HomeMy WebLinkAboutNomination Papers - PollyArt Tinoco RivCoo#0'*,t
Registrar of VotersO*
VOTE
Registrar of Voters Your Voice Every Vote Our Future
Date: July 29, 2026
To: Anthony J. Mejia
73510 Fred Waring Drive
Palm Desert, CA 92260
From: Riverside County Registrar of Voters
Contact: Angela Roots, Elections Coordinator
SUBJECT: NOMINATION SIGNATURE VERIFICATION
Matthew Ceballos
Assistant Registrar of Voters
Enclosed are the nomination signatures submitted for signature verification. We have examined
and verified against our official list of registered voters in the City of Palm Desert, District 4.
Following this review, our office has reached the following determination:
Johnathon Polly
Signatures Submitted: 22
Signatures Checked: 22
Signatures Valid: 22
If you have any questions, please do not hesitate to contact me.
Sincerely,
Angela Roots
Election Coordinator
(951) 486-7205
Copy of Petition is returned herewith.
2724 GATEWAY DRIVE, RIVERSIDE, CA 92507-0918 f {
MAIN (951) 4867200 FAX (951) 486-7335 CA RELAY SERVICE (DIAL 711) 11j I O 0
VOTEINFO.NET
Riverside County, Registrar of Voters
,�• , NOMINATION PAPER
Nonpartisan Office — For Use in Local Elections
• November 3, 2026, General Municipal Election (Elections Code §§ 100, 104, 8020.5, 8041, 8062, 8068, 8Q69, 8140; Code of Civil Procedure §
9` w ' 4.' '' 2015.5)
For Elections
Officials USE
ONLY
By: Mty J
Date Issued:
Official Filing Form
Filed In:
By: (i WI
Date Received
Elections
J!1l.?A p4 0.
Elections Official
I, the undersigned signer for Jonathon Polly for nomination to the
Name of Candidate
Candidate
Name, Office, office of Palm Desert. District 4 to be voted for at the General Municipal Election to be held on
and Signer's 1 November 3, 2026, hereby assert as follows:
CitylCounty of
Residence I am a resident of Palm Desert City and am registered to vole at the address shown on
this paper. I am not at this time a signer of any other nomination paper of any other candidate for the above -named office.
My residence is correctly set forth after my signature hereto:
�
Please Complete Affidavit of Circulator on Reverse Side
Rev: 112025
nQ111 90 /I�) , solemnly swear (or affirm) all of the following.
Print Name
I That I am 18 years of age or older.
no street or number exists, a designation of my residence adequate to readily ascertain its location is:
Affidavit of )
Circulator 3. That the signatures on this section of the nomination paper were obtained between ' 1,3 1'2_' 20_,
(to be 2 Month and Day
completed in /
' 2.0�
circulator's own and , 20 '?that I circulated this section and I witnessed the signatures on this section of the
hand) Month and Day
nomination paper being written; and thatto the best of my information and belief, each signature is the genuine signature of the person
whose name it purports to be.
I certify under penalty o' perjury under the laws of the State of California that the for
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 Califomf
County of at r`by c) e
Subscribed and sworn to (or affirmed) before me on this day of TS p .202-C,,by
, proved to me on the basis of satisfactory evidence to be the per on(s) who appeared before me.
Notary Public
or
Other Officer
Signature of Notary PublicIL(r
/� & n te,
(Notary Public Seal) (or other officer ,
Examined and certified by me this 2_8't" da L .20 7'
Elections Official %r
(TO BE ENTERED BY ELECTIONS OFFICIAL AFTER VERIFICATION) WARNING: Every person acting on behalf of a candidate is guilty of a
Number of Valid Signatures on this Section: misdemeanor who deliberately fails to file at the proper time and in the proper
Date: 1�Z9 place any nomination paper in the person's possession that is entitled to be filed
By: under the provisions of the Elections Code. (Elections Code § 18202.)
Rev: 112025
Riverside County, Registrar of Voters
NOMINATION PAPER
Nonpartisan Office — For Use in Local Elections
November 3, 2026, General Municipal Election (Elections Code §§ 100, 104, 8020.5, 8041, 8062, 8068, 8069, 8140, Code of Civil Procedure §
',,.,r.' 2015.5) . -
For Elections
Officials USE
ONLY
Official Filing Form
By: Mlbmy J N„ fa /j4
Date Issued • JW 13 2025
Filed In:
Elections Official
By: (M'.o._\ (
Dale Received: T u &
Ii ?R P4 L:
Elections Official
I, the undersigned signer for Jonathon Polly , for nomination to the
Name of Candidate
Candidate
Name, Office, office of Palm Desert. District 4 _ , to be voted for at the General Municipal Election to be held on
and Signer's 1 November 3, 2026, hereby assert as follows:
CitylCounty of
Residence I am a resident of Palm Desert City and am registered to vote at the address shown on
this paper. I am not at this time a signer of any other nomination paper of any other candidate for the above -named office.
My residence is correctly set forth after my signature hereto:
Please Complete Affidavit of Circulator on Reverse Side
Rev: 112025
J6 "Oii1.ob' Po It h , solemnly swear (or affirm) all of the following
Print Name
1. That I am 18 years of age or older.
2. That my residence address, including street and number, is '
III no street or number exists, a designation of my residence adequate to readily ascertain its location is:
Affidavit of
Circulator 3 That the signatures on this section of the nomination paper were obtained between 7 // 3 , 20 Z6
(to be 2 Month and Day
completed in
circulator's own and 20 : that I circulated this section and I witnessed the signatures on this section of the
hand) Month and Day
nomination paper being written; and that to the best of my information and belief, each signature is the genuine signature of the person
whose name it purports to be.
I certify under penalty of perjury under the laws of the State of Californi a that the
Circulator
A 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
County of [1 , ( i( ) 4'
Subscribed and sworn to or affirmed) before me on this 7. �.k�_ day of ) j %. r , 20 2(0 , by
-' ( % t .-�, proved tome on the basis of satisfactory evidence lobe the person(s) who appeared before me.
Notary Public
or
Other Officer
Signature of Notary Public
(Notary Public Seal) (or other officer) e -
Examined and certified by me this c,4i d .20 2�
Elections Official I1
(TO BE ENTERED BY ELECTIONS OFFICIAL AFTER VERIFICATION) WARNING: Every person acting on behalf of a candidate is guilty of a
Number of Valid Signatures on this Section: misdemeanor who deliberately fails to file at the proper time and in the proper
Date: place any nomination paper in the person's possession that is entitled to be filed
Byunder the provisions of the Elections Code. (Elections Code § 18202.)
Rev: 112025
Riverside County, Registrar of Voters
•�• ; NOMINATION PAPER
Nonpartisan Office — For Use in Local Elections
• November 3, 2026, General Municipal Election (Elections Code §§ 100, 104, 8020.5, 8041, 8062, 8068, 8069, 8140, Code of Civil Procedure §
2015.5)
For Elections
Officials USE
ONLY
Official Filing Form
E4ctlons Offtc
By.
Date Issued: J 3.2026
Filed In:
Elections Official
By: AV1O.9`ao1
Date Received: 2 Zcfl.
3
Elections Official
I, the undersigned signer for Jonathon Polly , for nomination to the
Name of Candidate
Candidate
Name, Office, office of Palm Desert, Dislrici 4 . to be voted for at the General Municipal Election to be held on
and Signer's 1 November 3, 2026, hereby assert as follows:
City/County of
Residence I am a resident of Palm Desert City and am registered to vote at the address shown on
this paper. I am not at this time a signer of any other nomination paper of any other candidate for the above -named office.
My residence is correctly set forth after my signature hereto:
Affidavit of Circulator on Reverse Side
Rev: 112025
I, .JOY►& kO 1 PD l 1) ,solemnly swear (or affirm) all of the following:
Print Name
1. That I am 18 years of age or older.
Affidavit of
Circulator
(to be 2
completed in
circulator's own
hand)
Notary Public
or
Other Officer
That my residence address, including street and number, is
[If no street or number exists, a designation of my residence adequate to readily ascertain its location is:
That the signatures on this section of the nomination paper were obtained between / 20,
Month and Day
and
Month and Day
, 20 Z that I circulated (his section and I witnessed the signatures on this section of the
nomination paper being written; and that to the best of my information and belief, each signature is the genuine signature of the person
whose name it purports to be.
I certify under penalty of perjury under the laws of the Slate of California that the
Dated this 2� day of ✓ (l1 20-2e
Circulator
A 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 1�.t,v((514;:le
Subscribed and sworn to (or affirmed) before me on this 2. s 1 day of —:r;v (' �, 20 '2(e, ,by
t _, proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me.
(Notary Public Seal)
Signature of Notary Public /
(or other officer)
Examined and certified by me this _
Elections Official if .t
(TO BE ENTERED BY ELECTIONS OFFICIAL AFTER VERIFICATION)
Number of Valid Signatures on this Section:
Date:
By:
I'
202X'
WARNING: Every person acting on behalf of a candidate is guilty of a
misdemeanor who deliberately fails to file at the proper time and in the proper
place any nomination paper in the person's possession that is entitled to be filed
under the provisions of the Elections Code. (Elections Code § 18202.)
z
Rev: 112025
Riverside County, Registrar of Voters
NOMINATION PAPER
Nonpartisan Office — For Use in Local Elections
November 3, 2026, General Municipal Election (Elections Code §§ 100, 104, 8020.5, 8041, 8062, 8068, 8Q69, 8140, Code of Civil Procedure §
2015.5)
For Elections
Officials USE
ONLY
By: r Nw+y J
Date Issued:
Official Filing Form
Filed in:
Elections Official
By: tip► WL4icrt.a M1j ; A
Date Received: v
JUL2R PM L : U.
Elections Official
I, the undersigned signer for Jonathon Polly for nomination to the
Name of Candidate
Candidate
Name, Office, office of Palm Desert, District 4 , to be voted for at the General Municipal Election to be held on
and Signer's 1 November 3, 2026, hereby assert as follows:
City/County of
Residence I am a resident of Palm Desert City and am registered to vote at the address shown on
this paper. I am not at this time a signer of any other nomination paper of any other candidate for the above -named office.
My residence is correctly set forth after my signature hereto:
'�
Please Complete Affidavit of Circulator on Reverse Side
Rev: 112025
/I solemnly swear (or affirm) all of the following.
Print Name
1. That I am 18 years of age or older.
2. That my residence address, including street and number, is
[If no street or number exists, a designation of my residence adequate to readily ascertain its location is:
Affidavit of
Circulator
(to be 2
completed in
circulator's own
hand)
Notary Public
or
Other Officer
3. That the signatures on this section of the nomination paper were obtained between
and 1 Zg
Month and Day
20_,
Month and Day
20 26that I circulated this section and I witnessed the signatures on this section of the
nomination paper being written; and that, to the best of my information and belief, each signature is the genuine signature of the person
whose name it purports to be.
I certify under penalty of perjury under the laws of the State of California that the
A 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
County of r .it c c.
«Subscribed and sworn to (or affirmed) before me on this 2 ''' day of T3., , 20 2 C, , by
( . , proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me.
Signature of Notary Public
(Notary Public Seal) (or other officer)
Examined and certified by me this 2... 4'-'
Elections Official nrt1.
(TO BE ENTERED BY ELECTIONS OFFICIAL AFTER VERIFICATION)
Number of Valid Signatures on this Section:
Date:
By:
20 '7 .
WARNING: Every person acting on behalf of a candidate is guilty of a
misdemeanor who deliberately fails to file at the proper time and in the proper
place any nomination paper in the person's possession that is entitled to be filed
under the provisions of the Elections Code. (Elections Code § 18202.)
Rev: 112025
Riverside County, Registrar of Voters
,, NOMINATION PAPER
Nonpartisan Office — For Use in Local Elections
November 3, 2026, General Municipal Election (Elections Code §§ 100, 104, 8020.5, 8041, 8062, 8068, 8069, 8140, Code of Civil Procedure §
2015.5) . _ .
For Elections
Officials USE
ONLY
Official Filing Form
By: Anthony J. Majia f
Date Issued: July 13 2026
Filed In:
Elections Official
By: lno.w `[4 r a
Date Received: tfl2 U
Elections Official
I, the undersigned signer for Jonathon Polly , for nomination to the
Name of Candidate
Candidate
Name, Office, office of Palm Desert, District 4 , to be voted for at the General Municipal Election to be held on
and Signer's 1 November 3, 2026, hereby assert as follows:
City/County of
Residence I am a resident of Palm Desert City and am registered to vote at the address shown on
this paper. I am not at this time a signer of any other nomination paper of any other candidate for the above -named office.
My residence is correctly set forth after my signature hereto:
Please Complete Affidavit of Circulator on Reverse Side
Rev: 112025
J ` o If, solemn) sw r (r ffr II f th f II
y ea o a i m) a o e o owing
Print Name
1. That I am 18 years of age or older.
Affidavit of
Circulator
(to be 2
completed in
circulator's own
hand)
Notary Public
or
Other Officer
2. That my residence address, including street and number, is '
street or number exists, a designation of my residence adequate to readily ascertain its location is:
3. That the signatures on this section of the nomination paper were obtained between /13 20 Z6
and Z�
Month and Day
Month and Day
20� ; that I circulated this section and t witnessed the signatures on this section of the
nomination paper being written; and that, to the best of my information and belief, each signature is the genuine signature of the person
whose name it purports to be.
I certify under penalty of perjury under the laws of the State of California that the foregying,
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
County of
Subscribed and sworn to oar affirmed) before me on this k` ' day of Jj, 20 2.k , by
u 1 t "i , proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me.
(Notary Public Seal)
Signature of Notary Public
(or other officer)
Examined and certified by me this
(TO BE ENTERED BY ELECTIONS OFFICIAL AFTER VERIFICATION)
Number of Valid Signatures on this Section:
Date:
By:
Elections Official
20 2k-'
WARNING: Every person acting on behalf of a candidate is guilty of a
misdemeanor who deliberately fails to file at the proper time and in the proper
place any nomination paper in the person's possession that is entitled to be filed
under the provisions of the Elections Code. (Elections Code § 18202.)
Rev: 112025
Riverside County, Registrar of Voters
NOMINATION PAPER
Nonpartisan Office — For Use in Local Elections
November 3, 2026, General Municipal Election (Elections Code §§ 100, 104, 8020.5, 8041, 8062, 8068, 8069, 8140, Code of Civil Procedure §
",r 2015.5)
For Elections
Officials USE
ONLY
Official Filing Form
E lions Offic'
By: MNo,y J Me,a
Date Issued: Jo 3.2026
Filed In:
By: �0- yi
Date Received:
Elections
Elections Official
I, the undersigned signer for Jonathon Polly , for nomination to the
Name of Candidate
Candidate
Name, Office, office of Palm Desert, District 4 , to be voted for at the General Municipal Election to be held on
and Signer's 1 November 3, 2026, hereby assert as follows:
City/County of
Residence I am a resident of Palm Desert City and am registered to vote at the address shown on
this paper. I am not at this time a signer of any other nomination paper of any other candidate for the above -named office.
My residence is correctly set forth after my signature hereto:
Affidavit of Circulator on Reverse Side
Rev: 112025
PRECINCT
VERIFICATION
(to be entered by
NAME
RESIDENCE (As Registered - No P.O. BOX)
(to be entered by
Elections Official)
Elections Official)
Print:
Residence Address ONLY:
9
Signature:
City or Town:
Print:
Residence Address ONLY:
10
Signature:
City or Town:
P0 h13 solemnly swear (or affirm) all of the following:
Print Name
1. That I am 18 years of age or older.
2. That my residence address, including street and number, is -
[If no street or number exists, a designation of my residence adequate to readily ascertain its location is:
Affidavit of .1
/1 3 , 20
Circulator 3. That the signatures on this section of the nomination paper were obtained between 2-4,
(to be 2 Month and Day
completed in
circulator's own and 20 ; that I circulated this section and I witnessed the signatures on this section of the
hand) Month and Day
nomination paper being written; and that, to the best of my information and belief, each signature is the genuine signature of the person
whose name it purports to be.
I certify under penalty of perjury under the laws of the State of California that
A 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
County of t;2 eve r �i C
Subscribed and sworn to (or affirmed) before me on this 1 CC`A 1 day of , �� t , 20 '2 tr , by
J v ►#nc, t � l i proved to me on the basis of satisfactory evidence toperson(s) who appeared before me.
Notary Public
or
Other Officer
Signature of Notary Public
(Notary Public Seal) (or other officer) .b X , C a.{ C
Examined and certified by me this Z'" T3. t'1 20 Z('
Elections Official /! .lt—.)
(TO BE ENTERED BY ELECTIONS OFFICIAL AFTER VERIFICATION)
Number of Valid Signatures on this Section:
Date:
By:
WARNING: Every person acting on behalf of a candidate is guilty of a
misdemeanor who deliberately fails to file at the proper time and in the proper
place any nomination paper in the person's possession that is entitled to be filed
under the provisions of the Elections Code. (Elections Code § 18202.)
Rev: 112025