HomeMy WebLinkAboutNomination Application - QuintanillaAPPLICATION FOR NOMINATION PAPERS -- CITIES
ELECTION DATE: November 5, 2024
TO BE COMPLETED BY CANDIDATE
NAME
INCLUDING CITY AND ZIP
MAILING ADDRESS IF DIFFERENT FROM RESIDENCE
E-Mail Address:
TELEPHONE NUMBER(S): Day (
Eve. (
DATE
Full Term ❑ Short Term
Palm Desert City Council District 'L
OFFICE SOUGHT DISTRICTIWARD (if applicable)
OFFICE USE
Registration checked by: N—N U1/ (951) 486-7200 or 800-773-8683
(CLERK AT ROV OFFICE)
Precinct Number: �� :� Date of Registration:
issued by:
(CITY CLERKIDEPUTY)
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Official Filing Form
Ballot Designation Worksheet
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Candidate's Statement Form
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Code of Fair Campaign Practices
Statement of Economic Interests/Manual
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Resolution concerning Candidate Statement
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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.
[`Yes
❑ No (If NO, you
, ) 1
mailing address):
�uY rs t 20;11 #
DATE OF SIGNING
NOTE: A Spanish version of the required forms is available upon request.
La versibn en esparicl de as formas requeridas est;§n disponibles at sohatarias