-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of and affiliated with the Republican Party and qualified primary electors of the
Republican Party, in the 35th Legislative District of the State of Illinois, do hereby petition that
Eli Nicolosi who resides at 3750 Gray Fox Run. Rockford. Illinois in the City of Loves Park Zip Code 61114
County of Winnebago and State of Illinois, shall be a candidate of the Republican Party for the nomination for the
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the primary election to be held on
June 28th, 2022 (date of election).
A Full Term is sought, unless an unexpired term is stated here: year unexpired term
If required pursuantto 10 ILCS 7-10.2, 8-8.1 or 10-5.1, ccnipletethe folloing (this information wll appear or, the ballot)
FORMERLY KNONNAS UNTIL NAME CHANGEDON
(List all names durina led 3 ears (I -h nr ,hnn
NAME VOTER'S PRINTED STREET ADDRESS OR CITY, TOWN OR
(VOTER'S SIGNATURE) VILLAGE COUNTY
NAME (optional) RR NUMBER
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State ofTih1
SS.
CountyofC,1JV1 bO9c
ç t/o i), '1X. (Circulators Name) do hereby certify that I reside at 3t9fAi P- in the
CityI'illage/Unincorporated Area of ROC f(1ord (if unincorporated, list municipality that provides postal service)(Zip Code)('
.7(/ /'
County ofcAJI Al' , State ofit I iiô5 that I am 18 years of age or older (or 17 years of age and qualified to vote in Illinois), that I am
a citizen of the United States, and that the signatures on this sheet were signed in my presence, during the period of January 13, 2022 through
March 14, 2022, 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 (J? jX.kh CO1\ Party in the political division in which the candidates is seeking nomination/elective office, and
that their respective residences are correctly stated, as above set forth.
A Full Term is sought, unless an unexpired term is stated here: year unexpired term
If required pursuantto 10 ILCS 5/7-10.2, 8-5.1 or 10-5.1, complete the folIorng (this information iII appear on the ballot)
FORMERLY KNGJVN AS UNTIL NAME CHANGEDON
List all names durino lt 3 sears
NAME VOTER'S PRINTED STREET ADDRESS OR CITY, TOWN OR
VILLAGE COUNTY
(VOTER'S SIGNATURE) NAME (optional) RR NUMBER
(1L
.7 /C 1 L/ /)J ///Wtt ,-' C• i/
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,..'IIU / Q1i(S (Circulators Name) do hereby certify that I reside ati/q'/ A.i, trO1Ae r in the P-
Ilage/Unincorporated Area of Rc K(.'v1 (if unincorporated, list municipality that provides postal service)(Zip Code) 1//c'
County ofCA) i/'t/1 State of 4IE S that I am 18 years of age or older (or 17 years of age and qualified to vote in Illinois), that I am
a citizen of the United States, and that the signatures on this sheet were signed in my presence, during the period of January 13, 2022 through
March 14, 2022, 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 Party in the political division in which the candidates is seeking nomination/elective office, and
that their respective residences are correctly stated, as above set forth.
(Circulator's Signature)
Th/_
Signed and som to (or affirmed) by
(Name of Cirtulator)
'\9-&lO /rS before me, on
(Insert mon..dy, year)
(SEAL)
CARA LASK
4 Official Seal
(Notary Public's Signature)
Notary Public - State of Illinois
I-lEET NO.
My Commission Expires Dec 8, 2024
_J — --- --.-- —.
1OILCS5/7-10,8-8.1 X...BINDHERE...X Suggested
December 2021
SBE No. P-12-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of and affiliated with the Republican Party and qualified primary electors of the
Republican Party, in the 35th Legislative District of the State of Illinois, do hereby petition that
Eli Nicolosi who resides at 3750 Gray Fox Run. Rockford Illinois in the City of Loves Park Zip Code 61114
County of Winnebago and State of Illinois, shall be a candidate of the Republican Party for the nomination for the
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the primary election to be held on
June 28th, 2022 (date of election).
A Full Term Is sought, unless an unexpired term is stated here: ______ year unexpired term
If required pursuantto 10 ILCS 5/7-10.2, 8-8.1 or 10-5.1, completethe foIIoing (this information Il appear on the ballot)
FORMERLY KNOVNAS UNTIL NAMECHANGEDON
(List all names duhna lsst 3 earsl (I st dst nf prh r,sms hsnns
2.
• 2 :
)L)1 5 IL
3.
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Stateof
SS.
County of (&)lVt1L 2 t94 >
(Circul9JsSigfture)
Signed and svm to (or affirmed) by U QJi CI\ U 1\ ( i2.1 before me, on
(Name of Circulator) (Insert motti, day, year)
(SEAL)
CARA LASI< (Note ublies Signature)
Official Seal
Notary Public- State of Illinots
My Commission Expires Dec 8, 2024
HEET NO. /q7
IOILCS5/7-10,8-8.1 X...BINDHERE...X Suggested
December 2021
SBE No. P-12-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of and affiliated with the Republican Party and qualified primary electors of the
Regublican Party, in the 35th Legislative District of the State of Illinois, do hereby petition that
Eli Nicolosi who resides at 3750 Gray Fox Run. Rockford. Illinois in the City of Loves Park Zip Code 61114
County of Winnebago and State of Illinois, shall be a candidate of the Republican Party for the nomination for the
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the primary election to be held on
June 28th, 2022 (date of election).
A Full Term is sought, unless an unexpired term is stated here: year unexpired term
If required pursuantto 10 ILCS 517-10.2, 8-8.1 or 10-5.1, complete the following (this information ll appear on the ballot)
FORMERLY KNOIVN AS UNTIL NAME CHANGED ON
List date of each name chance
NAME VOTER'S PRINTED STREET ADDRESS OR CITY, TOWN OR
VILLAGE COUNTY
(VOTER'S SIGNATURE) NAME (optional) RR NUMBER
1. IL
iç9 Z-/W'4 JAy
IL
;e
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4. IL
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Stateof
SS.
County of LkJlM
t_ Afl (Circulator's Name) do hereby certify that I reside at /?/ 41b1 y , in the
iIIage/Unincorpod Area of )Q)ck (if unincorporated, list municipality that provides postal service)(Zip Code) 6 1,r7
iiity of , State of that I am 18 years of age or older (or 17 years of age and qualified to vote in Illinois), that I am
a citizen of the United States, and that the signatures on this sheet were signed in my presence, during the period of January 13, 2022 through
March 14, 2022, and are 9,enuine and that to the best of my knowledge and belief the persons so signing were at the time of sianino the oetition
qualified voters of the Party in the political division in which the candidates is seeking nomination/elective office, and
that their respective residences are correctly stated, as above set forth.
(ato ignati.
(SEAL)
CARA LASK
(NryPubI'ignature)
Official Seal
Notary Public - State of Illinois SHEET NO.
My Commission Expires Dec 8, 2024
10 ILCS 5/7-10, 8-8.1 X...BIND HERE...X Suggested
December 2021
SBE No. P-12-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of and affiliated with the Republican Party and qualified primary electors of the
Republican Party, in the 35th Legislative District of the State of Illinois, do hereby petition that
Eli Nicolosi who resides at 3750 Gray Fox Run. Rockford. Illinois in the City of Loves Park Zip Code 61114
County of Winnebago and Stale of Illinois, shall be a candidate of the Republican Party for the nomination for The
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the primary election to be held on
June 28th, 2022 (date of election).
A Full Term Is sought, unless an unexpired term is stated here: year unexpired term
(required pursuantto 10 ILCS 5/7-10.2, 8-8.1 or 10-5.1, ccmpletethe ioIIoing (this information iIl appear on the ballot)
FORMERLY KNCWNAS UNTIL NAMECHANGEDON
(List all names dunna last 3 earsl (list dRtP nf pch nsm ,hnrss
IL
CN H • U' IY\u t(
3 IL
iix \ Y\
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Statef _!L;
SS.
County of L) tv1k)
(Circlator Name) do hereby certify that I reside at /3( L —, in the
lage/Unincoorated Area of (if unincorporated, list municipality that provides postal seMZip Code)
County of J 1flJh State ofj/iv g that! am 18 years of age or older (or 17 years of age and qualified to vote in Illinois), that I am
a citizen of the United States, and that the signatures on this sheet were signed in my presence, during the period of January 13, 2022 through
March 14, 2022, 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 /er4(1-)1,f1j1 Party in the political division in which the candidates is seeking nomination/elective office, and
that their respective residences are correctly stated, as above set forth.
(Circulatoi - ignature)
(SEAL)
CARA LASK Publics Signature)
Official Seal
Notary Public - State of llUn
My Commissto Expires
SHEET NO. /7f
Dec 8, 2024
10 ILCS 5/7-10, 8-8.1 X...BIND HERE...X Suggested
December 2021
SBE No. P-12-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of and affiliated with the Republican Party and qualified primary electors of the
Republican Party, in the 35th Legislative District of the State of Illinois, do hereby petition that
Eli Nicolosi who resides at 3750 Gray Fox Run. Rockford Illinois in the City of Loves Park Zip Code 61114
County of Winnebago and State of Illinois, shall be a candidate of the Republican Party for the nomination for the
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the primary election to be held on
June 28th, 2022 (date of election).
A Full Term is sought, unless an unexpired term is stated here: year unexpired term
II required pursuantto 10 LOS 5/7-10.2, 8-8.1 or 10-5.1, completethe foIloing (this information will appear on the ballot)
FORMERLY KNOVN AS UNTIL NAME CHANGED ON
(List all names durina last 3 ears (I i --------
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Stateof
SS.
County of
(SEAL) ______
/ (Notary Public's Signature)
CARA LASK
Official Seal
Notary Publfc
- State of Illinois SHEET NO.
My Commission Expires Dec 8,
2024
10 1LCS5/7-10, 8-8.1 X...BINDHERE...X Suggested
December 2021
SBE No. P-12-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of and affiliated with the Republican Party and qualified primary electors of the
Republican Party, in the 35th Legislative District of the State of Illinois, do hereby petition that
Eli Nicolosi who resides at 3750 Gray Fox Run, Rockford, Illinois in the City of Loves Park Zip Code 61114
County of Winnebago and State of Illinois, shall be a candidate of the Republican Party for the nomination for the
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the primary election to be held on
June 28th, 2022 (date of election).
A Full Term is sought, unless an unexpired term is stated here: ______ year unexpired term
If required pursuantto 10 ILCS 5/7-10.2, 8.8.1 or 10-54 completethe following (this information will appear on the ballot)
FORMERLY KNONNAS UNTIL NAMECHANGEDON
List date of each name chance
NAME VOTER'S PRINTED STREET ADDRESS OR CITY, TOWN OR
VILLAGE COUNTY
(VOTER'S SIGNATURE) NAME (optional) RR NUMBER
1. IL
. r .L L -, j' L.
2. IL
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Stateof
SS.
County of
ç Yt (/?Ij-ir (Cirçulators Name) do hereby certify that I reside at /3'// 4//34y' L- 1 , in the
illage/Unincorporated Area of )ZP(j_ h) "{ (if unincorporated, list municipality that provides postal service)(Zip Code) c/7O 7,
County of k1-4/2eh27 State of I—///k1) that I am 18 years of age or older (or 17 years of age and qualilied to vote in Illinois), that I am
a citizen of the United States, and that the signatures on this sheet were signed in my presence, during the period of January 13, 2022 through
March 14, 2022, 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 K )t ,h/cY2.t -1 Party in the political division in which the candidates is seeking nomination/elective office, and
that their respective residences are correctly stated, as above set forth.
(CircusSthre)
Signed and swern to (or affirmed) by )Q5(.'\ UV")C3 (2/ before me, on
(Name of Circulator) (I n day, year)
(SEAL)
CARA LASK (Notary Public's Signature)
Official Seal
Notary Public - State of IlIinoj5 SHEET NO.
//
My Commission Expires Dec 8, 2024
10 ILCS 517-10,8-8.1 X...BIND HERE...X Suggested
December 2021
SBE No. P-12-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of and affiliated with the Republican Party and qualified primary electors of the
Reoublican Party, In the 35th Legislative District of the State of Illinois, do hereby petition that
Eli Nicolosi who resides at 3750 Gray Fox Run. Rockford. Illinois . in the City of Loves Park Zip Code 61114
County of Winnebago and State of Illinois, shall be a candidate of the Republican Party for the nomination for the
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the primary election to be held on
June 28th, 2022 (date of election).
A Full Term is sought, unless an unexpired term Is stated here: ______year unexpired term
If required pursuantto 10 ILCS&7-10.2. 8-8.1 or 10-5.1, canpletethe following (this information will appear onthe ballot)
FORMERLY KNONN AS UNTIL NAME CHANGED ON
(List all names durin eat 3 eacs) (List date of each name chanae
NAME VOTER'S PRINTED STREET ADDRESS OR CITY, TOWN OR
(VOTE8 SIGNATURE) VILLAGE COUNTY
NAME (optional) RR NUMBER
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i, ,'2'1J4'A/ ë (ô/'14PL (Circulator's Name) do hereby certify that I reside at 3/ I3I2I?Z12$ CZ79 , in the
illageiUincorpqrated Area of (if unincorporated, list municipality that provides postal service)(Zip Code)
County of WiXti'n '. , State of IL that I am 18 years of age or older (or 17 years of age and qualified to vote in Illinois), that I am
a citizen of the United tates, and that the signatures on this sheet were signed in my presence, during the period of January 13, 2022 through
March 14, 2022, and are genuine id 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 /PU4'11t 4A Party in the political division in which the candidates is seeking nomination/elective office, and
that their respective residences are correctly stated, as above set forth.
(Circulator's Signature)
(SEAL)
CARA LASK (N ry Public'(Signature)
Official Seal
Notary Public - State of Illinois
SNEET No. /
My Commission Expires Dec 8, 2024
10 lLCS 5/7-10, 8-8.1 X...BIND HERE...X Suggested
December 2021
SBE No. P-12-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of and affiliated with the Republican Party and qualified primary electors of the
Reøublican Party, in the 35th Legislative Distnct of the State of Illinois, do hereby petition that
Eli Nicolosi who resides at 3750 Gray Fox Run. Rockford Illinois in the City of Loves Park Zip Code 61114
County of Winnebago and State of Illinois, shall be a candidate of the Republican Party for the nomination for the
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the pnmary election to be held on
June 28th, 2022 (date of election).
A Full Term is sought, unless an unexpired term is stated here: year unexpired term
If required pursuantto 10 ILCS 5/7-10.2, 8-8.1 or 10-5.1, completethe folloing (this information ilI appear on the ballot)
FORMERLY KNNAS UNTIL NAME CHANGEDON
(List all names dudna last 3 wars) (List date of each name chanoe(
NAME VOTER'S PRINTED STREET ADDRESS OR CITY, TOWN OR
VILLAGE COUNTY
(VOTER'S SIGNATURE) NAME (optional) RR NUMBER
IL
IL
L: i CL
3. IL
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State
SS.
County of (. ? J7L( C)
that their respective residences are correctly stated, as above set forth.
_______
___(I7arr r's Signature)
7
IC>
Signed and svm to (or affirmed) by f)'-?A L' 4 beforemeon i-' C7
(Name of Circulator) (Insert jiceth, day, year)
(SEAL) CARALASK
Official Seal (Notary Public's Signature)
Notary Public - State of Illinois .
My Cornmsion Expires Dec 8, 2024 ,HEET NO.
10 ILCS 5/7-10, 8-8.1 X...BIND HERE...X Suggested
December 2021
SBE No. P-12-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of and affiliated with the Republican Party and qualified primary electors of the
ReDubtican Party, in the 35th Legislative District of the State of Illinois, do hereby petition that
Eli Nicolosi who resides at 3750 Gray Fox Run. Rockford Illinois . in the City of Loves Park Zip Code 61114
County of Winnebago and State of Illinois, shall be a candidate of the Republican Party for the nomination for the
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the primary election to be held on
June 28th, 2022 (date of election).
A Full Term Is sought, unless an unexpired term is stated here: year unexpired term
If required pursuantto 10 ILCS &7-10.2, 8.8.1 or 10-5.1, completethe follo4ng (this information iIl appear on the ballot)
FORMERLY KNON AS UNTIL NAME CHANGED ON
(List all names durina lest 3 wars)
------------------------ (List date of each
--------------- name-----
------- chanoet
NAME VOTER'S PRINTED STREET ADDRESS OR CITY, TOWN OR
VILLAGE COUNTY
(VOTER'S SIGNATURE) NAME (optional) RR NUMBER
1. 1' Jp, IL
L '/'-'t 57 i/~-'t
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State of .-1 t
SS.
County of Lui A'(-4 h
I, (Circuator Name) do hereby certify that I reside at /( 4I1I , in the
lage/Unincoorated Area of (if unincoorated, list municipality that provides postal seMce)(Zip Code)
County of 1,v',1e,2o , State of 27/i'it;.s. that I am 18 years of age or older (or 17 years of age and qualified to vote in Illinois), that I am
a citizen of the United States, and that the signatures on this sheet were signed in my presence, during the period of January 13, 2022 through
March 14, 2022, 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 ,Rff14.IrU1-1 Party in the political division in which the candidates is seeking nomination/elective office, and
,
that their respective residences are correctly stated, as above set forth.
(SEAL) i
:'
Republican Party, in the 35th Legislative District of the State of Illinois, do hereby petition that
Eli Nicolosi who resides at 3750 Gray Fox Run. Rockford. Illinois , in the City of Loves Park Zip Code 61114
County of Winnebago and State of Illinois, shall be a candidate of the Republican Party for the nomination for the
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the primary election to be held on
June 28th, 2022 (date of election).
A Full Term Is sought, unless an unexpired term is stated here: ______ year unexpired term
If required pursuantto 10 LCS 517-10.2, 8-8.1 or 10-5.1, completethe follong (this information iIl appear on the ballot)
FORMERLY KNONAS UNTIL NAMECHANGEDON
List all names durina lsst 3 sears List date of each name chanoe
NAME VOTER'S PRINTED STREET ADDRESS OR CITY, TOWN OR
VILLAGE COUNTY
(VOTER'S SIGNATURE) NAME (optional) RR NUMBER
IL
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IL
IL
IL
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Stateof
SS.
County of )i
iiIlage/Unincorporaterea of Iio(_+"- (if unincorporated, list municipality that provides postal service)(Zip Code) (2Ut V
County of k) fl,/-&'C. , State ofJ7/ ii :. that I am 18 years of age or older (or 17 years of age and qualified to vote in Illinois), that I am
a citizen of the United States, and that the signatures on this sheet were signed in my presence, during the period of January 13, 2022 through
March 14, 2022, and are enuine and that to the best of my knowledge and belief the persons so signing were at the time of signing the petition
,
f.Zf2DI?C-)
qualified voters of the Party in the political division in which the candidates is seeking nomination/elective office, and
that their respective residences are correctly stated, as above set forth.
-Th
(Circula.-thre)
Signed and som (or affirmed) by ..) S CY7 (_.) (\. ( before me, on
(Name of Cirtulator) (Insert
(SEAL)
CARA LASIL (Notary Public's Signa
Official Seal
Notary Public - State of Illinois SHEET NO.
My Commission Expires Dec 8, 2024
10 ILCS 5/7-10, 8-8.1 X...BIND HERE...X Suggested
December 2021
SBE No. P-12-2022
STATE SENATE
PRIMARY PETITION
We, the undersigned, members of and affiliated with the Republican Party and qualified primary electors of the
Reøublican Party, in the 35th Legislative District of the State of Illinois, do hereby petition that
Eli Nicolosi who resides at 3750 Gray Fox Run. Rockford Illinois in the City of Loves Park Zip Code 61114
County of Winnebago and State of Illinois, shall be a candidate of the Republican Party for the nom nation for The
office of STATE SENATOR of the State of Illinois, for the 35th Legislative District to be voted for at the primary election to be held on
June 28th, 2022 (date of election).
A Full Term Is sought, unless an unexpIred term is stated here: ______ year unexpired term
If required pursuantto 10 ILCS &7-10.2, 8.8.1 or 10-5.1, completethe folIong (this infomiation will appear onthe ballot)
FORMERLY KNOWN AS UNTIL NAME CHANGED ON
List all names dunno I
NAME VOTER'S PRINTED STREET ADDRESS OR CITY, TOWN OR
VILLAGE COUNTY
(VOTER'S SIGNATURE) NAME (optional) RR NUMBER
75
- ,
f L
CiI eXf A L
k.
\
cr/fr) /-Kij-
State of
SS.
County of I ,L)j A.j2
(Circulators Name) do hereby certify that I reside at /(3/ /4y , in the
Ilage/Unincorporated Area of k12.->,(
. - (if unincoroorated, list municioalitv that orovides oostal sevice)(Zio Code)
S ' . S S /7 7
County of , State of,1!ii that I am 18 years of age or older (or 17 years of age and qualified to vote in Illinois), that I am
a citizen of the United States, and that the signatures on this sheet were signed in my presence, during the period of January 13, 2022 through
March 14, 2022, 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 1(ef)(4 bli CA.- Party in the political division in which the candidates is seeking nomination/elective office, and
that their respective residences are correctly stated, as above set forth.
(Circulato. SInature)
Signed and som to (or affirmed) by T) CL.SCY\ c-I before me, on (I')
(Name of Circulator) - (Insert mothay, year)
(SEAL)
CARA LASK
1(NjyilJi