HomeMy WebLinkAboutBallot Designation Worksheet - Nestande,. Riverside County, Registrar of Voters
t BALLOT DESIGNATION WORKSHEET
�. 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 ballot designation. DO NOT LEAVE ANY RESPONSE
SPACES BLANK. If information requested is not applicable, please write "N/A" in the space provided, otherwise the information MUST be provided. UPON
FILING, THIS WORKSHEET WILL BE A PUBLIC DOCUMENT. /�
Candidate Name 4�a 0 �"G "Ander rnntinnA fm frnmintinn lice nnlvl-
Candidate
Information
Office (A PMR-L �
Mail ng Address: l%lfM G
Business Address:
Phone Numb�,rf�j
Business: �
HomelMobile:
Attorney Name (or other person authorized to act on your behalf): N ��
Attorney :*
2
Information Address t C)
Phone Number±s'.
Business Mobile- Fax: u1 "7 "X.
�
an v
You may select as your ballot designation one of the following designations: �X
(a) Your current principal profession(s), vocation(s), or occupation(s) [maximum total of three words, separated by a slash
(b) The full title of the public office you currently occupy and to which you were elected.
(c) "Appointed Nil 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 appointed to your current elective public office and seek election to the same office.
Proposed
Ballot 3
Designation(s)
Ballot
Alternate Ballot
Alternate Ballot Desionation(s) 2:
In the spaces provided on the next oage(s):
(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 ("r") 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 e'ect ve office, attach a copy of your certificate of election or appointment.
(e) Any supporting documents will not be returned to you. DR not submit originals.
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 designaton.
Rev 00024
� PI ■14
Riverside County, Registrar of Voters
P * • P
BALLOT DESIGNATION WORKSHEET
••..,..•' November 5, 2024 General Eleci:on (E ections Code §§ 13107. 13107.3. 13107.5 California Code of Regulations § 20711)
Page 2
If your proposed ballot designation contains one or more slashes ("r) separating multiple principal profession(s), vocation(s), or occupations) (collectively
known as "P W), complete a justification section for each separate PVO.
L
Justification
for use of
Proposed
Ballot
Designation(s)
If you are
proposing
alternate ballot
designations,
please provide
justification for
use of those on
Page 3.
Justification for use of 1't PVO: �
� eC.fioo �br 't ��-
�� �- __/ �Z O
Z �'Ti1
Current or most recent'ob title:
StarliEnd Dates:
Employer Name or Business:
Person who can verify this information:
Name: Phone Number(s)
Email:
Justification for use of 2"d PVO: ����� Q L��
A9-V CL k-5 d r yrT/
Current or most recent job title: herStart/End
Dates:
t�l
Employer Name or Business:
Person who can verify this information:
Name: C Phone Number(s):
�JrC
for use of 31d PVO:
nr
�
3 Ci �'•
Current or most recent job UUe-
StarliEnd Dates:
cn
Employer Name or Business:
rn'
Person who can verify this Information:
N
Name: Phony N..mber(sl:
Email
ry
�?
Before signing below, answerlinitial the following questions. Does your proposed ballot designation:
Q(��
Use only a portion of the Utle of your current elected office?
Yes g/No
Initial "
2)
Non -judicial candidates: Use only the word *Incumbent` for an elective off ce to which you were appointed?
Yes�Tlo
Initial
3)
Use more than three total words for your principal professions vocations, or occupations?
`_a es, �l
Initial
4)
Suggest an evaluation of you, such as outstanding, leading expert, v nuous, or eminent?
❑Yes Q'A`o
Initial
5)
Refer to a status (Veteran, Activist, Founder, Scholar). rather than a profession vocation, or occupations?
Dyes JA
Initial
6)
Abbreviate the word'retired?
Dyes IJAo
Initial
7)
Place the word 'retired' after the words it mcdifes? Example: Accountant, retired
❑Yes C14
Initial
8)
Use a word or prefix (except 'retired') such as 'former" or'ex- to refer to a former profession, vocation, or occupation?
❑Yes o
Initial
9)
Use the word 'refired' along with a current profession, vocation, or occupation? Example: Retired Firefighterrreacher
Dyes lilgi
Initial
10)
Use the name of a political party or political body?
Dyes
Initial
11)
Refer to a racial, religious, or ethnic group?
[]Yes o
Initial
12)
Refer to any activity prohibited by law?
Dyes Q4o
Initial
If the answer to any of these questions is "yes," your proposed ballot designation is likely
to be rejected.
X
- AA6AZ�
s Signature Date Signed: Month
Day
Year
For your reference, attached are Elections Code sections 13107,13107.3, and 13107 5r and California Code of Regulations (CCR), title 2, section 20711. You also may wish
to consult CCR. title 2 sections, 20712-20719 (found atwww sos.ca.onwl.
Rev OW024
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
Justification for
Alternate Ballot I A
Designation(s)1 L. .
Justification for
Alternate Ballot
Designation(s) 2
Ballot Designation(s) are provided. If this page is not applicable, please initial:
Justification for use of IIt PVO:
Current or most recent job title:
Start/End Dates:
Employer Name or Business:
Person who can verify this information:
Name.
Phone Number(s):
Email:
Justification for use of 2nd PVO:
Current or most recent lob title:
Start/End Dates:
Employer Name or Business:
Person who can verify this information:
Name:
Phone Number(s):
Email:
Justification for use of 3.d PVO:
r
C,1"t
Current or most recent job title:
StartlEnd Dates:
Employer Name or Business:
Person who can verify this information:
Name•
Phone Numberis}:
EmaiL
Justification for use of 1" PVO:
Current or most recent job title:
StartlEnd Dates:
Employer Name or Business:
Person who can verify this information:
Name Phone Number(s;:
Email:
Justification for use of 2nd PVO:
Current or most recent job bile.
StartlEnd Dates.
Employer Name or Business:
Person who can verify this information:
Name: Phone Number(s)
Email:
Justification for use of 31d PVO:
Current or most recent job title:
StarVEnd Dates:
Employer Name or Business:
Person who can verify this information:
Name: Phone Number(s)
Email:
Rev 05l2024
►r
STATE OF CALIFORNIA
{'
Office of the Secretary of State
_. 0
ARTICLES OF INCORPORATION
CA GENERAL STOCK CORPORATION
California Secretary of State
1500111h Street
Sacramento, Cablornia 95814
(916) 657-5448
f I I I I I I I ll I I II I I II II I I Ills I ICI I I I II III! IN
I
6178298
For Office use Only
-FILED -
File No.: 0179298
Date Filed. 511&2024
Corporation Name
Corporation Name Nestande and Associates Co
Initial Street Address of Principal Office of Corporation
Principal Address
PALM DESERT, CA 92211
Initial Mailing Address of Corporation
Mailing Address
PALM DESERT, CA 92260
Attention
Agent for Service of Process
Agent Name Gina Nestande
Agent Address
PALM DESERT, CA 92211
Shares
The total number of shares the corporation is authorized to issue is: 1,000
Does the corporation have more than one class or series of shares? No
Purpose Slalement
The purpose of the corporation is to engage in any lawful act or activity for which a corporation may be organized
under the General Corporation Law of California other than the banking business, the trust company business or the
practice of a profession permitted to be incorporated by the California Corporations Code.
Additional information and signatures set forth on attached pages, if any, are incorporated herein by reference and
made part of this filing.
Electronic Signature
® By checking this box. I acknowledge that I am electronically signing this document as the incorporator of the Corporation
and that all information is true and correct.
Michael Clark 05/1612024
Incorporator Signature Date
4
G-5 Z.
th may;,•
t
:
X
Page i of 1
United States of Amei ica '
Certyicate of Efection = �
' State of CaCfornia,
County of jr&,e46 ideSS.
1, gWCe .e. Jr&cfta City Clerk
of the City of Jahn Dewed , State of Calfornia,
certify, that at a gezeud Ajunidpal Election,
City �-
�held in the � �,, _ •�; � ; y on J ueadacV, .Naruerr&n 3, 2020,
04m Alta* Nel,5f wde,
VU5 elected to the office of
MwifteA ar
ffwohj emuwg
as appears by the official returns of the election and the statement of
votes cast now on file in my office.
I affix, my hand and official seal this
90(h day of 2020 �
!~- - 4d"U�
City Clerk
We1-. F F
� r r
J0
0�7H 0R A FFIRMA7IOJ I �
OFALLEGIANCE FOR
PUBLICO��IC'��S �D
EMPLO}EES
,State of Caftfornia,
{.. ` County of J2itte"de
?... City of .! a�rre 17eoext SS.
Thic Execution of this Oath is Required by Article XX, Section 3, of the
Constitution of the State of California.
NoWule
do sofemnfy affirm that I will support and defend the Constitution of x -�
'
the United States and the Constitution of the State of Cat forma
against aff enemies, for4n and domestic; that I will dear true faith
and allegiance to the Constitution of the 'united States and the
Constitution of the State of Cahfornia; that I take this obftgation }
freely, without any mental reservation or purpose of evasion; and that I
wiff welt and faithfully discharge the duties upon which I am about to
enter. 5
Subscribed and sworn to before me this
10 _ day of Decembex. 202U
04 cc eG z . 4-� /
Signs tfire of Officer Administering Oath
ailing eu[v &xAh
T 'e of Officer Administering Oath
yf i
Signature of Person aking Oath ERi