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Home My WebLink AboutBallot Designation Worksheet - NelsonRiverside County, Registrar of Voters u BALLOT DESIGNATION WORKSHEET .... ,s November 5, 2024 General Election (Elections Code §§ 13107. 13107.3. 13107,5; California Code of Regulations § 20711) This entire form must be completed, or it will not be accepted and you will not be entitled to a bal:ot designation. DO NOT LEAVE ANY RESPONSE SPACES BLANK. If information requested is not applicable, please write "NIA" in the space provided, otherwise the information MUST be provided. UPON FILING, THIS WORKSHEET WILL BE A PUBLIC DOCUMENT. Candidate Information for Desex+" CA- Phone Numbers) Business: Home+Mpbile. Fax_ ry Attorney Name or other person authorized to act on your behal ; Attome 2 Information Address- �- 3; Phone Number(s) Orr M Business: Mobile Fax: �3 You may select as your ballot designation one of the following designations: w CD (a) Your current principal profession(s), vocation(s) or occupation(s) [maximum total of three words. separated by a slash ('f )j, W (b) The full title of the public office you currently occupy and to which you were elected. (c) "Appointed [full title of public office)" if you currently serve by appointment in an elective public office and are seeking election to the same office or to some other office. (d) "Incumbent" if you were elected (or, if you are a Superior Court Judge, you are a candidate for the same office that you hold) to your current public office and seek election to the same office. NOTE: A candidate for the office of Representative in Congress, Member of the State Board of Equalization, State Senator, or Member of the Assembly shall not choose the word "incumbent" as a designation to appear on the ballot. (e) "Appointed Incumbent" if you were appoin ed to your current elective public office and seek election to the same office. Proposed ETpcsed Ballot Desi jnahon(s}:n fi rs Ballot 3 Alternate Ballot Designation. s)1: ��L '01251 AC - - Designation(s) Ie .-- - .-.— Alternate Ballot DesianatioW 2: 4M Z1 I 2k Ie } r Cry Yv V . In the spaces provided on the next pages) (a) Describe why you believe you are entitled to use the proposed ballot designation, (b) If your proposed ballot designation contains one or more slashes ("1") separating words in your ballot designation for separate principal profession(s), vocation(s), or occupation(s) (collectively known as "PVOs"), complete a justification section for each separate PVO, (c) Attach any documents or exhibits that you believe support your proposed ballot designation. (d) If using the title of an elective office, attach a copy of your certificate of election or appointment. (e) Any supporting documents will not be returned to you. Do not submit oriainals. It is your responsibility to justify your proposed ballot designation and to provide all requested details. If your proposed ballot designation includes the word "volunteer," indicate the title of your volunteer position and the name of the entity for which you volunteer along with a brief description of the type of volunteer work you do and the approximate amount of time involved. You may only use the ballot designation "community volunteer" if you volunteer for a 501(c)(3) charitable, educational, or religious organization, a governmental agency or an educational institution You may not use "community volunteer" together with another designation. Rev 05024 Riverside County, Registrar of Voters *} BALLOT DESIGNATION WORKSHEET *•..,,.•' November 5 2024 General Election (Elections Code §§ 13107, 13107.3, 13107 5; California Code of Regulations § 20711) Page 2 If your proposed ballot designation contains one or more slashes (T) separating multiple principal profession(s), vocation(s), or occupation(s) (collectively known as `PVOs'), complete a justification section for each separate PVO. Justification for use of Proposed Ballot Designation(s) If you are Proposing alternate ba lot designations, please provide justification for use of those on r 3_ 4. Justification for use of 1 It PVO: owV16-x-- Nil Current or most recent job title: j l'r CAUNEVEnd Dates:.4T)z, Employer Name or Business: PersonNwhcan verify this information: � Email: Name:& Current or most recent job title: Aflfi)C&MLEnd Dates: j2 Employer Name or Business: Person who can verify thls lnf ation: Name- Phone Number(s): Email: Justification for use of 3rd PVO: Current or most recent job title: d Dates: Employer Name or Business:NwWi Person who can verify this information: Name: Phone Number(s): Email: Before signing below, answerlinitial the following questions. Does your proposed ballot designation: 1) Use only a portion of the t t e of your current elected office? ❑Yes,No Initia), 2) Non -judicial cand dates. Use only the word'Incumbent' for an elective office to which you were appo nted? Dyes o 3) Use more than three total words for your principal professions, vocations, or occupations? Dyes o Initial 4) Suggest an evaluation of you. such as outstanding. leading. expert virtuous or eminent? ❑Yes o Initia 5) Refer to a status (Veteran, Activist Founder, Scholar) rather than a profession. vocation or occupatons? Dyes o Initia 6) Abbreviate the word 'retired? Dyes No Initial 7) Place the word `retired' after the words it modifies? Example: Accountant, retired Dyes No Initia 8) Use a word or prefix (except "retired'] such as 'former or'ex ' to refer to a former profession, vocation, or occupation? ❑Yes No Initial 9) Use the word `retired' along with a current profession, vocation, or occupation? Example: Ret red Firefighter/Teacher Dyes o Initia 10) Use the name of a political party or po:itical body? Dyeso Initial 11) Refer to a racial relig ous, or ethnic group? ❑Yes o Initi 12) Refer to any activity prohibited by I Dyes, o Initia are Elections Code sections 13107 13107 3, and 1310?.5, and California Code of Regulations (CCR). title 2, serti^^ ^^"'. You also may wish to consult CCR, title 2, sections, 20712-20719 (found at www.sos ca.govi Rev 0512024 y or +ram �+ Riverside County, Registrar of Voters BALLOT DESIGNATION WORKSHEET " �•' November 5, 2024 General Election (Elections Code §§ 13107. 13107 3, 13107 5; California Code of Regulations § 20711) Page 3 COMPLETE THIS PAGE ONLY IF one or more Alternate Ballot Designation(s) are provided_ If this page is not applicable, please initial: Justification for Altemate Ballot ' A Deslgnation(s)1 ; Jusdflcatfon for Alternate Ballot Designation(s) 2 Justification for use of 1st PVO. Current or most recent job title: rtfEnd Dates: Employer Name or Business: Nil M bh6tm M Person who can verify this information: Name: Phone Number(s): Email: Justification for use of 2nd PVO Current or most recent job title: A tawtirid Dates: Employer Name or Business: NIMW r Person who can verify thIs Information: Name: Phone Number(s): Email: Justification for use of 3'd PVO: Current or most recent job title: fW#NrlilEnd Dates: Employer Name or Business: Person who can verify this Information: Name: Phone Number(s): Email: Justification for use of 1st PVO. Current or most recent'ob title: d Dates: Employer Name or Business: "t) LYS. W&C Person who can verify this information: Name: Phone Number(s): Email: Justification for use of 2nd PVO: Current or most recent job title: Employer Name or Business: Person who can verify this Inform Name: Phone Number(s): Email: Justification for use of 3rd PVO: Current or most recent job title: Dates: 17,4 Employer Name or Business: Person who can verify this information: Name: Phone Number(s): Email: Rev OSQ024 CITY OF PALM DESERT BUSINESS TAX RECEIPT Business License #: HdL Receipt No: Business Name: NIMBUS NETWORKS, INC Date: 7/8/2024 Address: Payment Type: Credit Card PALM DESERT, CA 92260-4128 Number: Fee Description Tax Period Amount Applied Category A (Enter GR) 03/31/2025 $60.00 Credit Card Processing Fee 03/31/2025 $2.73 State CASp Fee (AB1379) 03/31/2025 $0.40 State CASp Fee (AB1379) 03/31/2025 $3.60 BL Penalty 1 03/31/2025 $6.00 BL Penalty 2 03/31/2025 $24.00 Total Amount Paid: $g93 ram► � = r— Z' . N =t� rq GJ � Q > THIS RECEIPT IS NOT A BUSINESS LICENSE Receipt Issued By: SYSTEM Entered Data: 7/8/2024 Time- 2:51:49 pm 7/25/2024 9:00 am CITY OF PALM DESERT 2023 - 2024 �a4'' ' TO BE POSTED IN A CONSPICUOUS PLACE BUSINESS LICENSE CERTIFICATE AND For Services Provided in the City of Palm Desert, Califomle Only NOT TRANSFERABLE OR ASSIGNABLE. Business Name NIMBUS NETWORKS, INC Business Location Description CONSULTING SERVICES PALM DESERT, CA 92260-4128 Business Owner(s) NIMBUS NETWORKS, INC Business Type CONSULTANT NIMBUS NETWORKS, INC License # Effective Date April 12, 2023 PALM DESERT, CA 92260-4128 Expiration Date March 31, 2024 THIS BUSINESS LICENSE DOES NOT PERMIT A For all inquiries regarding this license, contact HdL BUSINESS THAT IS OTHERWISE PROHIBITED. Business Tax Support Center at 442-325-3954 NIMBUS NETWORKS, INC: Thank you for your payment on your City of Palm Desert Business License ALL LICENSES MUST BE AVAILABLE FOR INSPECTION UPON REQUEST. If you have questions concerning your business license, contact the Business Licensing Center via email at Palmdesert@HdLgov.com or by telephone at 442-325-3954. Keep this portion for your license separate in case you need a replacement for any lost, stolen, or destroyed license. A fee rr 01 may be charged for a replacement or duplicate license. N �'- r � This certificate does not entitle the holder to conduct business before complying with all requirements of the Palm Desert S 7~ Municipal code and other applicable laws nor to conduct business in a zone where conducting such business violates law. If you have a fixed place of business within the City of Palm Desert please display the Business License above in a' o" ra.-m conspicuous place at the premises. Otherwise, every BL certificate ho°der not having a fixed place of business in the City �+ shall keep the Business License Certificate upon his or her person, or affixed in plain view any cart, vehicle, van or other movable structure or device at all limas if required by the Collector. �? _ Starting January 1, 2021, Assembly Bill 1607 requires the prevention of gender -based discrimination of business ;• establishments. A full notice is available in English or other languages by going to: https'/Avww.dca ca.gov/publications! �-T BUSINESS LICENSING MW 8839 N CEDAR AVE #212 City of Palm Desert i WM- 0 FRESNO, CA 93720-1832 BUSINESS LICENSE CERTIFICATE NIMBUS NETWORKS, INC License Number: PALM DESERT, CA 92260-4128 Date of Issue: 0411212023