Form 1-C "Declaration of Candidacy and Consent for Use of Name - Party Primary - President: Designation of Delegates and Alternates and Consent for Use of Name" - Ohio

What Is Form 1-C?

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 August 1, 2019;
  • 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 1-C by clicking the link below or browse more documents and templates provided by the Ohio Secretary of State.

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Form No. 1-C Prescribed by the Ohio Secretary of State (08-19)
Declaration of Candidacy and Consent for Use of Name
Party Primary Election
For President
Designation of District and At-Large Delegates and Alternates
R.C. 3513.05, .07, .09, 3513.121
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 Ohio Secretary of State not later than 4 p.m. of the 90
day before the primary election.
th
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 for President
my residence address is
,
,
.
Street Number and Address, if any,
City or Village
State
Zip Code
(or rural route and number)
I am a member of the
Party. I hereby declare that I desire to be a candidate for President of the
Political Party
United States for nomination at the
National Convention. I request that my name
Name of National Convention
be placed on the ballot to be submitted to the electors through my delegates or alternates.
I further declare that if elected I will qualify therefor, and that I will support and abide by the principles enunciated by
the
Party in its national platform.
Political Party
Dated this
day of
,
.
Day
Month
Year
Signature of Candidate
WHOEVER COMMITS ELECTION FALSIFICATION IS GUILTY OF A FELONY OF THE FIFTH DEGREE
Designation of Delegates and Alternates and Consent for Use of Name
I,
, a candidate for President of the United States, state the following is my
Name of Candidate for President
list of approved delegates and alternates who have been selected in accordance with the rules of the
Party State Central Committee.
Political Party
I hereby authorize and give my consent to the following persons to use my name in their Declarations of Candidacy
as delegates and alternates to the
National Convention as their First Choice
Name of National Convention
for the Presidency of the United States at the National Convention to be held in
.
Year
Witness to Signature:
Printed Name of Witness
Signature of First Choice for Presidency
Date
Signature of Witness
Form No. 1-C Prescribed by the Ohio Secretary of State (08-19)
Declaration of Candidacy and Consent for Use of Name
Party Primary Election
For President
Designation of District and At-Large Delegates and Alternates
R.C. 3513.05, .07, .09, 3513.121
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 Ohio Secretary of State not later than 4 p.m. of the 90
day before the primary election.
th
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 for President
my residence address is
,
,
.
Street Number and Address, if any,
City or Village
State
Zip Code
(or rural route and number)
I am a member of the
Party. I hereby declare that I desire to be a candidate for President of the
Political Party
United States for nomination at the
National Convention. I request that my name
Name of National Convention
be placed on the ballot to be submitted to the electors through my delegates or alternates.
I further declare that if elected I will qualify therefor, and that I will support and abide by the principles enunciated by
the
Party in its national platform.
Political Party
Dated this
day of
,
.
Day
Month
Year
Signature of Candidate
WHOEVER COMMITS ELECTION FALSIFICATION IS GUILTY OF A FELONY OF THE FIFTH DEGREE
Designation of Delegates and Alternates and Consent for Use of Name
I,
, a candidate for President of the United States, state the following is my
Name of Candidate for President
list of approved delegates and alternates who have been selected in accordance with the rules of the
Party State Central Committee.
Political Party
I hereby authorize and give my consent to the following persons to use my name in their Declarations of Candidacy
as delegates and alternates to the
National Convention as their First Choice
Name of National Convention
for the Presidency of the United States at the National Convention to be held in
.
Year
Witness to Signature:
Printed Name of Witness
Signature of First Choice for Presidency
Date
Signature of Witness
List of District Delegates and Alternates
Attach additional sheets if necessary.
Congressional
District Delegate
District Alternate
District Number
1.
2.
3.
4.
5.
6.
7.
8.
9.
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25.
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28.
29.
30.
List of District Delegates and Alternates
Attach additional sheets if necessary.
Congressional
District Delegate
District Alternate
District Number
31.
32.
33.
34.
35.
36.
37.
38.
39.
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41.
42.
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48.
List of Delegates-at-Large and Alternates
Attach additional sheets if necessary.
Delegate-at-Large
Alternate-at-Large
1.
2.
3.
4.
5.
6.
7.
8.
9.
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