NOMINATION PAPER FOR PARTISAN OFFICE

Candidate's name as it will appear on the ballot; no abbreviations or titles may be used. Street, fire, or rural route number; box number (if rural route); and name of street or road

Fred Clark
Name of municipality for mailing purposes State Zip code

E12367 County Rd W

Name of municipality for voting purposes x Town Village City

Greenfield

Baraboo
Title of office

WI 53913

Type of election General x Special

Election date

Name of Party or Statement of Principle (5 words or less)

July12, 2011 Democratic

Name of jurisdiction or district in which candidate seeks office

State Senator

District of Jurisdiction x District number ____________________________________

14

Jurisdiction (county) ________________________________

14th Senate District

I, the undersigned, request that the candidate, whose name and address are listed above, be placed on the ballot at the election described above as a candidate representing the party or statement of principle indicated above, so that voters will have the opportunity to vote for x him or her for the office listed above. I am eligible to vote in the jurisdiction or district in which the candidate named above seeks office. I have not signed the nomination paper of any other candidate for the same office at this election. THE MUNICIPALITY USED FOR MAILING PURPOSES, WHEN DIFFERENT THAN MUNICIPALITY OF RESIDENCE, IS NOT SUFFICIENT. THE NAME OF THE MUNICIPALITY OF RESIDENCE MUST ALWAYS BE LISTED.
SIGNATURES OF ELECTORS 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. PRINT NAME STREET & NUMBER OR RURAL ROUTE Rural address must also include box or fire no. MUNICIPALITY OF RESIDENCE Indicate Town, Village, or City
Town Village City Town Village City Town Village City Town Village City Town Village City Town Village City Town Village City Town Village City Town Village City Town Village City

DATE OF SIGNING

/2011 /2011 /2011 /2011 /2011 /2011 /2011 /2011 /2011 /2011

CERTIFICATION OF CIRCULATOR I, ___________________________________________________________________, certify: I reside at ___________________________________________________________________.

(NAME OF CIRCULATOR) (CIRCULATOR'S RESIDENCE - INCLUDE NUMBER, STREET, AND MUNICIPALITY.)

I personally circulated this nomination paper and personally obtained each of the signatures on this paper. I know that the signers are electors of the jurisdiction or district the candidate seeks to represent. I know that each person signed the paper with full knowledge of its content on the date indicated opposite his or her name. I know their respective residences given. I intend to support this candidate. I am aware that falsifying this certification is punishable under S. 12.13(3)(a), Stats.

__________________________________
(DATE)

________________________________________________________________________
(SIGNATURE OF CIRCULATOR)

EB-168 (Rev.6/2003) The information on this form is required by SS. 8.15, 8.20, 8.50, Wis. Stats. This form is prescribed by the State Elections Board, P.O. Box 2973, Madison, WI 53701-2973, 608 266-8005. http://elections.state.wi.us seb@seb.state.wi.us

Page No.

Paid for by Clark for Wisconsin, Rebecca Hoppe, Treasurer

SENATE DISTRICT 14 ASSEMBLY DISTRICTS 40, 41, AND 42

Cou

DAY

GREEN VALLEY

BERGEN
County Road O

nty H

County Highway P

ighw

ay

KNOWLTON

GUENTHER

BEVENT
J ad

FRANZEN
State Highway 49

GERMANIA

FAIRBANKS
County Trunk Hwy J

Uni ted S

PELLA
tate sH ighw ay
County Highway D

BELLE PLAINE
M ain

WAUKECHON
County Highway CC

HARTLAND
State Highway 47

Coun ty Ro

County Highway Y County Highway H

County Road H

I-39

Marion
County Highway G

45

Embarrass
Cty Hwy
22

County Highway S

County Road I

County Road Y

ALBAN
County Road A

HARRISON

WYOMING Big Falls

County Highway J

Auburndale
State Highway 186

County Road H

Rosholt SHARON

DUPONT

Stat e

AUBURNDALE
United States

MILLADORE

EAU PLEINE
State Highway 34
County Road G

DEWEY

Hig hw

County Road H

ay

Cty

County Road X

State Highway 110

County Highway P

LARRABEE
County Highway C

MATTESON
County Highway Y

State Highway 156

NAVARINO
State Highway 156

LESSOR

County Highway S

County Highway E

Clintonville
County Highway I

Highway

10

State Highway 156

Milladore

Junction City
County Highway N

Main
I-39

State Highway 187

County Highway D

County Highway M

I-39

State Highway 110

County Highway E

State Highway 47

County Highway C

Stevens Point Main Park Ridge

I-39
County Highway HH

State Highway 161

State Highway 161

Iola
Cty J

County Highway C

County Trunk Hwy SS

County Road A

County Highway C

Oak
County Highway S

Vesper SIGEL

Assembly District 40
LINWOOD RUDOLPH
P
Cou dP nty Roa
Plo ver

Rudolph

Whiting

STOCKTON

Nelsonville

County Highway WW

County Road M

ood County
te Sta H hw ig ay 13

I-39

County Highway D

ou nty

I-39

Wisconsin Rapids
2n d

County

igh w

County Highway O

Assembly District 42
County Highway FF

Road A

tate

sH

ig hw

ghwa e Hi Stat

y 54

Shawano

ay

County Highway D

County Highway BB

ghwa yE

State Highway 73

Coun ty Hi

Nekoosa

County Highway M

45

SARATOGA PORT EDWARDS

I-39

Water
Sta te H ig hw ay 73
County Road D

PINE GROVE

WEYAUWEGA

ALMOND

County Road A

BELMONT
County Road AA

DAYTON
County Highway K

LIND
County Highway X

Count y Hig hway

GREENVILLE
United States Highway 10

Gre envi lle

GRAND CHUTE
State Highway 96

DALE

Wisconsin
Municipal

Appleton

Almond
County Highway J
I-39

FREMONT
County Road I

Fremont
Hi unty Co
Lind

MENASHA
United States Highway 45

County Highway D
State Highway 73

Plainfield

County Highway P

County Highway A
hway y Hig Count

County Highway A

ROME
State Highway 13

LEOLA

ARMENIA

County Highway A
te Sta

Wild Rose
yG County Highwa

State Highway 22

I-39

Badger

County Highway O

County Highway H County Highway H

H County Highway

ty un Co

h Hig

y wa

JJ

Neenah

County Highway G

Mai n

Hancock
County Highway C
County Highway C

North Lake

County

WAUTOMA
County Highway C

MOUNT MORRIS LEON POYSIPPI

State Highway 49

Highwa yB

VINLAND Winneconne
te s H hw ig

State Road 152 County Highway Y

ay

County

Wautoma
State Highway 21

Highway

ay

ig hw

State Road 152

State Highw ay 152
County Highway S

WINNECONNE

OSHKOSH

Winnebago County
State Highway 21

ighw

nty H

Cou

Redgranite

County Highway

Lohrville
116

Omro WARREN
County Highway

State Highway 21
County Highway FF

Coloma COLOMA RICHFORD

State Highway 73

DAKOTA
State Highway 22

State Highw ay

Necedah NECEDAH

STRONGS PRAIRIE

State Highway 21

PRESTON

RICHFIELD

MARION

AURORA

OMRO RUSHFORD
County Highway E

ALGOMA

Oshkosh
State Highway 175

ighw

uth So

rk Pa

ay

Co un ty

MONROE

BIG FLATS

COLBURN

HANCOCK

DEERFIELD

ou nty

Waushara County

County Highway D

ed nit

Sta

Hig hw

ay

POYGAN

ay

41

Com

PLAINFIELD

OASIS

ROSE

SPRINGWATER

SAXEVILLE

BLOOMFIELD

NEENAH

mer cial

WOLF RIVER

WINCHESTER
County Highway M

State Highway 150

Menasha

CLAYTON

Richmond

State Highway 173

Cities, Towns and Villages

County Road F
I-39

GRANT

Nash

County Highway E

County Highway F

County Road D

State Highway 66
County Road Z

Nichols

State Highway 168

County Road K

HULL
I-39

County Road XX

State Highway 34

County Highway O

County Road F

ARPIN Arpin

County Highway N

SHERRY
County Highway F

CARSON
County Road O

I-39
n Divisio

Legend
County Highway S

NEW HOPE
County Road A

IOLA

HELVETIA

UNION

BEAR CREEK
State Highway 22
County Highway T

DEER CREEK
State Highway 76

MAINE
Deer View

CICERO
County Road G

County Highway M

9 I-3

nle Sta

Bear Creek

State Highway 22

st Po

County Highway O

HANSEN

Portage County
Plover
I-39
County Road B

County Highway B

ty B Coun

Amherst Junction
County Highway B

AMHERST

Scandinavia ST. LAWRENCE SCANDINAVIA

Sta te

Waupaca County
Ogdensburg Manawa LITTLE WOLF

BOVINA MAPLE CREEK Shiocton LEBANON

te Sta hw Hig
Old Hwy 45

ay

54

Black Creek BLACK CREEK

Assembly District 41
ay hw Hig ay U nty Highw Cou County

Amherst
County Road J

Hig hw

County Highway A

ay

Biron

49
e Stat
County Highway 5

PLOVER

hw H ig

ay

54

LIBERTY
County Highway M

Uni ted S

Outagamie Cou
County Highway S

State Highway 76

New London

ay

County

10

Highway

WAUPACA
State Highway 22

Counties
County Highway Z
State Highway 54

GRAND RAPIDS

BUENA VISTA
County Road A

LANARK
County Road J
State Highway 54

FARMINGTON
County Highway Q

ROYALTON

MUKWA
ad X

ELLINGTON
Wege

CENTER
County Road O

County Road A

Waupaca

ty un Co

Ro

Olk

CRANMOOR

Port Edwards
County Highway W

HORTONIA

County Highway G

County Highway W

County Road D

Hortonville
Uni ted S tate sH

County Road JJ

hway ty Hig Coun

County Highway A

Weyauwega

Lynndale

ighw

ay

I-39

EE

County Road AA

County Highway AA

yH ghwa

County Highway G

State Highway 22

County Highway I

County Highway G

nty H

County Highway J

Friendship Adams
County Highway M
County Highw ay M

County Trunk

ghwa yE

County Highway

Oregon

Cou

ad 26

nty
County Highway Z

GERMANTOWN

County Highway F

ADAMS
11th

County Road M
County Highw

hway ty Hig Coun

Cou

nty H

State Ro

County Highway HH

Mauston

County Highway M

State Highwa y 22

Coun ty Hig hway

County Highway G

County Highway O

County Highway

igh w

ay N

ay

KILDARE

Co un ty

and 16

nty H

Cou

County Highway HH

ad A

Count y Ro

Count y Ro

ad F

County Highway A

County Highway HH

I-90

NEWPORT
State High

County Highw

hway ty Hig Coun

State Highway 127

County Road EE County Road E

County Road E

RANDOLPH
County Road M

County Highway F

ay M

ay 3

County Road P

Unite d St ates

County Road K

Reedsburg

Main

State Highwa y 33

DELTON

I-90

Pardeeville

Randolph

High way

Hig hw

State Highway 23

I-90

Portage

County Road P

151

Sta te

78

North Freedom BARABOO

W County Highway

State Highway 123

Columbia County
Rio
County Road B

County Road E

Beaver Dam
C

Sta te

Rock Springs

State Highway 33 West Baraboo Baraboo GREENFIELD

ay H ig hw

CALEDONIA

oa d

REEDSBURG

67 /2 8

WESTFIELD

Sauk County
FREEDOM
County Highway PF

Sta te

Loganville

Hw

way 26

Cty

16

Fall River ELBA

FRANKLIN

HONEY CREEK

State Road 78

MerrimacWEST POINT

LODI

ARLINGTON

State

LOWELL

High

County Highway F
County Highway G
Cou H nty ighw ay V

County Highway T

State Highway 110

hw H ig

County Highway B

State Highway 49

ay 73

I-39

United States Highway 45

County Road FF

e Stat

County Highway G

hw Hig ay 110

County Highway CH

County Highway E

State Road 91

State Highway 91

County Highway J

Coun ty Hi

Neshkoro
County Highway E

Berlin
County Highway F

SENECA

State

High

44 way

County Highway N

Un ite d

Sta

te

sH

Adams County
County Highway E

igh w

LINCOLN

SPRINGFIELD

NEWTON

CRYSTAL LAKE
State Highway 22

NESHKORO BERLIN
State Road 49
ay te Sta hw Hig

NEPEUSKUN

UTICA
Cou H nty ighw

ay

NEKIMI
United States Highway 41

ay

45

BLACK WOLF
County Highway Z

igh w

ay

FF

QUINCY

County Road E

ST. MARIE

Westfield

Co un ty

County Highway E

BROOKLYN
State Road 23 and 49

Hig hw

RIPON
ay FF High

County Highway J

State

te Sta
way 23

hw Hig

4 ay

FRIENDSHIP
State Highway 175

EASTON
County Highway G
County Highway A
County Highway H County Highway B

NEW CHESTER

HARRIS

SHIELDS

Princeton
State Road 23 and 73

ROSENDALE

ELDORADO
Cou H nty

State Road 23

Green Lake

Ripon

State Road 23

Marquette County
State 82 Road

te Sta

R oa

d 23

MECAN

PRINCETON
State Road 73
County Highway KK

State Highway 23

Rosendale
County Road C

North Fond du Lac

State Road 82

State Highway 23
C County Road K County Highway

Montello
4th 4th

Green Lake County

MARQUETTE Marquette GREEN LAKE
State Road 44

State Highway 23

LEMONWEIR
I-9 0

SPRINGVILLE

State Highway 82

Oxford JACKSON
3rd

Fond du Lac LAMARTINE FOND DU LAC

MONTELLO

PACKWAUKEE
County Highway D

METOMEN

OXFORD
County Highway O

Fairwater

Fond du Lac County

County Highway Y
County Highway D
County Trunk Highway B

Hig hw

Brandon County Highway TC

County Highway TC
County Road E & As

US Hwy 12

Lyndon Station

County Highway K

Endeavor

County Highway B

Markesan
State Road 44

SEVEN MILE CREEK

DELL PRAIRIE

Kingston NEW HAVEN DOUGLAS MOUNDVILLE

County Highway O

BUFFALO
State

County Road A

Oakfield WAUPUN OAKFIELD

n pu au W
Oak

KINGSTON
e Stat High y 44 wa

MANCHESTER

MACKFORD

ALTO

BYRON

LYNDON

County Highway E

County Highway J

State Road 23
County Road AA
ay

County Highway Y

ElECToRs - only qualified electors of the jurisdiction or the district the candidate seeks to represent may sign the nomination papers. Each elector's municipality of residence must be listed on the nomination paper along with the mailing address, including any street, fire or rural route number, box number (if rural route) and street or road name. The Municipality of Residence listed for each signing elector must clearly identify the town, village or city where the elector's voting residence is located. A post office box number alone does not show where the elector actually resides. The date the elector signed the nomination paper, including month, day and year, must be indicated. Ditto marks that follow correct and complete address or date information are acceptable. The circulator may add any missing or illegible address or date information before the papers are filed with the filing officer. signATuRE of CiRCulAToR - The circulator should carefully read the language of the Certification of Circulator. THE CiRCulAToR MusT PERsonAllY PREsEnT THE noMinATion PAPER To EACH signER. THE noMinATion PAPER MAY noT BE lEfT unATTEnDED on CounTERs oR PosTED on BullETin BoARDs. The circulator's complete address (including municipality of residence) must be listed in the certification. After obtaining signatures of electors, the circulator must sign and date the certification.

Old Oregon

County Road G

County Highway N

Shore Lake

73

County Highway D

6th

County Highway C

State Highway 13

ay B

Lakeshore

I-39
J

Ro unty Co

ad

ighw ay

County Highway

hway y Hig Count G

County Highway C

County Highway E

State Highway 26

County Highway M

11

es Stat ted Uni

WINFIELD

County Highway W

hw Hig ay 12
County Highway D

State Highway 49

United States Highway 41 State Highway 175

d ite Un Sta te s hw Hig

Road 22

County Highway YY

Wisconsin Dells

e Stat

High

y 68 wa

Waupun
State Highway 26

12

State Road 175

State Highway 49

Brownsville
County Highway V

County Highway YY

State Highway 44

DELLONA

County Highway P

Lake Delton
I-90
I-90

LEWISTON
way 16

FORT WINNEBAGO

MARCELLON
State Highway 22

SCOTT

Friesland

FOX LAKE Fox Lake

Cty Hwy P
ty un Co hw Hig ay C

CHESTER

LEROY

LOMIRA

Lomira

State Highway 33

County Highway Y

County Road SS

TRENTON

County Highway C

I-90

I-90
United States Highway 12

Cambria
State Highway 146

County Road TW

FAIRFIELD PACIFIC
United States Highway 51
State Highway 16

Kekoskee
State Highway 67

Cou

Theresa

EXCELSIOR

WYOCENA
County Road G

nty H

State Road 73

ighw

SPRINGVALE

ay

COURTLAND

WESTFORD

Wyocena
County Road G

hway ty Hig Coun

BURNETT
State Road 26

WILLIAMSTOWN Mayville

THERESA

County Highway P

ty un Co

State Highway 136

County Road B
Cou nty R

hw Hig A ay

County Highway W

County Highway D
oa dZ

ou nty

State Highway 33
R oa d

Horicon
County Road E

State Road 33

State Road 33

County Road BZ

OAK GROVE
W

State Highway 67

te Sta Ro

Doylestown
County Highway C
ty un Co Ro ad V

DEKORRA
County Road Q

LOWVILLE
State Highway 22

OTSEGO

FOUNTAIN PRAIRIE
Stat e

CALAMUS

BEAVER DAM
County Highway S

Dodge County
Juneau
State High way 115

HUBBARD
County Road E

HERMAN

SUMPTER

MERRIMAC

ad 3 11

County Highway A

Iron Ridge
County Highway S

County Road CS

Poynette

Hig hw

ay

County Road R

LEEDS

HAMPDEN

COLUMBUS

CLYMAN

HUSTISFORD

RUBICON