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Home My WebLink AboutTorres, Abrianna, Ballot Designation Information Worksheet)~rnrtln,� lien• l m,prnhn.? 9020 i&,m r,r_-rf In tin errrrlrlrl 47 r! rPhlrrlpo EXPIRES: December 31. 2020 t) (.., k� BALLOT DESIGNATION WORKSHEET .-�... Pursuant to California Elections Code Section 13107,13107.3,13107.5; California Code of Regulations Section 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 NIA in the space provided. Otherwise the information MUST be provided. UPON FILING, THIS WORKSHEET WILL BE PUBLIC RECORD. Candidate Name: Abrianna Torres Office of: San Luis Obispo City Council Home Address: 1472 Noveno Avenue San Luis Obispo, CA 93401 Mailing Address: P•0. Box 13738 San Luis Obispo, CA 93406 Business Address: N/A Business Phone: N/A Fax Number: N/A Other Person Authorized to Act in Your Behalf or Not Applicable: 7 Home/Mobile Phone: (805)305-9773 E-Mail: ab@abriannatorres.com Attorney Name: N/A Office: N/A Home Address: NIA Business Address: N/A Mailing Address: N/A Business Phone: N/A Fax Number: N/A Home/Mobile Phone: N/A E-Mail : N/A PROPOSED BALLOT DESIGNATION. Sfflall8usiness Consultant 1 Coach ~ 11@094hlete 1st Alternative: Small Business Consultant I Coach 2nd Alternative: Business Consultant I Coach You may select as your ballot designation one of the following: (a) Your current principal profession(s), vocation(s), or occupation(s) [maximum total of three words, separated by a "P']. (b) The full title of the public office you currently occupy and to which you were elected. (c) "Appointed [full title of public office]" if you currently serve by appointment in an elective public office and are seeking election to a different office. (d) "Incumbent" if you were elected (or, if you are a Superior Court Judge, appointed you are a candidate for the same office that you hold) to your current public office and seek election to a new term. (e) "Appointed Incumbent" if you were appointed to your current elective public office (other than Superior Court Judge) and seek election to a new term. In the space provided on the next page or on an attachment sheet, describe why you believe you are entitled to use the proposed ballot designation. If your proposed ballot designation contains one or more slashes ("P) 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. Attach any documents or exhibits that you believe support your proposed ballot designation. If using the title of an elective office, attach a copy of your certificate of election or appointment. These documents will not be returned to you. Do n9t submit originals, 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 designation. Forms_NominationDocuments0allotDesignation Worksheet, Rev. 1012019 MCADirect rill of. C?n I HOC OhisPn PAGE 4 Hequlred io bo ,yiven to Gandidaie. .N,lnv�pihnr?. 2020 kb(fultua i0 be Slgneu and reiurneu. REMEMBER, IT IS YOUR RESPONSIBILITY TO JUSTIFY YOUR PROPOSED BALLOT DESIGNATION AND PROVIDE ALL REQUESTED DETAILS. For your reference, following page 6 are Elections Code Sections 13107-13107.5 and California Code of Regulations (CCR) Section 20711. You may also wish to consult Elections Code Section 13107.5 ("community volunteer") and CCR Sections 20712 - 20719 (found at www.sos.ca.gov). If your proposed ballot designation contains one or more slashes "/" separating multiple principal profession(s), vocation(s), or occupation(s) (collectively known as "PVOs"), complete a justification section for each separate PVO. Justification for use of proposed ballot designation (1st PVO): I am a Small Business Consultant for Paychex. Current or Most Recent Job Title: Small Business Consultant Employer Name or Paychex Business: Name(s): Shaney Cox Name(s): Start Date: 08/16/19 End Date: current Person(s) Who Can Verify this Information: Phone Number: (559)905-7020 E-Mall: gIrnx(n�navrhax rnm Justification for use of proposed ballot designation (2nd PVO): 3m a track coach for San Luis Obispo High School. Current or Most Recent Job Title: Track Coach Employer Name or San Luis Obispo High School Business: Name(s): Dave Gomes Name(s): Phone Number: E-Mail: Start Date: ng/gnl 7 End Date: current Person(s) Who Can Verify this Information: Phone Number: (805)748-9472 E-Mail: dgomes@slcusd.org Phone Number: E-Mail: Forms_ NominatlonDocuments0allotDesignation Worksheet, Rev. 1012019 MCADirect City of.' San Luis Obispo PAGE 4 Required to be given to candidate. -ate: No :. 3, Required to be signed and returned. De , , 31 . - : - REMEMBER, IT IS YOUR RESPONSIBILITY TO JUSTIFY YOUR PROPOSED BALLOT DESIGNATION AND PROVIDE ALL REQUESTED DETAILS. For your reference, tcllowinn Dane 6�ane 6 are Elections Code Sections 13107-13107.5 and California Code of Regulations (CCR) Section 20711. You may also wish to consult Elections Code Section 13107.5 ("community volunteer") and CCR Sections 20712 - 20719 (found at www.sos.ca.gov). If your proposed ballot designation contains one or more slashes "i" separating multiple principal profession(s), vocation(s), or occupation(s) (collectively known as TVOs"), complete a Justification section for each separate PVO. Justification for use of proposed ballot designation (1st PVO): was a heptathlete at the University of Colorado and continued to compete professionally post-collegiately. Current or Most Recent Job Title: Heptathlete Employer Name or Business: Name(s): Dave Gomes Name(s) Start Date: 08/2011 Person(s) Who Can Verify this Information: Justification for use of proposed ballot designation (2nd PVO): Current or Most Recent Job Title: Employer Name or Business: Name(s): Name(s): Phone Number: (805)748-9472 E-Mail: dgomes@slcusd.org Phone Number: E-Mail: Start Date: Person(s) Who Can Verify this Information: Phone Number: E-Mail: Phone Number: E-Mall: End Date: current End Date: Forms_NominationDocumentslBallotDesignation Worksheet, Rev. 1012019 MCADirect 6 Citvof San Luis Ohisnn NAVE n Keoulrea to De uiven io cartutt__ Election Date: November 3. 2020 keauirea to ne stanea ana rerr.Fr EXPIRES: Derember31.202C Before signing below, answer the following questions: Does your proposed ballot designation: -Use only a portion of the title of your current elected office? -Use only the word "Incumbent" for an elective office (other than Superior Court Judge) to which you were appointed? -Use more than three total words for your principal professions, vocations or occupations? -Suggest an evaluation of you, such as outstanding, leading, expert, virtuous, or eminent? -Refer to a status (Veteran, Activist, Founder, Scholar), rather than a profession, vocation or occupation? -Abbreviate the word "retired"? -Place the word "retired" after the words it modifies? Example: Accountant, retired -Use any word or prefix (except "retired") such as "former" or "ex-" to refer to a former profession, vocation or occupation? -Use the word "retired" along with a current profession, vocation or occupation? Example: Retired FirefighterlTeacher -Use the name of a political party or political body? -Refer to a racial, religious, or ethnic group? -Refer to any activity prohibited by law? If the answer is to any of these questions is "Yes," your proposed Ballot Designation is likely to be rejected. Candidate's Signature:�..� Yes ❑ No ❑✓ Yes ❑ No ❑✓ Yes ❑ No ❑✓ Yes ❑ No ❑✓ Yes ❑ No ❑✓ Yes ❑ No ❑✓ Yes ❑ No ❑✓ Yes ❑ No ❑✓ Yes ❑ No ❑✓ Yes ❑ No ❑✓ Yes ❑ No ❑✓ Yes ❑ No ❑✓ Date: 9 f J ? Forms_NominationDocumentslBallotDesignation Worksheet Rev. 1LU2019 MCADirect