Form 2-NA "Declaration of Candidacy - Party Primary Election for Delegate-At-Large or Alternate-At-Large to the National Convention" - Ohio

What Is Form 2-NA?

This is a legal form that was released by the Ohio Secretary of State - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 1, 2017;
  • The latest edition provided by the Ohio Secretary of State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 2-NA by clicking the link below or browse more documents and templates provided by the Ohio Secretary of State.

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Form No. 2-NA Prescribed by the Ohio Secretary of State (09-17)
Declaration of Candidacy
Party Primary Election
For Delegate-At-Large or Alternate-At-Large to the National Convention
Only to be used by a candidate for president whose registered principal campaign committee treasurer has certified that
the candidate has met the contribution requirements contained in Division (A) of Ohio Revised Code §3513.121.
To be filed with the Secretary of State not later than 4 p.m. of the 90
th
day before the presidential primary election.
R.C. 3513.05, .07, .09, .121.
Declaration of Candidacy
NOTE - The candidate must fill in, sign and date this declaration of candidacy before filing.
I,
, the undersigned, hereby declare under penalty of election falsification that
Name of Candidate
,
, Ohio
,
my voting residence address is
Street Number and Address, if any,
City or Village
Zip Code
(or rural route and number)
and I am a qualified elector in the State of Ohio.
I am a member of, and I further declare that I desire to be a candidate of the
Party for election
Political Party
Check
as:
to the
National Convention at the primary
Delegate-At-Large
Alternate-At-Large
one
Political Party
,
, as provided by law.
election to be held on the
day of
Day
Month
Year
I further declare that if elected, I will qualify therefor, and I will support and abide by the principles enunciated by my
party, in its national platform, and that I have not voted as a member of a different political party at any primary
election within the last two calendar years.
I further declare to the voters of my political party in the State of Ohio that, if elected to their party convention, I
shall, to the best of my judgment and ability, support that candidate for President of the United States who shall
have been selected at this primary by the voters of my party in the manner provided in Chapter 3513 of the Ohio
Revised Code, as their candidate for such office.
Dated this
day of
,
.
Day
Month
Year
Signature of Candidate
WHOEVER COMMITS ELECTION FALSIFICATION IS GUILTY OF A FELONY OF THE FIFTH DEGREE
Choice for President of the United States
1
By Candidate for Delegate-At-Large or Alternate-At-Large to the National Convention
R.C. 3513.121
Check
I,
, a candidate for election as:
Delegate-At-Large
Alternate-At-Large
one
Name of Candidate
to the
National Convention, at the next primary election, do hereby state that
Political Party
1
is my first choice for nomination as candidate of my party for the Presidency
Name of First Choice for President
1
of the United States, and that
is my second choice therefor.
Name of Second Choice for President
,
.
Dated this
day of
Month
Day
Year
Signature of Candidate
¹The name of a candidate for President shall not be used unless the presidential candidate has designated these are his/her choices for Delegate-at-
Large or Alternate-at-Large.
Form No. 2-NA Prescribed by the Ohio Secretary of State (09-17)
Declaration of Candidacy
Party Primary Election
For Delegate-At-Large or Alternate-At-Large to the National Convention
Only to be used by a candidate for president whose registered principal campaign committee treasurer has certified that
the candidate has met the contribution requirements contained in Division (A) of Ohio Revised Code §3513.121.
To be filed with the Secretary of State not later than 4 p.m. of the 90
th
day before the presidential primary election.
R.C. 3513.05, .07, .09, .121.
Declaration of Candidacy
NOTE - The candidate must fill in, sign and date this declaration of candidacy before filing.
I,
, the undersigned, hereby declare under penalty of election falsification that
Name of Candidate
,
, Ohio
,
my voting residence address is
Street Number and Address, if any,
City or Village
Zip Code
(or rural route and number)
and I am a qualified elector in the State of Ohio.
I am a member of, and I further declare that I desire to be a candidate of the
Party for election
Political Party
Check
as:
to the
National Convention at the primary
Delegate-At-Large
Alternate-At-Large
one
Political Party
,
, as provided by law.
election to be held on the
day of
Day
Month
Year
I further declare that if elected, I will qualify therefor, and I will support and abide by the principles enunciated by my
party, in its national platform, and that I have not voted as a member of a different political party at any primary
election within the last two calendar years.
I further declare to the voters of my political party in the State of Ohio that, if elected to their party convention, I
shall, to the best of my judgment and ability, support that candidate for President of the United States who shall
have been selected at this primary by the voters of my party in the manner provided in Chapter 3513 of the Ohio
Revised Code, as their candidate for such office.
Dated this
day of
,
.
Day
Month
Year
Signature of Candidate
WHOEVER COMMITS ELECTION FALSIFICATION IS GUILTY OF A FELONY OF THE FIFTH DEGREE
Choice for President of the United States
1
By Candidate for Delegate-At-Large or Alternate-At-Large to the National Convention
R.C. 3513.121
Check
I,
, a candidate for election as:
Delegate-At-Large
Alternate-At-Large
one
Name of Candidate
to the
National Convention, at the next primary election, do hereby state that
Political Party
1
is my first choice for nomination as candidate of my party for the Presidency
Name of First Choice for President
1
of the United States, and that
is my second choice therefor.
Name of Second Choice for President
,
.
Dated this
day of
Month
Day
Year
Signature of Candidate
¹The name of a candidate for President shall not be used unless the presidential candidate has designated these are his/her choices for Delegate-at-
Large or Alternate-at-Large.