Candidate Registration Form

Amended

Completed

Submission Date: 11/30/2015
Filer First Name: ROBERT
Filer Middle Name: W
Filer Last Name: SIVERTSEN
Election: 2016 - State Primary Election
Office: House

Candidate Information

Election Year: 2016
Candidate Display Name: Robert (Bob) Sivertsen
Candidate Legal First Name: Robert
Candidate Legal Last Name: Sivertsen

Campaign Committee Name:
Campaign Mailing Address: P.O. Box 6363
City, State Zip: Ketchikan, Alaska 99901

Chair

Name:
Address: 3817 Alaska Avenue
City, State Zip: Ketchikan, Alaska 99901
Phone:
E-mail:
Fax (Optional): Did Not Report

Treasurer

Name:
Address: 3817 Alaska Avenue
City, State Zip: Ketchikan, Alaska 99901
Phone:
E-mail:
Fax (Optional): Did Not Report

Deputy Treasurers

Name Address
Terry Sivertsen 3817 Alaska Avenue
Ketchikan, Alaska 99901
Richard (Dick) Coose P.O. Box 9533
Ketchikan, Alaska 99901
Judy Zenge 525 Monroe Street
Ketchikan, Alaska 99901

Bank Account / Campaign Depository

Name of Bank: Tongass Federal Credit Union
Bank Address: 2000 Tongass Avenue
City, State, Zip: Ketchikan, Alaska 9901