RECALL COMMITTEE REGISTRATION FORM State of Nevade ‘Secretary of State Barbara K. Cegavske ‘A "Committee for the recall of a public officer" is any organization that: (a) Files a notice of intent to circulate a Petition for recall; or (b) Receives any contributions, makes any contributions to candidates or persons or makes any expenditures that are designed to affect the recall of a public officer. (NRS 294A.006) Print or type the following inform: Committee to Recall Senator Nicole Cannizzaro NAME OF COMMITTEE 1733 Corta Bella Drive Maing Adaross| Las Vegas NV 89134 cy Site Zip Code “Telephone PURPOSE: (Grioty stato to purpose fo which the commitlos was organizes) ‘The Committee is organized to recall Senator Nicole Cannizzaro and replace’ her with April Becker. PUBLIC OFFICER: (Stato the name ofthe pubic ofcer tobe recalled andtte of oe hold) State Senator Nicole Cannizzaro representing Nevada Senate District 6 REGISTERED AGENT: Pursuant to NRS 294A.250 & NRS 294A.260 each recall committee which is organized and located outside this state must appoint and keep in this state a registered agent who must be a natural person who resides in the State of Nevada. Name of Registred Agent Claire Roth 1733 Corta Bella Drive Mailing Adaross| Las Vegas NV. 89134 702-370-8726 ty Stato ~ Zip Code Telephone ACCEPTANCE OF REGISTERED AGENT: 1, Claire Roth , hereby accept appointment as Registered Agent for the above named committee for the secall of a public officer. hat oxtl August 16, 2017 ate INRS 204.250 ovis 28:5OFFICERS: (Piease lit te name, ttle, address and telephone number of each oot) Name Claire Roth Address 1733 Corta Bella Drive Title President Las Vegas NV 89134 702-370-8726 oy Stato Zip Code Telephone Name Claire Roth Address | 1733 Corta Bella Drive Tile Treasurer Las Vegas NV 89134 702-370-8726 iy Stale Zip Code Telephone Name Katie McKenzie Address 1517 Couples St Title Secretary Las Vegas NV 89128 702-370-8726 oty Salo Zip Code Telephone Name Neil Roth Address 1733 Corta Bella Drive Title Officer Las Vegas NV 89134 702-370-8726 cay Stato Zp Code Telephone Name Address Title cy Stale Zip Code Teleshone ‘August 16, 2017 702-370-8726 Date Telephone ‘Send completed form to: SECRETARY OF STATE BARBARA K, CEGAVSKE ELECTIONS DIVISION 401 NORTH CARSON STREET, SUITE 3 CARSON CITY, NEVADA 89701-3714 TELEPHONE: (775) 684-5705 FAX: (775) 684-5718 NRS 2064260 Rovod 72115 Page 2082NOTICE OF INTENT (RECALL PETITION) State of Nevada Secretay of State Barbara K. Cogavske We, the undersigned registered voters of Clark County, do hereby register our intent to circulate a petition for the recall of Senator Nicole Cannizzaro from the office of State Senate District 6 We do solemnly swear (or affirm) that we are currently registered voters, and that we actually voted in the state, county, district or municipality electing at the last preceding general election. We further swear (or affirm) that the statements and signatures contained in this notice are bue this 16th day of August 120.17 A rf Ue. Shoot RAL. Claire Roth XK GEIS Printed Name Senate 1733 Corta Bella Drive Las Vegas 89134 Soot Ades ty 2 Cove Kathryn AH OMS on katie McKenzie X Pot M a Pred Name Sanat 1, 41817 Couples St. Las Vegas 89128 Steet Aasess Zp Cove xD Nell Roth Printed Name 1733 Corta Bella Drive _ Las Vegas _ 89134 ‘Sect Adress oy Zpcose Slate of Nevada County of Clark Signed and sworn to (or affirmed) before me on this / (> dayof Custis 20/7, by the above listed persons. Dk ae Lg . , 2 x LY§OE3 LORENA S. PORTILLO oa ac Sof Nevedo Notary Publ (or tr prea authorized a ais an cath) Na. 08-8328-1 ‘My opet. emp. Mar. 24, 207¢ esa NS 309.015Election Department 965 Trade Dr + Ste A + North Las Vegas NV 89030 Voter Registration (702) 455-8683» Fax (702) 456-2793 Joseph Paul Gloria, Registrar of Voters ‘Charles Hurley, Assistant Registrar of Voters ‘August 16, 2017 Wayne Thorley Nevada Secretary of State's Office Deputy Secretary of State for Elections 101 N, Carson St., Suite 3 Carson City, NV 89701 RE: Notice of Intent to Circulate Recall Petition Filing ~ Nicole Cannizzaro, State Senate, District 6 Mr, Thorley, ‘As prescribed by NAC 306.007(2) | am notifying the Nevada Secretary of State’s Office that a Notice of Intent to circulate a recall petition for Senator Nicole Cannizzaro, Senate District 6, has been filed in my office on August 16, 2017. | have enclosed a copy of the document with this correspondence. The circulators have until Tuesday, November 14, 2017 to submit the petition for verification to my office at 965 Trade Dr., North Las Vegas, NV, 89030. In the 2016 General Election 59,899 voters voted in Senate District 6. In order to qualify the petition for recall 14,975 voters, who voted in the 2016 General Election, must sign the petition (Nev. Const. Art. 2, Sec. 9), If you have any questions please contact me. Sincerely, Pah Gull Sh Joseph Paul Gloria Registrar of Voters 965 Trade Dr, North Las Vegas, NV 89030 Clark County, NV ipg@clarkcountynv.gov (702) 455-2944 STEVE SISOLAK, Chatman = CHRIS GIUNCHIGLIAM, Vice Chai SUSAN BRAGER + LARRY BROWN » JANES B, GIBSON » MARILYN KIRAPATRICK * LAWRENCE WEEKLY YOLANDA T KING, County Manager