ED-603a Ackn. Appl. & Issue N.P.

November State Election 2012

From the Office of the Secretary of the State 30 Trinity Street., Hartford, CT 06106

Friday, May 18, 2012 Ms. Lisa Wilson-Foley 76 Hartford Road Simsbury, CT 06070 Re: Acknowledgement of Application and Issuance of Nominating Petition Forms for State Election Dear Ms. Wilson-Foley : We hereby acknowledge receipt of your application for a nominating petition for the person(s) listed below as candidate(s) for the office(s) indicated in the State Election held on Tuesday, November 06, 2012. Your application also specified the party designation, if any, as shown, which designation is on file in this office pursuant to 9-453b and 9-453u of the General Statutes, or is the name of a minor party which is qualified for different office(s) on the same ballot as the office(s) included in the application. The application was accompanied by a statement of consent from each candidate and verification of name by the clerk of the town of residence of each candidate. Office(s) & District
REPRESENTATIVE IN CONGRESS District #5

Name and Address of Candidate(s)

LISA WILSON-FOLEY 76 HARTFORD ROAD SIMSBURY, CT 06070

Party Designation (If any)

INDEPENDENT

In accordance with your application, we are enclosing the following nominating petition forms: 1 1 Nominating Petition Signature Pages *Duplicate Prior to Receiving Signatures. Nominating Petition Instruction Pages

Nominating petition pages must be submitted to the town clerk of the town of voting residence of the signers, or to the Secretary of the State, by 4:00 p.m. of Wednesday, August 08, 2012 . If this petition is filed under a party designation, Wednesday, September 5, 2012 is the last day that the party committee or minor party may file with the Secretary of the State Statements of Endorsement of candidates petitioning under this designation. If you require more petition forms, or if you have any questions in connection with the above, please do not hesitate to get in touch with us. Enclosures Copy to Town Clerk(s) 5th Cong. Dist. Sincerely Denise Merrill Secretary of the State

SIGNATURES REQUIRED:

2,389
(Ms.) O.P. Williams Election Officer Legislation and Elections Administration Division

REC. NO:

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