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HomeMy WebLinkAboutNomination Application - NelsonELECTION DATE: November 5, 2024 OMPLETED BY CANDIDATE MAILING ADDRESS IF D / /Fa/x�: E-Mail Address: { } TELEPHONE NUMBERS}: Day Eve. ( } )� Full Term ❑ Short Term Palm Desert City Council District OFFICE SOUGHT DISTRICTIWARD (if applicable) OFFICE USE Registration checked by: U&Q (951) 486-7200 or 800-773-8683 (CLERK AT ROV OFFICE) Precinct Number: Date of Registration: � Material issued by: (CITY CLERKIDEPUTY) 1/ Official Filing Form VI/ r ' Ballot Designation Worksheet — Candidate's Statement Form rn mot' Code of Fair Campaign Practices [� Statement of Economic Interests/Manual Resolution concerning Candidate Statement .17- A. t Campaign Disclosure Forms w n' 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. ❑ Yes No (( A Sp nish version of the required forms is available upon request. La_Xersi6n en espallol de las formas requeridas estSn disponibles al solicitarlas