HomeMy WebLinkAboutNomination Application - AkkermanELECTION DATE: November 5, 2024
TO BE COMPLETED BY CANDIDATE
MAILING ADDRESS IF DIFFERENT PROM RESIDENCE
E-Mail Address: Fax: ( )
TELEPHONE NUMBER(S): Day (�(�) Eve. ( )
Palm Desert City Council
OFFICE SOUGHT
OFFICE USE
Full Term ❑ Short Term
District G
DISTRICTIwARD (If applicable)
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Registration checked by: _ (951) 486-7200 or
800-773-8683
(CLERK AT ROV OFFICE)
/
� Date of Registration:
Material issued by: _
(CITY CLERKIDEPUTY)
Official Filing Form
Ballot Designation Worksheet
Candidate's Statement Form
[V� Code of Fair Campaign Practices
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,
[� Statement of Economic Interests/Manual
Resolution concerning Candidate Statement
Campaign Disclosure Forms
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TO BE READ AND SIGNED BY CANDIDATE
To the best of my knowledge, I meet the eligibility requirements for the office I seek. At my request the nomination
documents listed above have been issued to me and I am aware that they must be filed with the City Clerk, during
normal business hours no later than August 9, 2024, at 5 p.m.
STATE LAW REQUIRES CANDIDATE INFORMATION BE A MATTER OF PUBLIC RECORD.
Please indicate if you give permission for your home address and telephone number to be listed on the Internet.
(if NO,
ing address)
DATE OF SIGNING
NOTE: A Spanish version of the required forms is available upon request.
La version en espariol de las fcrmas requeridas estan disponibles al tivacitarias.