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Delegate Candidate Information and Application

Democratic Party of Georgia Prepared by: Ansley Tuten

PAID FOR BY THE DEMOCRATIC PARTY OF GEORGIA•PO BOX 20442•ATLANTA, GA 30325• MIKE BERLON, CHAIR; NIKEMA WILLIAMS, FIRST VICE-CHAIR; RUSSELL EDWARDS, TREASURER; RJ HADLEY, VICE-CHAIR; MIGUEL CAMACHO, VICE-CHAIR; REP. PEDRO “PETE” MARIN, VICE-CHAIR; LAVERNE GASKINS, SECRETARY NOT AUTHORIZED BY ANY CANDIDATE OR CANDIDATE’S COMMITTEE • WWW.GEORGIADEMS.ORG • PRINTED IN HOUSE •

A Message from our Chairman Thank you for your interest in becoming a Delegate to the Democratic National Convention! On September 3, 2012, Democrats from across the nation will gather in Charlotte, NC to celebrate the Party’s nomination of President Barack Obama for re-election to our nation’s highest office. This convention will culminate on September 6th, when President Obama addresses the Delegates and accepts our Party’s nomination for President of the United States. The state of Georgia will send 124 Delegates and 9 alternates to Charlotte. This manual is meant to outline the process by which a registered voter may become one of these Delegates. The process for becoming a Delegate is highly competitive and democrats from all over Georgia will be competing for those positions. The Democratic National Committee and the Democratic Party of Georgia are dedicated to ensuring that everyone who is qualified to run has that opportunity. We are also committed to making sure that Georgia’s delegation adequately represents our State’s diverse population. We are eager to share with you the process of becoming a Delegate and stand ready to answer any and all questions you may have. The process can seem a bit complicated, but we are here to help make it as straightforward as possible. If you have any questions, please contact your Congressional District Chair or Democratic Party of Georgia County Affairs Director, Ansley Tuten. Democratically yours,

Mike Berlon Chairman of the Democratic Party of Georgia

PAID FOR BY THE DEMOCRATIC PARTY OF GEORGIA • P.O. BOX 20442 • ATLANTA, GA 30325 MIKE BERLON, CHAIR; NIKEMA WILLIAMS, FIRST VICE-CHAIR; RUSSELL EDWARDS, TREASURER; RJ HADLEY, VICE-CHAIR; MIGUEL CAMACHO, VICE-CHAIR; REP. PEDRO “PETE” MARIN, VICE-CHAIR; LAVERNE GASKINS, SECRETARY NOT AUTHORIZED BY ANY CANDIDATE OR CANDIDATE’S COMMITTEE•WWW.GEORGIADEMS.ORG

The Georgia Delegation-How Many Delegates Do We Have? Georgia will elect 124 Delegates and 9 alternates to represent our State at the Democratic National Convention. 72 of these Delegates (about 75% of the total delegation) will be elected at the District-Level Delegate Caucuses to be held in each Congressional District across the state on Saturday April 21, 2012. In addition to these Delegates, 24 At-large Delegates, plus 9 additional Alternates will be elected by our State Committee members at a later date in May. 14 Delegate spots are reserved for those considered Party Leaders and Elected Officials, commonly referred to as “PLEOs”. These Delegates will be elected at a separate election that will held by our by our State Committee Members in May. While only current and former elected officials may run to be a PLEO Delegate, anyone may run to be an At-large or alternate Delegate, including candidates who ran unsuccessfully on the district-level. Gender Equity and Priority of Consideration The DNC mandates that each delegation brought to the Democratic National Convention contain an equal number of men and women. In this spirit, district-level Delegate caucuses must elect a pre-determined number of men and women in each district. The break-down of Delegates to be elected in each district is as follows:
District 1 2 3 4 5 6 7 8 9 10 11 12 13 TOTAL # of male Delegates 3 2 3 4 3 3 3 2 2 3 2 3 3 36 # of female Delegates 2 3 3 3 4 2 3 3 2 2 3 2 4 36 Total # of Delegates 5 5 6 7 7 5 6 5 4 5 5 5 7 72

PAID FOR BY THE DEMOCRATIC PARTY OF GEORGIA • P.O. BOX 20442 • ATLANTA, GA 30325 MIKE BERLON, CHAIR; NIKEMA WILLIAMS, FIRST VICE-CHAIR; RUSSELL EDWARDS, TREASURER; RJ HADLEY, VICE-CHAIR; MIGUEL CAMACHO, VICE-CHAIR; REP. PEDRO “PETE” MARIN, VICE-CHAIR; LAVERNE GASKINS, SECRETARY NOT AUTHORIZED BY ANY CANDIDATE OR CANDIDATE’S COMMITTEE•WWW.GEORGIADEMS.ORG

Additionally, the DPG is committed to electing a delegation that is representative of the state of Georgia. The DPG has set its diversity goals based on the census data from the population of Georgia. These goals are as followed:
African Americans Hispanic Americans Native Americans Asian Americans and Pacific Islanders 1.2% LGBT Americans People with Disabilities Seniors 65+ Youth Under 30

% of Democratic electorate Numeric Goals for Delegation

62.8%

1.6%

undetermined

5.9%

11.9%

15.7%

17.8%

72

2

1

1

7

15

19

22

These are not mandates; they are goals which we will make every effort to achieve. In the election of At-large and alternate Delegates, priority of consideration shall be given to candidates who belong to these groups. Financial Obligations of Becoming a Member of the Georgia Delegation The cost of attending the 2012 Democratic National Convention in Charlotte as a Delegate will range from $2000-$4000. Delegates will be responsible for all costs associated with attending convention which include, but are not limited to: hotel accommodations, travel and food. The costs associated with convention reduce if a Delegate chooses to share a room with another Delegate. Delegates may also fundraise independently to help cover the cost of convention. Under no circumstances will the National or State Democratic Parties be held responsible for any costs associated with individual Delegates. Potential Delegate candidates must sign a waiver acknowledging this statement before they are eligible to run for a Delegate spot. Qualifying to be a Delegate Candidate Anyone wishing to run to be a Delegate must meet the following criteria:  Be a registered voter in the district in which they intend to run  Fill out the security clearance, candidacy application, statement of intent, and the candidate party forms located on the Georgia Democrats website, www.georgiadems.org, or at the conclusion of this manual.
PAID FOR BY THE DEMOCRATIC PARTY OF GEORGIA • P.O. BOX 20442 • ATLANTA, GA 30325 MIKE BERLON, CHAIR; NIKEMA WILLIAMS, FIRST VICE-CHAIR; RUSSELL EDWARDS, TREASURER; RJ HADLEY, VICE-CHAIR; MIGUEL CAMACHO, VICE-CHAIR; REP. PEDRO “PETE” MARIN, VICE-CHAIR; LAVERNE GASKINS, SECRETARY NOT AUTHORIZED BY ANY CANDIDATE OR CANDIDATE’S COMMITTEE•WWW.GEORGIADEMS.ORG

These forms must be filled out and sent to the DPG offices no later than March 22, 2012. Forms may be submitted:  Electronically, by emailing signed copies of these forms to mike@georgiademocrat.org  By fax, to the attention of Mike Berlon at 877-744-9438  By mail, to the attention of Mike Berlon at PO BOX 20442, Atlanta, GA 30325. Mailed candidate affidavits must be postmarked by March 22, 2012  By hand-delivery, to the Democratic Party of Georgia Headquarters, located at 763 Trabert Ave. Atlanta, GA 30318. Presidential Right of Refusal After all of our candidates have submitted their application, security clearance, statement of intent, and candidate party declaration, each candidate will be submitted to the presidential campaign to undergo a vetting process. If a candidate is stricken from the list by a presidential campaign, they will be unable to declare candidacy for a district level, At-large, or alternate Delegate position. Elected Delegates are also subject to a vetting process by the presidential campaign, and failure to vet will result in a Delegate not being allowed to be seated with the delegation. How is the Georgia Delegation Elected? There are two methods by which a registered voter may be elected to serve as a Delegate to the Democratic National Convention. Delegates are elected by their congressional districts in district-level caucuses, or can be elected by the Democratic Party of Georgia’s State Committee. District-Level Delegate Caucuses Each of the Democratic Party of Georgia’s Congressional District Chairs has selected a central location in their congressional district to serve as a site for the District-Level Delegate Caucuses, to be held Saturday April 21, 2012 at 8am. Voting will begin promptly at 12pm and no other electors will be permitted to cast ballots if they have not registered by the beginning of voting. The contact information for our 13 Congressional District Chairs can be found here:

PAID FOR BY THE DEMOCRATIC PARTY OF GEORGIA • P.O. BOX 20442 • ATLANTA, GA 30325 MIKE BERLON, CHAIR; NIKEMA WILLIAMS, FIRST VICE-CHAIR; RUSSELL EDWARDS, TREASURER; RJ HADLEY, VICE-CHAIR; MIGUEL CAMACHO, VICE-CHAIR; REP. PEDRO “PETE” MARIN, VICE-CHAIR; LAVERNE GASKINS, SECRETARY NOT AUTHORIZED BY ANY CANDIDATE OR CANDIDATE’S COMMITTEE•WWW.GEORGIADEMS.ORG

Congressional District

Chair

Contact Information

1 2 3 4 5 6 7 8 9 10 11 12 13

Jeana Brown Kattie Kendrick George Johnson Acting Chair: Rep. Billy Mitchell Catherine Smith Ben Myers Steve Reily Stephanie Woods-Miller David Robinson Patsy Harris Don Wilson (Interim) Liz Johnson Melissa Prescott-Crawford

jeana@georgiademocrat.org 912-294-3167 Kjvrainier1@yahoo.com 478-825-2985 gjohnson@melvillejohnson.com 678-358-4655 billymitchell@bellsouth.net 770-465-8800 catherineatlanta@gmail.com 678-596-1845 benmyers@ibew613.org 770-570-8981 sreilly@amrslaw.com 404-277-4784 taylormillerlaw@yahoo.com 478-787-9729 gdavidrobinson@gmail.com 770-893-9134 patsydudney@yahoo.com 706-342-1011 Don.e.wilson@att.net 678-334-8050 Lizjohnson12th@gmail.com 912-541-1237 justicecosts@gmail.com 678-462-8270

Method of Election Registration for the District-level Delegate caucuses will begin at 8 am on Saturday April 21, 2012. Anyone registered to vote in the congressional district in which they intend to caucus may cast a vote for Delegate candidates. Registration will close at exactly 12 pm and no other electors will be permitted to cast votes for Delegate candidates. Anyone in line, but has not completed the registration process by 12pm will be allowed to register and cast a vote for their preferred Delegate candidates. Candidates are allowed two minutes to address the audience, and are not permitted to have a nominating or seconding speech. Ballots will be distributed and voters may vote for a number of candidates equal to the number of Delegates to be elected from the district. For example, the first congressional
PAID FOR BY THE DEMOCRATIC PARTY OF GEORGIA • P.O. BOX 20442 • ATLANTA, GA 30325 MIKE BERLON, CHAIR; NIKEMA WILLIAMS, FIRST VICE-CHAIR; RUSSELL EDWARDS, TREASURER; RJ HADLEY, VICE-CHAIR; MIGUEL CAMACHO, VICE-CHAIR; REP. PEDRO “PETE” MARIN, VICE-CHAIR; LAVERNE GASKINS, SECRETARY NOT AUTHORIZED BY ANY CANDIDATE OR CANDIDATE’S COMMITTEE•WWW.GEORGIADEMS.ORG

district has been allotted three male and two female Delegates, so voters may select up to three male and two female candidates. Anyone who is registered to vote, is willing to sign a statement of support for the Democratic Party, and resides in the district in which they are intending to vote is permitted to cast a ballot at the District-Level Delegate Caucus. Each candidate may encourage their supporters to attend the caucus and cast a vote for them. The highest vote-getter, regardless of gender, is seated first. The next highest vote getter of the opposite gender is seated second, and the seating alternates by gender until all of the Delegate seats have been filled. Due to gender equity requirements, this method of seating Delegates may result in a candidate being chosen to be a member of the Georgia Delegation who received fewer votes than a candidate of the opposite gender. At-large and Alternate Delegates Individuals wishing to run for Delegate at large, including unsuccessful Delegate candidates at the district-level must submit the appropriate candidate forms outlined on the “Georgia Delegate Candidate Check-list” of this manual by April 26, 2012. Unsuccessful Delegate candidates at the district-level must re-submit these forms to be considered a candidate for an At-large Delegate spot. Delegates will be elected by a special meeting of the Democratic Party of Georgia’s State Committee to be held in Macon, GA on May 19, 2012. Only State Committee Members will be allowed to vote for these Delegate candidates. At-large and alternate Delegates are also subject to review by presidential campaigns.

PAID FOR BY THE DEMOCRATIC PARTY OF GEORGIA • P.O. BOX 20442 • ATLANTA, GA 30325 MIKE BERLON, CHAIR; NIKEMA WILLIAMS, FIRST VICE-CHAIR; RUSSELL EDWARDS, TREASURER; RJ HADLEY, VICE-CHAIR; MIGUEL CAMACHO, VICE-CHAIR; REP. PEDRO “PETE” MARIN, VICE-CHAIR; LAVERNE GASKINS, SECRETARY NOT AUTHORIZED BY ANY CANDIDATE OR CANDIDATE’S COMMITTEE•WWW.GEORGIADEMS.ORG

Georgia Delegate Candidate Check-list
To complete the Georgia Delegate Application Process, the mandatory forms listed below must be submitted by the appropriate District-level (March 22, 2012) or At-large (April 26, 2012) application deadline. _____ Georgia Delegate Application-Security Clearance _____ Georgia Delegate Application- 2012 National Convention _____ Georgia Delegate Application-Statement of Intent _____ Georgia Delegate Application-Candidate Party Declaration
Please submit these forms to PO Box 20442, Atlanta, GA 30325 ATTN: Delegate Selection, by email to mike@georgiademocrat.org or by fax to 877-744-9438 _____________________________________________________________________________________________

Dates to Remember: Varies March 6, 2012 March 22, 2012 April 14, 2012 April 21, 2012 April 26, 2012 May 12, 2012 May 19, 2012 Georgia Delegate Training Workshops by Congressional District Presidential Preference Primary District-level Delegate Candidate Application Deadline DPG receives list of approved Delegate candidates District-level Delegate Caucuses At-large Delegate Candidate Application Deadline DPG receives list of approved Delegate candidates At-large Delegate election- Macon, GA

Please contact your Congressional District Chair or DPG County Affairs Director with any questions that you may have.

PAID FOR BY THE DEMOCRATIC PARTY OF GEORGIA • P.O. BOX 20442 • ATLANTA, GA 30325 MIKE BERLON, CHAIR; NIKEMA WILLIAMS, FIRST VICE-CHAIR; RUSSELL EDWARDS, TREASURER; RJ HADLEY, VICE-CHAIR; MIGUEL CAMACHO, VICE-CHAIR; REP. PEDRO “PETE” MARIN, VICE-CHAIR; LAVERNE GASKINS, SECRETARY NOT AUTHORIZED BY ANY CANDIDATE OR CANDIDATE’S COMMITTEE•WWW.GEORGIADEMS.ORG

Georgia Delegate Application Security Clearance
Please complete this form to obtain a 2012 Democratic National Convention security clearance. Additional forms may be required by the State Democratic Party or the DNC Personal Information Name as it appears on official documents ____________________________________________________________ Complete Address: __________________________________________ __________________________________________ __________________________________________ Phone Number: __________________________________________

Alternate Phone Number: ______________________________________ Email Address: __________________________________________

Congressional District: _________________________________________

Please Check all that Apply:
Gender: ____Male ____Female Ethnicity: ___African American ____Asian-Pacific___Caucasian___Latino___Native American Age: ___Youth (18-29)___Middle Aged (30-60)___Senior Citizen (60 and above) Orientation: ___Lesbian, Gay, Bisexual, Transgender ___Heterosexual Disability: ___Yes, please describe: _________________________________ Social Security Number: _____________________ Date of Birth: __________________ Party Leadership or Elected Positions:______________________________________________ Preferred Presidential Candidate:_________________________________________________

Marital Status: _______Single ______Married ______Divorced Name of Spouse or Significant Other: ______________________________ Names of Children: _______________________________________________

PAID FOR BY THE DEMOCRATIC PARTY OF GEORGIA • P.O. BOX 20442 • ATLANTA, GA 30325 MIKE BERLON, CHAIR; NIKEMA WILLIAMS, FIRST VICE-CHAIR; RUSSELL EDWARDS, TREASURER; RJ HADLEY, VICE-CHAIR; MIGUEL CAMACHO, VICE-CHAIR; REP. PEDRO “PETE” MARIN, VICE-CHAIR; LAVERNE GASKINS, SECRETARY NOT AUTHORIZED BY ANY CANDIDATE OR CANDIDATE’S COMMITTEE•WWW.GEORGIADEMS.ORG

Georgia Delegate Application 2012 National Convention
Emergency Information Emergency Contact: Emergency Contact Address: _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________

Any Known Allergies: Illnesses or Special Concerns: Any other information: Educational Information Name of School(s): Programs or Degrees: Occupational Information: Employer’s Name: Employer’s Address:

_______________________________________ _______________________________________

_________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________

Occupation:

Hobbies and Interest: ______________________________________________________________________________ ______________________________________________________________________________

The information provided in this document is accurate and complete to the best of my knowledge. I hereby authorize the Democratic Party of Georgia, The Democratic National Committee, and other parties affiliated with the planning of the 2012 Democratic National Convention full and complete permission to complete a background check using the above information.

________________________ ______________________ Print Complete Name Signature

____/_____/____ Date

PAID FOR BY THE DEMOCRATIC PARTY OF GEORGIA • P.O. BOX 20442 • ATLANTA, GA 30325 MIKE BERLON, CHAIR; NIKEMA WILLIAMS, FIRST VICE-CHAIR; RUSSELL EDWARDS, TREASURER; RJ HADLEY, VICE-CHAIR; MIGUEL CAMACHO, VICE-CHAIR; REP. PEDRO “PETE” MARIN, VICE-CHAIR; LAVERNE GASKINS, SECRETARY NOT AUTHORIZED BY ANY CANDIDATE OR CANDIDATE’S COMMITTEE•WWW.GEORGIADEMS.ORG

Georgia Delegate Statement of Intent
Please complete this Georgia Statement of Intent (1) to officially declare your Presidential Candidate of choice and (2) to acknowledge your financial responsibilities if selected as a Georgia Delegate. Complete Name: ____________________________________________ Occupation: ____________________________________________ Congressional District: ___________________________________________ Complete Address: ____________________________________________ ____________________________________________ ____________________________________________ Phone Number: ____________________________________________ Alternative Phone Number: _______________________________________ Email Address: ____________________________________________ Please Check all that Apply: Gender: ____Male ____Female Ethnicity: ___African American ____Asian-Pacific___Caucasian___Latino___Native American Age: ___Youth (18-29)___Middle Aged (30-60)___Senior Citizen (60 and above) Orientation: ___Lesbian, Gay, Bisexual, Transgender ___Heterosexual Disability: ___Yes, please describe: _________________________________ Party Leadership or Elected Positions: ______________________________________________ Preferred Presidential Candidate: __________________________________________________ Receipt of this Statement of Intent certifies that I, _____________________ officially intend to seek election as a Georgia Delegate to the 2012 Democratic National Convention. X________ X________ I understand that the Presidential Candidates have the right to approve or disapprove of my candidacy. I understand that if elected, I am financially responsible for all Delegate related expenses, including: travel, lodging, meals, registration fees, etc.

I hereby declare my candidacy as a Georgia Delegate to the 2012 Democratic National Convention. ___________________ Print Complete Name ______________________ Signature ____/_____/____ Date

PAID FOR BY THE DEMOCRATIC PARTY OF GEORGIA • P.O. BOX 20442 • ATLANTA, GA 30325 MIKE BERLON, CHAIR; NIKEMA WILLIAMS, FIRST VICE-CHAIR; RUSSELL EDWARDS, TREASURER; RJ HADLEY, VICE-CHAIR; MIGUEL CAMACHO, VICE-CHAIR; REP. PEDRO “PETE” MARIN, VICE-CHAIR; LAVERNE GASKINS, SECRETARY NOT AUTHORIZED BY ANY CANDIDATE OR CANDIDATE’S COMMITTEE•WWW.GEORGIADEMS.ORG

Georgia Delegate Candidates Party Declaration
Please complete this Candidates Party Declaration to officially declare your Party affiliation. Complete Name: __________________________________________________ Congressional District: _________________________________________________ Complete Address: __________________________________________________ __________________________________________________ __________________________________________________ Phone Number: __________________________________________________ Email Address: __________________________________________________ Receipt of this Party Declaration Form certifies that I, ___________________________, am resident and registered to vote in the _______ Congressional District, located in ______________ County, GA. My initials signify and proclaim that the below statements are true and accurate: ______ I believe in the goals of the Democratic Party of Georgia ______ I am not a member of any other political party or body (as defined in the Georgia election code) ______ I am not affiliated with any political group whose ideas, goals, and methods are incompatible with that of the Democratic Party of Georgia (as identified by the Executive Committee of the Democratic Party of Georgia). ______ If it is found that I have submitted this Party Declaration under false pretenses, I am subject to immediate disqualification as a Georgia Delegate or Alternate Delegate. I meet all qualifications and hereby declare my candidacy as a Georgia Delegate to the 2012 Democratic National Convention.

________________________ ______________________ Print Complete Name Signature

____/_____/____ Date

PAID FOR BY THE DEMOCRATIC PARTY OF GEORGIA • P.O. BOX 20442 • ATLANTA, GA 30325 MIKE BERLON, CHAIR; NIKEMA WILLIAMS, FIRST VICE-CHAIR; RUSSELL EDWARDS, TREASURER; RJ HADLEY, VICE-CHAIR; MIGUEL CAMACHO, VICE-CHAIR; REP. PEDRO “PETE” MARIN, VICE-CHAIR; LAVERNE GASKINS, SECRETARY NOT AUTHORIZED BY ANY CANDIDATE OR CANDIDATE’S COMMITTEE•WWW.GEORGIADEMS.ORG