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Home My WebLink AboutMarx, Jan Howell Ballot Designation Information SheetCity of, San Luis Obispo PAGE 3 � - -.. yilm& Q b? gi Election Da€e., November 3, 2020 R EXPIRES., December 31,1020 BALLOT DESIGNATION IWORKSHEET AUG 11' Lazo Pursuant to California Elections Code Section 13107,13107.3, 13107.5; California Code of Regulations Section 20711. Tkis e0(irp forfq must be corn not be accepted and you will not be entitled to a ballot designation. DO NOT LEAVE ANY RESPONSE SPACES BLANK. Ifin a iow &40 please write N/A in the space provided. Otherwise the information MUST be provided. UPON FILING, THIS WORKSHEET WILL BE PUBLIC IMOM Candidate Name: Jan Howell Marx Office of: San Luis Obispo City Council Home Address: 265 Albert Drive San Luis Obispo CA 93405 Mailing Address: 265 Albert Drive San Luis Obispo CA 93405 Business Address: San Luis Obispo College of Law 4119 Broad Street #200 San Luis Obispo CA 93401 Business Phone: (805) 541-2716 Fax Number: N/A Other Person Authorized to Act in Your Behalf or Not Applicable: x Attorney Name: N/A Home Address: N/A Business Address: N/A Mailing Address: N/A Business Phone: N/A Fax Number: N/A Home/Mobile Phone: (805) 541-2716 E-Mail : janmarx@stanfordalumni.org Office: N/A Home/Mobile Phone: N/A E-Mail : N/A PROPOSED BALLOT DESIGNATION: Dean/Professor/Lawyer list Alternative: Dean/Professor/Lawyer 2nd Alternative: Dean/Lawyer/Professor to candidate, it will 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 "i" ]. (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 ('T') 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 not 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_NominalionDocumen€slBallotDesignation Worksheet, Rev. 1012019 MCADirec€ City of., San Lids Obispo PAGE 4 Required to be given to candidate. Ffection Date: November 3, 2020 Required to be signed and returned. EXPIRES. December31, 2020 REMEMBER, IT IS YOUR RESPONSIBILITY TO JUSTIFY YOUR PROPOSED BALLOT DESIGNATION AND PROVIDE ALL REQUESTED DETAILS. For your reference, fa, bAing_pa a 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'Y" 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): am the San Luis Obispo College of Law Campus Dean Current or Most Recent Job Title: Campus Dean Employer Name or San Luis Obispo College of Law Business: Name(s): Dena Dowsett, Campus Administrator Name(s): N/A Start Date: August 1, 2018 Person(s) Who Can Verify this Information: Phone Number: (831) 233-9861 E-Mail: ddowsett@slolaw.org Phone Number: NIA E-Mail: NIA End Date: current Justification for use of proposed ballot designation (2nd PVO): I teach various courses at the San Luis Obispo College of Law. This summer I taught the Master of Legal Studies Thesis course. Current or Most Recent Job Title: Professor Start Date: May 11, 2020 End Date: July 24, 2020 Employer Name or San Luis Obispo College of Law Business: Person(s) Who Can Verify this Information: Phone Number: (831) 233-9861 Name(s): Dena Dowsett E-Mail: ddowsett@slolaw.org Name(s): NIA Phone Number: NIA E-Mail: NIA Forms_ NominationDocumentslBallot Designation Worksheet, Rev. 1012019 MCADirect City of: San Luis Obispo PAGE 4 Required to be given to candidate, Election, Date: November 3, 2020 Required to be signed and returned, EXPIRES: December 31,2020 REMEMBER, IT IS YOUR RESPONSIBILITY TO JUSTIFY YOUR PROPOSED BALLOT DESIGNATION AND PROVIDE ALL REQUESTED DETAILS. For your reference, following ra. ig 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 7" 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): am the San Luis Obispo College of Law Campus Dean Current or Most Recent Job Title: Campus Dean Start Date: August 1, 2018 Employer Name or San Luis Obispo College of Law Business: Name(s): Dena Dowsett, Campus Administrator Name(s): N/A Person(s) Who Can Verify this Information: Phone Number: tAi11 9s�_gRr1 E-Mail: ddowsett@slolaw.org Phone Number: NIA E-Mail: N/A End Date: current Justification for use of proposed ballot designation (2nd PVO): Justification for use of proposed ballot designation (3d PVO) I am an active attorney licensed by the State Bar of California, license #138704 Current or Most Recent Job Title: Attorney Employer Name or Owner and principal attorney Business: Start Date: December 1988 End Date: current Person(s) Who Can Verify this Information: Name(s): The State Bar of California Records Request Staff Name(s): N/A Phone Number: 415-538-2283 E-Mail: pra@calbar.gov Phone Number: N/A E-Mail: N/A Forms_ NominationDocuments0allotDesignation Worksheet, Rev. 10/2019 MCADirect city of San Luis Obispo PAGE 5 Required to be given to candidate. Election Date: November 3, 2020 Required to be signed and returned. EXPIRES: December 31, 2020 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. Yes ❑ No ❑✓ Yes ❑ No ❑✓ Yes ❑ No 0 Yes ❑ No 0 Yes ❑ No 0 Yes ❑ No ❑✓ Yes ❑ No ❑✓ Yes ❑ No 0 Yes ❑ No ❑✓ Yes ❑ No ❑✓ Yes ❑ No ✓❑ Yes ❑ No vt' Candidate's Signature: Date: f cl^ 'a 2 a Forms_NominationDocumentslBallot Designation Worksheet, Rev. 1012019 MCADirect