HomeMy WebLinkAboutDeclaration of Candidacy - Trubeeu; Riverside County, Registrar of Voters
DECLARATION OF CANDIDACY
Nonpartisan Office — For Use in Local Elections ' } J.
ar November 3, 2026, General Municipal Election (Elections Code §§ 20, 200, 8002.5, 8020, 8b20.5, 8'04O811, 13105)
For Elections
Officials USE
ONLY
By: -
Date
Official Filing Form
Filed in:
Elections
By: 1-1.e4i
Date Received:
Elections Official
,I hereby declare myself a candidate for the nomination/election to the office of &.)f\ t J e ('�Cl "—r V1, (0OnC' ( t) /,f
to be voted for at the General Municipal Election to be held on November 3, 2026, and declare the following to be true:
Candidate Name 1
and Office My name is I i
First MiddlelInitial (optional) Last
IMPORTANT NOTE: A ballot designation is optional. If one is requested, a completed BALLOT DESIGNATION WORKSHEET must be submitted. If
no ballot designation is requested, write "NONE" and initial in the box. (Elections Code §§ 13107, 13107.3)
I request my name and ballot designa!JJJQ appear on the Tballot as follows:
BallotI ru �
Information ��I1 e e-
VCandidate
initials box if
Name and ballot Print Your Name for Use on the Ballot c
designation to 2 R usin e S S NO ballot
appear on the r ` &i�o ' UWr1G�r' designation
ballot Print Ballit Designation Requested is preferred.
[If applicable in your City/County) I have a character -based name I would like to use instead of a phonetic transliteration. (You must complete Character -
Based Name Form.)
IMPORTANT NOTE: The Registrar of Voters will publish your name and proposed ballot designation. You may also have a mailing address, residential
address, email and/or phone number published on the election official's website.
ONLY CHECK ONE BOX. Please check the appropriate box to indicate which address you wish to be used for publishing purposes.
Addresses,
Telephone,
Internet
Website and
Email
Publish❑ —> Mailing Address: Apt. or Unit #
City/State/Zip Code: Publish❑ —4 Residence Address (Required): 1 \ !V
Unit#
City/State/Zip Code: �. M I✓ esg!' f1 rA 97-7- 0
Publish❑ -+ Business Address: Apt. or Unit #
Publish 0 -5
Publish ❑ —
Publish ILL —4 Internet Website: W V
Side of Page Must Be Completed
Rev: 112025
I meet the statutory and constitutional qualifications for this office (including, but not limited to, citizenship and residency). I am at present an
incumbent of the following public office (if any): , _ /+ - i -
I have not been convicted of a felony involving accepting or giving, or offering to give, any bribe, the embezzlement of public money, extortion
Qualifications 4 or theft of public money, perjury, or conspiracy to commit any of those crimes.
If nc
minated/elected, I will accept the except as permitted by state law.
Signature of Candidate
I, Lydjfl ' , 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
Oath of Office 5 reservation or purpose of evasion; and that I will well and faithfully di arge the duties upon which I am about to enter.
X
Sighjle
notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which
this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California
Countyof jLZJty 4 et?
Subscribed and sworn to (or affirmed) before me on this 3,t1'- day of 'TJTh�-1 ,20 L4 , by
G�2 h Tr .Nj e ' proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me.
4
Notary Public
or 6
Other Officer rC-�
c.)
CD
t7
Signature of Notary Public /.
(Notary Public Seal) (or other officer) y ` I (t.,e
Examined and certified by me this of 202 .
Elections Official
WARNING: Every person acting on behalf of a candidate is guilty of a misdemeanor who deliberately fai ime and in the proper place any declaration
of candidacy in the person's possession that is entitled to be filed under the provisions of the Elections Code. (Elections Code § 18202.)
Rev: 112025