before the state election board state of oklahoma no. 2018-09... · 2018-04-18 · before the state...

15
BEFORE THE STATE ELECTION BOARD STATE OF OKLAHOMA In the matter of the Contest of the Candidacy of ) Natalie Mai, District Judge, District 7, Office 5 ) Filed by Chris Sloan with the ) Cause No. 2018-09 Secretary of the State Election Board on ) April 17, 2018 ) NOTICE OF HEARING To: Natalie Mai 90 I NW 7th, #200 Oklahoma City, OK 73 106 You are hereby notified that a Petition in the above-styled cause has been duly filed with the State Election Board as prescribed by law, and a hearing has been set to be held on April 23, 2018, at 9:00 a.m. at the fo ll owing location: State Capitol Building 2300 N. Lincoln Blvd., Second Floor, Senate Wing, Room 230 Oklahoma City, OK 73105 A copy of the petition is attached. Secretary

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Page 1: BEFORE THE STATE ELECTION BOARD STATE OF OKLAHOMA No. 2018-09... · 2018-04-18 · BEFORE THE STATE ELECTION BOARD STATE OF OKLAHOMA In the matter of the Contest of the Candidacy

BEFORE THE STATE ELECTION BOARD STATE OF OKLAHOMA

In the matter of the Contest of the Candidacy of ) Natalie Mai , District Judge, District 7, Office 5 )

Filed by Chris Sloan with the ) Cause No. 2018-09

Secretary of the State Election Board on ) Apri l 17, 2018 )

NOTICE OF HEARING

To: Natalie Mai

90 I NW 7th, #200

Oklahoma City, OK 73 106

You are hereby notified that a Petition in the above-styled cause has been duly filed with the State Election Board as prescribed by law, and a hearing has been set to be held on April 23, 20 18, at 9:00 a.m. at the fo llowing location:

State Capitol Bui lding

2300 N. Lincoln Blvd., Second Floor, Senate Wing, Room 230

Oklahoma City, OK 73105

A copy of the petition is attached.

-l;:...J...H.~f--~~~¥-----" Secretary

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BEFORE THE STATE ELECTION BOARD STATE OF OKLAHOMA

In the matter of the Contestant of the Candidacy of Natalie Mai

Also known as: Natalie Nhu Mai Natalie Nhu Mai-Duong Nhu Huynh Tran Mai

Filed by Chris Sloan, Petitioner, with the Secretary of the State Election Board on April 17,2018

) ) ) ) ) ) ) ) )

Cause No.:

PETITION FOR CONTEST OF CANDIDACY

RECEIVED I APR 1 7 2018 I

STATE ELECTION BOARD

I, Chris Sloan, the undersigned, am a candidate for the Office of District Judge, District 7,

Office 5, by virtue of having lawfully filed a Declaration of Candidacy during the filing period

held April II , 2018.

I hereby contest the candidacy of Natalie Mai , also known as Natalie Nhu Mai, Matalie

Nhu Mai-Duong, and Nhu Huynh Tran Mai (herein referred to as "Contestee") for the same

office, pursuant to Title 26 O.S. § 5-118, of the Oklahoma Statutes. I accompany this petition

with a cashier's check or certified check in the amount of $250.00.

As the basis for this contest, I allege that the Contestee was not qualified by law to

become a candidate for the office for the following reasons shown below:

INTRODUCTION

Contestee filed her Oklahoma Declaration of Candidacy, and Candidate Information and

Oath on April I I , 2018. I Therein, Contestee indicated that she had "read and signed the

Candidate Qualifications for the office the I seek, and that I am fully qualified to become a

candidate for said office, and that I will be fully qualified to hold said office, if elected."

(Declaration of Candidacy, EXHIBIT I) .

1 See Oklahoma Declaration of Candidacy, and Candidate Information and Oath, altached as EXHIBIT I.

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Contestee declared under "Candidate's Residence Address" as follows:

Cood;date'sRes;denteAddreSS'901 N W 7th #200 Oklahoma City OK 73106 (StrCQt, Cit'!, State, Zip) • ., ,

(Declaration of Candidacy, EXHIBIT I).

Title 20 O.S. § 92i, of the Oklahoma Statutes, "Candidate for District Judge or Associate

District Judge - Residency Requirement," states:

To file as a candidate for the office of district judge or associate district judge, one must have been a registered voter and actual resident of the appropriate county for at least six (6) months prior to the first day of the filing period. Should no one file for any such office, and should a vacancy thereby created be filled by appointment according to law, there shall be no such residency or durational registration requirement imposed on the appointee, providing said appointee is otherwise qualified, nor shall any person appointed to fill a vacancy in the office of district judge or associate district judge be required to comply with such residency or durational registration requirement in becoming a candidate for a full term following such appointment. No one who has been removed from judicial office or who has resigned from office pending disciplinary proceedings shall qualify to file as a candidate for judicial office. (emphasis added).

The first day of the filing period was April II, 20 IS. 26 O.S. § 5-11 o? Six (6) months prior to

the first day of the filing period would be October 11,2017. Judicial District 7, Office 5, is an

"at large" position. See 20 O.S. § 92.Sa. Hence, the boundary for Judicial District 7, Office 5

matches the boundaries of Oklahoma County.

Petitioner alleges that Contestee is not an "actual resident" of Oklahoma County, that she

does not actually reside at "901 N.W. 7th #200, Oklahoma City, OK 73106," but that Contestee

2 Title 26 O.S. § 5-110 provides as follows:

Declarations of Candidacy provided herein must be filed with the secretary of the appropriate election board no earlier than 8:00 a.m. on the second Wednesday of April of any even-numbered year and no later than 5:00 p.m. on the next succeeding Friday. Such Declarations of Candidacy may be transmitted by United States mail, but in no event shall the secretary of any election board accept such Declarations after the time prescribed by law.

2

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actually resides at 12808 Rohan Court, Oklahoma City, OK 73170, in Cleveland County,

Oklahoma.

OFFER OF PROOF

A. EVIDENCE OF CONTESTEE'S OWNERSHIP, PROPERTY RECORDS, AND CLAIMED HOMESTEAD EXEMPTION OF 12808 ROHAN COURT, IN CLEVELAND COUNTY.

1. On December 12, 2015, Contestee filed a State of Oklahoma Application for Homestead Exemption with the Cleveland County Assessor, regarding 12808 Rohan Court, Oklahoma City, OK 73170, declaring the following in part:

a.. -o :C ,. :s: CJ) '" I- 0:::

I-W ~IZ 0:$ o

wO::: wO ~CJ) :CCJ) I-W tt:CJ) ~CJ) 0-«

o 0 Did you own this property on or before January 1 of this year?

o 0 Were you occupying this property as your place of residence on January 1 of this year?

o 0 Was or will your deed or other evidence 01 ownership be 01 record with the County Clerk 's Office on or before February 1 of this year?

NOT E . (II 1003y'5 date is alte: MilIch 15 ot this ye31, Of it you answered "no" \o any question In section' A. ' you may nOl qualify • lor thiS It I lor nmel year's complete section 'B' 01 Ihls application.

Homestead exemption cannot be approved if you do not own and occupy the subject property as your place of rez:dcr.ce on J~r.;,.:ml' 1 each i'~<l ~ el-.: ex,,~ption i5 aptJiieu, in.:::uding II Ie year 01 afJ~li~i;ltion .

IPLEASE MARK THE APPROPRIATE BOL. I

o 0 Do you own this property?

0 0 Will you, to the best 01 your knowledge, own and occupy thiS property as your place 01 residence January 1 of next year?

0 0 Will your deed or other evidence 01 ownership be of record with the County Clerk 's Office on or belore February 1 of next year?

Under penalty of per~, JJ~e undersigned, affirm that all information provided and herein contained are true and . the best of knowledge.

(See Oklahoma Application for Homestead Exemption with the Cleveland County Assessor, attached as EXHIBIT 2, emphasis added).

2. Contestee claimed the aforementioned homestead exemption on her property taxes with the Cleveland County Treasurer for the tax year 2016 (See EXHIBIT 3) and 2017 (See EXHIBIT 4), receiving a $1,000.00 homestead tax exemption for each year.

3

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3. Mortgage records by Contestee regarding 12808 Rohan Court are as follows:

a. On November 24, 20 IS, Contestee executed a mortgage with First National Bank, which provided in part:

Annual Reports. If the Property IS used for purposes other than Grantor's resldenCB. Grantor shall furnish to Lender, upon request, 8 cert,fled statement of net operating Income received from the Property dUring Grantor's prevIous fiscal year In such form and detell as Lender shall require "Net operating Income" shall mean all cash receipts from the Property less all cBsh expenditures made In connection With the operation of the Property.

(See November 24, 20 IS , Mortgage with First National Bank, as registered with the Cleveland County Clerk, attached as EXHIBIT 5, p. 9, emphasis added).

b. On May 24, 2016, Contestee and her husband, Dereck Duong, executed another mortgage with First National Bank, which provided in part:

Annual Reports. If the Property IS used for purposes other than Grantor's reSidence, Grantor shall furnish to Lender, upon request. e certified statement of net operating Income received from the Property dUring Grantor's prevIous fl9cal year In such form and detell as Lender shall require "Net operating Income" shall mean all cash receipts from the Property less all cash expenditures made," connection with the operation of the Property

(See May 24, 2016, Mortgage with First National Bank, as registered with the Cleveland County Clerk, attached as EXHIBIT 6, p. 9, emphasis added).

4. On February 26, 2016, Contestee filed a complaint in the United States District Court for the Western District of Oklahoma, under the name Nhu Huynh Tran Mai, in Case No. CIV -16-193-M, against Allstate Vehicle & Property Insurance Company, claiming various damages under a homeowner's insurance policy in relation to 12808 Rohan Court, in Oklahoma City, Oklahoma. Part of her complaint stated the following:

[THIS SPACE IS INTENTIONALLY LEFT BLANK]

4

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9. At all times material hereto, the Plaintiff, Nhu Huynh Tran Mai, was

insured under the tenns and conditions of a homeowners insurance policy, policy

No. 985 602 523, issued by the Defendant, Allstate Vehicle & Property Insurance

Company.

10. At all times material hereto, Plaintiff, Nhu Huynh Tran Mai, complied

with the tenns and conditions of her insurance policy.

(See Complaint filed by Contestee on February 26, 2016, in U.S. Western District of Oklahoma, attached as EXHIBIT 7, p. 2, emphasis added) .

B. EVIDENCE OF CONTESTEE'S DENIAL OF RESIDENCY IN OKLAHOMA COUNTY VIA A PETITION FOR VICTIM PROTECTIVE ORDER FILED IN OKLAHOMA.

I. On October 30, 2014, Contestee filed a Petition for Protective Order in Oklahoma County against Sau Cun Duong, claiming she was a victim of stalking committed against her at her office at 2800 N. Classen, Suite 107, in Oklahoma County. Within the Petition, Contestee did not check that she was a resident of Oklahoma County, as follows:

2. Statement of Jurisdiction

INSTRUCTION: Check all that apply

DPetitioner is a resident of the county wherein this Petition is filed.

~efendant is a resident of the county wherein this Petition is filed.

!t{~':\ 't' . fil d ,ziThe dD=C~ occurred in the county wherein this Petl Ion IS Ie.

(See Petition for Protective Order filed by Contestee in Oklahoma County Case No. PO-2014-2377, attached as EXHIBIT 8, p. 2, emphasis added).

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C. EVIDENCE OF CONTESTEE'S SWORN STATEMENTS THAT SHE IS AN ACTUAL RESIDENT OF CLEVELAND COUNTY IN NAME CHANGE CASE.

I. On December 7, 2016, Contestee filed a Petition for Name Change in Cleveland County Case No. CV -2016-3229 wherein she declared and signed a notarized verification claiming the following, in part:

1. The full and correct name of petitioner is Natalie Nhu Mai-Duong; and her address is 12808 Rohan Court in the city of Oklahoma City, state of Oklahoma and zip code of73170. .

2. The petitioner now is, and has been for more than thirty (30) days next preceding the filing of this petition domiciled in the State of Oklahoma, and has been an actual resident of CLEVELAND County for more than thirty (30) days preceding the filing of this petition.

3. The petitioner was born as Nhu Huynh Tran Mai on the 19th day of February in the year 1979 in Bien Hoa, Viet Nam. The Petitioner changed her name via marriage on or about September 4, 2012 from Nhu Huynh Tran Mai to Natalie Nhu Mai-Duong in Oklahoma County, Oklahoma.

4. The petitioner desires to have his present name changed from Natalie Nhu

(See Petition for Name Change filed by Contestee in Cleveland County Case No. CV-2016-3229, attached as EXHIBIT 9, p. I and 6, emphasis added).

2. Proof of Publication was filed in CV-2016-3229, indicating that the foHowing was published in the Norman Transcript:

[THIS SPACE INTENTIONALLY LEFT BLANK]

6

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(publsh9d In The No!man. TransatpI ol108mber 10,2015,11)

IN THE DISTRICT COURT OF CLEVElANOCOVNTY

STATE OF OKLAHOMA IN THE MATTEA OF THE PETITION OF NATAUENHUMAHlUONQ .• TO CHANGE HIS NAME Case No.: CV40I~TS

NOTICE OF HEARING ON PETITION FOR NAME CHANGE

To Whom h Llay eor--n: Taite notice thaI Nat.II. NIu MaI.{)uong haa "led In the above cowt a PeItion 11)

have Na name CIIar1ged 88 l~qw:I: from NatalIe Nhu MaJ.Duong 10 ~ I>I>u Mal and that th. sarrw ..tf bo heard by the DIstrIct Court 01 ~nd County, Oldalana, In lhe Clevetond County CourthoUle, court room 40, Iooa1ed at 201 S. Jones AVI., Norman, ~homa 73069, on the 10th d8)I 01 ,*,uary, 2018 at 1:30 o'cIocI< p.m.; and IhIlI any pel$Ol1 may ftle a wriIUIn pIOWI In tile cue, prior 10 tho dale .. , for heaIirg .

. Dated this 7th day at o ecembet, 2016. " Natalie Mal-Ouong, DBA 122e37 Duo Law Atm, PlLC 2800 N. Classen Blvd., SIN 107 OkJahomlf City, OK 73106 Te~n6:(405)80Ch3476 EmaJI: Nalallerilaliltduolawfrm.com

(See Proof of Publication filed by Contestee in Cleveland County Case No. CV-2016-3229, attached as EXHIBIT 10).

3. On January 10, 2017, an Order was issued granting Contestee's name change. The Order specified that Contestee "appeared personally" and that the Court "having heard evidence of the witness duly sworn" resulted in the Court finding, in part;

7, The petitioner now is, and has been for more than thlrty (30) days next preceding the

filing of this petition, domiciled in the Slale of Oklahoma, and has been an actual

resident of Cleveland County for more than thirty (30) days preceding the filing of

this petition,

(See Order for Name Change in Cleveland County Case No. CV-2016-3229, attached as EXHIBIT II , p. 1, emphasis added).

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D. CONTESTEE'S ADDRESS CLAIMED IN OKLAHOMA COUNTY IS OWNED BY DUO PROPERTIES, L.L.C.

I. Contestee' s claimed address of 901 N.W. 7th #200, Oklahoma City, OK 73106, is owned by Duo Properties, L.L.C. (See Assessment Roll, as maintained by the Oklahoma County Assessor, attached as EXHIBIT 12). Duo Properties is currently located at 2800 N. Classen, Suite 107, Oklahoma City, OK 73106 and operated in part by Contestee's husband (Phuong Duong, a.k.a. Dereck Duong). Contestee operates a law office under the name Duo Law Firm, P.L.L.C. at the same address.

2. On January 4, 2016, a partial property tax payment was made to the Oklahoma County Treasurer for taxes due on the 901 N.W. 7th Street # 200 property in the amount of $476.55, via a check issued on an account with First National Bank, as follows:

(See Check issued via Dereck Duong, 12808 Rohan Court, Oklahoma City, OK 73170, for the property his wife, Contestee, claims now to live in, attached as EXHIBIT 13, p. I. Identification information intentionally redacted from copies of this document).

E. CONTESTEE INDICATED THAT SHE LIVED AT 12808 ROHAN COURT, IN CLEVELAND COUNTY IN A CAMPAIGN CONTRIBUTION MADE ON DECEMBER 21, 2017.

I. In a Candidate Committee Contributions and Expenditures Report submitted to the Oklahoma Ethics Commission on January 13, 2018 by the Committee to Re-Elect Judge Cindy Truong 2018, the following was reported under contributions exceeding $50.00:

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12'21"2017 DUONG, NATALIE Monet.:uy · $1 ,000 00 $1 ,00000 InOvoduaI

12808 ROHAN COURT, OKC. OK 73170 ATIORNEY SELF

(See Judge Truong Expenditures Report, issued January 13 , 2018, attached as EXHIBIT 14, p. 2).

F. RECORDS INDICATING CONTESTEE'S HUSBAND LIVES AT 12808 ROHAN COURT, IN CLEVELAND COUNTY.

I. In a filing submitted to the Cleveland County Court, regarding a Protective Order Violation, Contestee's husband was identified as a witness and the following was reported:

I Phuong Duong, 12608 Roha Ct. , Oklaho'TIl City, OK 73170

(See Information, dated June 4, 2012, attached as EXHIBIT 15, p. I; Probable Cause Affidavit related thereto, dated May 13, 2012, attached as EXHIBIT 16, p. I)

2. In a filing submitted to the Cleveland County Court, it identifies Contestee 's husband as the victim and notes the following:

I AM A POLICE OFFICER EMPLOYED BY' THE CITY' OF OKLAHOMA CITY. STATE OF OICLAHOMA. I AM CURRENTLY' ASSIGNED TO THB DOMESTIC VIOLENCE UNIT, WHBRE ON 11 / 19/12 I RECEIVBD A FOLLOW-UP I NVESTIGATION ON A VIOLATION OF A VICTIM'S PROTEC!IVE ORDER . THIS INCIDENT OCCURRBD AT 12808 ROHAN CT. THIS LOCATION IS WITHIN THE CITY OF OJICLAHOMA CI T'{. CLEVELAND COUNT'i . THB REPORT LISTS THE VICTIM AS PHUONG DUONG AND THB DB FENDAm' AS THE ABOVE .

(See Affidavit of Probable Cause, dated February 6, 20 13, attached as EXHIBIT 17)

[TH IS SPACE INTENTIONALLY LEFT BLANK)

9

$1,00000

:

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G. RECORDS ESTABLISHING CONTESTEE AND CONTESTEE'S HUSBAND RECEIVE DAILY MAIL AND INHABIT 12808 ROHAN CT.

I. Shamlon Yeager, a licensed private investigator, observed the following:

3/22/2018

1600·"· 1730 Invest,gator departed !Of reSidence at 12808 Rohan Cc Okiahoma City, OK. Surveillance was conducted of res'dence. Subject's husband was observed departing residence If1 black Porsche at

approximate/v 1630 hour> durmg which the subject', husband took three t'ash cans to the curb"

3/30/2018

0600 - 0900 Investigator departed for subject's residence at 12808 Rohan Ct. Oklahoma City, OK. Survenlanc:e wa5 conducted. At approximately 0834 hours. subject was observed departing the residence In a White Range Rover.

4/2/2018

0600 - 0900 Investigator departed for subject's residence at 12808 Rohan Ct. Oklahoma City, OK. SUrJelUance was conducted of residence. At approximately 0836 hours, the subject was observed leavIng the 1"esldeoce in a White Range Rover.

4/S/2018

0600 - 0900 Investigator departed for subject's residence- at 12B08 Rohan Ct. Oklahoma City, OK. Surveillance was condUCted of residence. At approximately 0840 hours, subject was observed departing from residence in a White Lexus.

4/12/2018

2300-0200 Investigators conducted a trash pull for subject's residence at 12808 Rohan Ct. Oklahoma City. OK. During the trash pull multiple items were found from the trash recovered at this residence that had the subject's name and the address for the current re-sJdence or the DUO Law Firm listed.

(See Affidavit of Shannon Yeager, attached as EXHIBIT 18).

[THIS SPACE INTENTIONALLY LEFT BLANK)

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2. Robert McMaster, a licensed private investigator, observed the following:

3/29/2018

2300 -0100 Investigators conduct trash pull at subject's residence of 12808 Rohan. Ct. Oklahoma City, OK. During the trash pull, multiple Items were found from the trash recovered at thIs residence that had the subject's name and the address for the current residence or the DUO law finn listed.

4/12/2018 thru 04/13/2018

23()(}-()200 Investigators conducted a t(as~ pull for subject's residence at 12808 Rohan Ct. Oklahoma Oty. OK. During the trash pull multiple items were found from the trash recovered at this residence that had the subject's name and the address for the current residence or the DUO law Firm listed.

(See Affidavit of Robert McMaster, attached as EXHIBIT 19).

3. Numerous items were recovered by Mr. McMaster and Mr. Yeager at 12808 Rohan Court, located in Cleveland County, which establish Contestee resides at the Rohan Court address. These items include, but are not limited to:

(l) Package label from Sephora USA to Natalie Mai at 12808 Rohan Court (See EXHIBIT 20-A);

(2) Package labe to Natalie Mai, dated Mar 27 18, at 12808 Rohan Court (See EXHIBIT 20-A)

(2) Proxy request to Natalie Mai-Duoung from Liberty Mutual Insurance at 12808 Rohan Court (See EXHIBIT 20-B);

(3) True Green Billing Statement (showing service at 12808 Rohan Court) (See Exhibit 20-C);

(4) Insurance Identification Cards and Statement (See Exhibit 20-D);

(5) Eskridge Auto Group Service Receipt showing address of Contestee's husband as 12808 Rohan Court) (See Exhibit 20-E);

(6) Classen Glen Condominium Owners Association, Inc., showing past due amount on property, addressed to Duo Properties, LLC (See Exhibit 20-F);

(7) Package label from Hautelook to Natalie Mai-Duong (See Exhibit 20-G);

(8) State Farm Seikel Duong Enterprises LLC (See Exhibit 20-H);

(9) Amazon package to Natalie Mai to 12808 Rohan Court (See Exhibit 20-1);

II

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(10) Brown packing box addressed to Natalie Mai-Duoung, located at 12808 Rohan Court. The brown packing box is labeled "Allie's Winter Sleep." (See Exhibit 20-J).

4. The numerous items were recovered by Mr. McMaster and Mr. Yeager at the 12808 Rohan Court address are inventoried and attached hereto. (See Chain of Custody, dated 03/29/18, Exhibit 21; Chain of Custody, dated 4112118, Exhibit 22).

SUMMARY OF PROOF

Pursuant to 20 O.S. § 92i, candidates for Judicial District 7, Office 5 are required to

reside in Oklahoma County for six months prior to filing for office. The evidence set forth above

clearly demonstrates that Contestee did not reside at the address during the period in question.

Certain principles have developed in detennining residency of a candidate. "First, a

person may have only one domicile at a time. Second, domicile, once fixed, is presumed to

continue until a new one is established. Third, to effect a change of domicile, there must be (a)

actual abandonment of the first domicile, coupled with (b) the intention not to return to it and (c)

actual residence in another place with intention of making it a pennanent home." 16 Okla. Op.

Att'y Gen. 20 (1984); see also, Ingram v. State, 1954 OK CR 118,275 P.2d 334, 342 [noting that

"reside" in 26 O.S. § 61, which specifies the qualifications of electors to vote, means "to be in

residence, one's place of abode, as distinguished from a place where one is employed or an office

or place devoted strictly to commercial enterprise."); Johnson v. State Election Bd., 1962 OK 92,

370 P.2d 551 ["Word "reside" within statutes specifying qualifications of electors to be entitled

to vote, means to be in residence, one's place of abode, as distinguished from place where one is

employed or office or place devoted strictly to commercial enterprise.")

Contestee has repeatedly identified the Rohan address as the place of her residence.

Contestee has repeatedly made these affinnations under oath and in various legal documents.

There has been no action on the part of Contestee to effectuate a change in domicile - there is no

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abandonment of the Rohan address and no evidence of Contestee actually residing at the location

listed on her Candidacy Filing Form.

Contestee is not a resident of Oklahoma County. While Contestee may own property in

Oklahoma County, more is needed. There is no evidence that Contestee actually resides at the

property in Oklahoma County. As such, Contestee should not be permitted to continue as a

candidate for Judicial District 7, Office 5.

Respectfully submitted,

dn~ Chris Sloan

April 17, 2018 DATE

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OKLAHOMA DECLARATION OF CANDIDACY Candidate Information and Oath

NOTICE: All information provided on this form will be made publicly available.

PLEASE TYPE OR PRINT

CANDIDATE INFORMATION

Candidate's name as it will appear on ballot: Natal ie Mai

590

Candidate's full legal name: Natalie Nhu Mai I Date of birth: (Month, Date, Year): 02/19/1979

Title of Office Sought: • • (include district office or ward number if applicable) D I st n ct Judge, District 7, Office 5 Candidate's Residence Address: 90 1 (Street, City, State, Zip) N.W. 7th #200, Oklahoma City, OK 73106 Candidate's Mailing Address: . (Street, City, State, Zip) 2800 N. Classen Blvd. Ste 107, Oklahoma City, OK 73106

I am a registered voter in precinct # 550205 in the County of Oklahoma Optional Information: Phone number: Email Address: Website:

o Candidate forthe ' Party o Independent Candidate [!] Nonpartisan judicial Candidate

This Declaration is accompanied by a (check one): Ij] Cashiers/Certified Check o Petition

CRIMINAL HISTORY DISCLOSURE AND OATH CRIMINAL DISCLOSURE: Have you been convicted, pled guilty or nolo contendere, or otherwise been determined by a court of proper authority in Oklahoma or in another state to b~uilty of a misdemeanor involving embezzlement or of a felony under the laws of this state or of the United States? uYES [ZJNo Have you been named in an outstanding warrant for arrest for a misdemeanor involving embezzlement or a felony in this or any other state or of the United States? DYES IZ]No If you answer YES to either of these questions, you are required to fill out and sign the Criminal History Disclosure form and include it in your Declaration of Candidacy.

I, the undersigned, swear or affirm that the information provided in this Declaration of Candidacy is true and correct, that I have read and signed the Candidate Qualifications for the office that I seek, that I am fully qualified to become a candidate for said office, and that I will be fully qualified to hold said offic-"-'!I'-el"cte~ - - ". . '=:::>

Signature of Candidate c::::=-~ NOTARY

SEAL

NIPD # of signatures ____ _

2018 State of Oklahoma Filing Packet Candidate Information and Oath / 12