HomeMy WebLinkAboutNomination Papers - AkkermanOFFICIAL FILING FORM '.
Y ,1£MA
P A % t H MItSEF
PAGE 1 OF 3
Taro �UL 22 PM 3= 13
AFFIDAVIT OF NOMINEE & OATH OR A FIRMATION OF NOMINEE
AFFIDAVIT OF NOMINEE
State of California
County of Riverside ) ss.
Gregg Akkerman
MUNICIPAL
City: of Palm Desert
Issued by:
GNA
City Clerk
I TITLE
Date: o 1 C-1'I9 LA
, under penalty of perjury, state that I am a nominee for the office
of Palm Desert City Council
Ward or Councilmanic District 2 ® Full Term ❑ Short Term
I will accept the office in the event of my election to this office at the election to be held on November 5, 2024
I desire my name to appear on the ballot as follows: Gr" e. T ! T k ke rr►'� r, n
PRINT OR TYPE YOUR NAME
and 1 desire the following designation to appear on the ballot under my name:
L�c�l �v5rne55 owner
(Print or type your principal profession(s), vocatlon(s), or occupation(s), in S words or less; or the name of the elective public office you
hold or "Incumbent". If you leave this space blank, no designation will appear on the ballot)
My residence address is as follows: bese-Ji- / R)�-,, CA nz tllo
RESIDENCE ADDRESS: NUMBER, STREET, CITY & ZIP
TURE OF NOMINEE
DAY TELEPHONE NUMBER
OATH OR AFFIRMATION OF NOMINEE
FAX
I do solemnly swear (or affirm) that I will support and defend the Constitution of the United States and the
Constitution of the State of California against all enemies, foreign and domestic; that I will bear true faith and
allegiance to the Constitution of the United States and the Constitution of the State of California; that I take this
obligation freely, without any mental reservation or purpose of evasion; and that I will well and faithfully discharge the
duties upon which I am about to enter.
State of California
County of Riverside ss.
Subscribed and sworn to before me this 15th
OF
TITLE OF
SIGNATURE OF NOMINEE
of July 2024
/ , /