<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s64b6ace7-04e8-44ba-a89e-3af8e60f791cP0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0-000001 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s64b6ace7-04e8-44ba-a89e-3af8e60f791c000002 { color: #000000; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.s64b6ace7-04e8-44ba-a89e-3af8e60f791cP0-000003 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: center; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0-000004 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cP0"><span xml:space="preserve" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=05:02:08:45"><span class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0-000000">5:02:08:45</span></a><span class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0-000001">.  Form for precinct committeeman or committeewoman</span><span xml:space="preserve" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0-000001"> statement of candidacy</span><span class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0-000001">.</span><span xml:space="preserve" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0"> The statement for precinct committeeman or committeewoman </span><span class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0">candidacy must</span><span xml:space="preserve" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0"> be in the following form:</span></p><p dir="ltr" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cP0"><span xml:space="preserve" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791c000002"> </span></p><p dir="ltr" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cP0-000003"><span class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0-000001">Precinct Committeeman or Committeewoman Statement</span></p><p dir="ltr" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cP0"><span xml:space="preserve" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791c000002"> </span></p><p dir="ltr" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cP0"><span class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0">I, _______________________, of ______________ County, declare myself a candidate for the position of ________________ (insert party) Party Precinct ____________ (insert committeeman or committeewoman) for Precinct No. _________. My mailing address is ________________, __________, SD ________</span><span class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0">,</span><span xml:space="preserve" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0"> my residence address is ___________________, ___________, SD ________</span><span class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0">, my email address is ________________, and my telephone number is ________________.</span></p><p dir="ltr" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cP0"><span xml:space="preserve" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791c000002"> </span></p><p dir="ltr" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cP0"><span xml:space="preserve" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0">I </span><span class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0">am</span><span xml:space="preserve" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0"> a resident of the precinct, </span><span class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0">I am a</span><span xml:space="preserve" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0"> registered </span><span class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0">voter</span><span xml:space="preserve" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0"> of the political party </span><span class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0">specified</span><span xml:space="preserve" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0"> above</span><span xml:space="preserve" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0"> at the time I sign this statement</span><span xml:space="preserve" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0">, </span><span xml:space="preserve" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0">I desire to serve in the office of Precinct Committeeman or Committeewoman, </span><span class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0">and</span><span class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0">,</span><span xml:space="preserve" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0"> if elected, will serve in the office.</span></p><p dir="ltr" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cP0"><span xml:space="preserve" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791c000002"> </span></p><p dir="ltr" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cP0"><span class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0">I certify all of the above information to be true.</span></p><p dir="ltr" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cP0"><span xml:space="preserve" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791c000002"> </span></p><p dir="ltr" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cP0"><span class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0">Print Name ______________________________</span></p><p dir="ltr" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cP0"><span class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0">Date ____________</span></p><p dir="ltr" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cP0"><span class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0">Signature _______________________________</span></p><p dir="ltr" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cP0"><span class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0">Telephone Number __________________</span></p><p dir="ltr" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cP0"><span xml:space="preserve" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791c000002"> </span></p><p dir="ltr" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cP0"><span xml:space="preserve" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0">    </span><span class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0-000001">Source:</span><span xml:space="preserve" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0"> 36 SDR 209, effective June 30, 2010; 45 SDR 9, effective July 30, 2018</span><span class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0">; 50 SDR 12, effective August 8, 2023</span><span class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0">.</span></p><p dir="ltr" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cP0"><span xml:space="preserve" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0">    </span><span class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0-000001">General Authority:</span><span xml:space="preserve" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=12-1-9"><span class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0-000004">12-1-9</span></a><span class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0">(7).</span></p><p dir="ltr" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cP0"><span xml:space="preserve" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0">    </span><span class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0-000001">Law Implemented:</span><span xml:space="preserve" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=12-5-4"><span class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0-000004">12-5-4</span></a><span xml:space="preserve" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=12-6-3.2"><span class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0-000004">12-6-3.2</span></a><span class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cC0">.</span></p><p dir="ltr" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791cP0"><span xml:space="preserve" class="s64b6ace7-04e8-44ba-a89e-3af8e60f791c000002"> </span></p></div></body></html>