THE DEADLINE TO SUBMIT NOMINATIONS IS 12:00 PM, JULY 12, 2023 ,... J - '\ ~ , • '
,J~lU:?.:1...1:W' "Z'te.,,~·r.., hereby nominate the following individual to serve on the 2023 ctf~rt'er- Review Committee:
~Councilmember
2023 JUL I 2 Ai I l I : o 9
Nominee Information :
Name: Joyce Davis
Address:
city: Santa Clara
State: CA -----------
Zip Code: _9_5_0_5_0 ___ _
E-mail Address: _ "'---------------------------------
Primary Phone Number : ____________________________ _
Secondary Phone Number : _n_/_a _________________________ _ Are you a resident of the City of Santa Clara?
(Must be a resident at time of application - Provide 2 proofs of residency: i.e. License/ID, Utility Bill or passport) Are you a registered voter of the City of Santa Clara?
(Must be a registered voter at time of application)
~Yes DNo
City policy directs all advisory body members not to vote on matters where there exists a potential conflict of interest.
Are you aware of any potential conflict that would prevent you from voting on matters to be considered by the Charter Review Committee? Oves lv'I No
Would you be willing to abstain from voting if such a conflict arises? lv'lves D No By signing below, you are affirming that if appointed, you have sufficient time to devote to this responsibility and attend meetings . Please note that the information provided on this form is a public record that may be subject to disclosure upon request.
Signatu~/·
Date S~:
1 f"j 13/23
You may submit the completed nomination form in person at: City Clerk's Office, 1500 Warburton Avenue, Santa Clara, California 95050 or emall completed form to: [email protected] THE DEADLINE TO SUBMIT NOMINATION IS 12:00 PM, JULY 12, 2023 THE DEADLINE TO SUBMIT NOMINAT IONS IS 12:00 PM, JULY 12, 2023 I, KalhYWatanabe , here by nomina te the following individual to serve on the 2023 Charter Revie w Comm ittee:
Mayor/Councilmember REC·EIVED
Nom inee Information :
Name: Satish Chan d ra
Address :
JUL .1 0 2023
City Clerk's Office
City of Santa Clara
--------------------- - - -----------
City: Sa nta Cl ara
State : C aliforni a Zip Code: _9_s_os_4 _____ _
E-mail Add ress: ------------------------- ----- --
Primary Phone Number: ____________________________ _
Second ary Phone Number: ___________________________ _
Are you a resident of the City of Santa Clara?
(Must be a resident al lime of appllcaUon - Provide 2 proofs of residency: I.e. License/ID, Utility Bill or passport) Are you a registered voter of the City of Santa Clara?
(Must be a registered voter at time of application)
~Yes ONo
City policy directs all advisory body members not to vote on matters where there exists a potential conf lict of interest.
Are you aware of any potential conflict that would prevent you from voting on matters to be co nsider ed by the Charter Review Comm ittee? Oves It,/ I No
Would you be willing to abstain from voting if such a conflict arises? Iv Ives D No By signing below, you are affirming that if appointed , you have sufficient time to devote to this responsibility and attend meetings. Please note that the information provided on this form is a public record that may be subject to disclosu re upon request.
Signature:
Date Signed: July 8, 2023
You may submit the completed nomination form in person at: City Clerk's Office, 1500 Warburton Avenue, Santa Clara, California 95050 or email completed form to: [email protected] THE DEADLINE TO SUBMIT NOMINATION IS 12:00 PM, JULY 12, 2023 THE DEADLINE TO SUBMIT NOMINATIONS IS 12:00 PM, JULY 12, 2023 Raj Chahal hereby nominate the following individual to serve on the 2023 Charter Review Committee:
I, --==--::-----.::-:'.'.' Mayor/Councllmember
aECJttVED
J\.ll l O 'l.021 Nomine e Information :
Name: Chiragkumar Patel ·t C(e(KS omGa
g;\~ of santa Clara
Address: ...:·::..:·:__ ___ .....;:;===-__..!~--------------lool-~- _i...=..; ____ _ city: Santa Clara
State: _C_A _______ _ Zip Code: _9_5_0_5_0 ___ _
E-mail Address: ______________________________ _
Primary Phone Number: ___________________________ _
Secondary Phone Number: __________________________ _
lX} Yes ONo
ti}ves 0No
Are you a resident of the City of Santa Clara?
(Muat be a resident at Ume of appllcallon - Provide 2 proofs of residency: t.e License/ID, UW,ty Bill or passport)
Are you a registered voter of the City of Santa Clara?
(Must be a reglslered voter at time of application)
City policy directs all advisory body members not to vote on matters where there exists a potential conflict of interest.
Are you aware of any potential conflict that would prevent you from voting on matters to be considere d by the Charter Review Committee? O ves ~ No
Would you be willing to abstain from voting if such a conflict arises? ~Yes O No By signing below, you are affirming that if appointed, you have sufficient time to devote to this responsi bility and attend meetings. Please note that the Information provided on this form is a public record that may be subject to disclosure upon request.
Signature: C /J /~ , ,
Date Signed: 6 7 /Jo/ 2.P'2]
You may submit the completed nomination form In person at: City Clerk's Office, 1500 Warburton Avenue, Santa Clara, Callfornla 95050 or email completed form to: [email protected] THE DEADLINE TO SUBMIT NOMINATION IS 12:00 PM, JULY 12, 2023 THE DEADLINE TO SUBMIT NOMINATION S IS 12:00 PM, JULY 12, 2023 I, Karen HardY , hereby nominate the following individual to serve on the 2023 Charter Review Committee:
Mayor/Councilmember REC~JVED
Nominee Information :
Name: Christine Koltermann
JUL _1 0 2023
City Clerk's Otfice
City of Santa Cla,a
Address: ------------------------ ----------- -
City: Santa Clara
State: CA -----------
Zip Code: _9_5_0_5_1 ___ _
E-mail Address : --------=--=---- ---------------- ---- Primary Phone Number : _________________ ___________ _
·secondary Phone Number: ____ __________________ _____ _ Are you a resident of the City of Santa Clara?
(Must be a resident at time of application - Provide 2 proofs of residency; i.e. License/ID, Utility Bill or passport) Are you a registered voter of the City of Santa Clara?
(Must be a registered voter at time or application)
llJ Yes DNo
llJ Yes DNo
City policy directs all advisory body members not to vote on matters where there exists a potential conflict of interest.
Are you aware of any potential conflict that would prevent you from voting on matters to be considered by the Charter Revie~ Committee? O ves I/ I No
Would you be willing to abstain from voting if such a conflict arises? I/Iv es D No By signing below, you are affirming that if appointed , you have sufficien t time to devote to this responsibility and attend meetings . Please note that the information provided on this form is a public record that may be subject to disclosure upon request.
Signature:
Date Signed : 7/10/23
You may submit the completed nomination form in person at: City Clerk's Office, 1500 Warburton Avenue, Santa Clara, California 95050 or email comp leted form to: clerk@santac laraca.gov THE DEADLINE TO SUBMIT NOMINATION IS 12:00 PM, JULY 12, 2023 THE DEADLINE TO SUBMIT NOMINATIONS IS 12:00 PM, JULY 12, 2023 1, Kevin Pa~k , here by nominate the followi ng individual to serve on the 20~~~~'fl~ mittee:
Mayor/Counc1lmember fti!i"-1:!,1 \' l!,U
Nominee Information:
Name: Daniel Huynh
JUL 1 3 2023
City Clerk's Office .
City of Santa Clara .
Address: -------------------------- --------
City: Santa Clara
State: California Zip Code: 95051
E-mail Address: ----- - ------ - --------------------
Primary Phone Numb er: ____________________________ _
Secondary Phone Number: ___________________________ _
Are you a resident of the City of Santa Clara?
(Must be a resident at lime of application - Provide 2 proofs of residency: I.e. License/ID, Utility Bill or passport) Are you a registered voter of the City of Santa Clara?
(Must be a registered voter at time of application)
[Z] Yes DNo
[Z] Yes D No
City policy directs all advisory body members not to vote on matters where there exists a potential conflict of interest.
Are you aware of any potential conflict that would prevent you from voting on matters to be considered by the Charter Review Committee? 0Yes 1 ✓ 1 No
W ould you be willing to abstain from voting if such a conflict arises? l ✓ I Yes D No By signing below, you are affirming that if appoi nted, you have sufficient time to devote to this responsibility and attend meetings. Please note that the information provided on this form is a public record that may be subject to disclosure upon request.
Signature:
Date Signed: 7/1 3/23
You may submit the completed nomination form in person at: City Clerk's Office, 1500 Warburton Avenue, Santa Clara, California 95050 or email completed form to: clerk@santacla raca.gov THE DEA DLIN E TO SUBMIT NOMI NATION IS 12:00 PM, JULY 12, 2023 THE DEADLINE TO SUBMIT NOMINATI ONS IS 12:00 PM, JULY 12, 2023 I, Sudha nsh u Jain, hereby nominate the following individual to serve on the 2023 Cha rter Review Comm ittee:
Mayor/Coun cilmemb er
Nominee Information :
Name: Jeff Houston
Address:
City: Santa Clara
RECEIVED
JUL· 3 2023
City Clerk's Office
city of Santa Clara
State : CA ------------ Zip Code : _9_5_0_5_0 ____ _
E-mail Address : --------------------- -------- -----
Primary Phone Numbe r: _____________________________ _
·, Secondary Phone Number: _n_/_a _____________ _____________ _ Are you a resident of the City of Santa Clara?
(Must be a resident al time of application - Provide 2 proofs of residency: I.e. License/ID, Utility Bill or passport) Are you a registered voter of the City of Santa Clara?
{Must be a registered voter al time of application)
[ZJ Yes DNo
[Z] Yes DNo
City policy directs all adv isory body members not to vote on matters where there exists a potential conflict of interest.
Are you aware of any potent ial conflict that would prevent you from voting on matters to be considered by the Charter Review Comm ittee? Oves I ✓ I No
Would you be willing to abstain from voting if such a conflict arises? I ✓ Ives D No By signing below, you are affirm ing that if appo inted, you have suffic ient time to devot e to this responsibility and attend meet ings . Please note that the information provided on this form is a public record that may be subject to disclosure upon request.
Signature:
Digilally signed by Jell Houston
Jeff Houston Dato:2023 .07.02 16:34:13
-07'00'
Date Signed: 7 /2/23
You may submit the completed nomination form in person at: City Clerk's Office , 1500 Warburton Avenue , Santa Clara, California 95050 or email completed form to: clerk@sa ntaclaraca.gov THE DEADLINE TO SUBMIT NOMINATION IS 12:00 PM, JULY 12, 2023 THE DEADLINE TO SUBMIT NOMINATIONS IS 12:00 PM, JULY 12, 2023 I, Anth0 ny Becker , hereby nominate the followi ng individual to serve on the 2023 Charter Review Com.p~~:
Mayo r/C,ouncilmember RECEJ V ~D
l~) ..
JUL. 0-'~ 2023 Nominee Inform ation:
Name: Clysta Seney (registered as Clysta ES Mclemore) City Clerk's Office City of Santa Clara
Address: --------- ----- ----- --------------
City: Santa Clara
State : CA ----------- Zip Code: 95050
E-mai l Address: --=---------=;...._---=------------------------ Primary Phone Number: _________ ______ _____ _______ _
Secondary Phone Number: _N_A ___________ ______ ________ _ Are you a resident of the City of Santa Clara?
(Musi be a resident at time or application - Provide 2 proofs of residency: Le. License/ID, Utility Bill or passport) Are you a registered voter of the City of Santa Clara?
(Must be a registered voter at time or application)
~ Yes ONo
City policy directs all advisory body members not to vote on matters where there exists a potential conflict of interest.
Are you aware of any potential conflict that would prevent you from voting on matters to be cons idered by the Charter Review Committee? O ves !vi No
Would you be willing to abstain from voting if such a conflict arises? lvlves D No By signing below, you are affirm ing that if appointed , you have sufficient time to devote to this responsibi lity and attend meetings. Please note that the information provided on this form is a public record that may be subject to disclosure upon request.
Signature: ~ , .,/<14~
Date Signed: ']u4 ~ 1 ;2..0d...3
You may submit the com pleted nomination form In person at: City Clerk's Office , 1500 Warburton Avenue , Santa Clara, California 95050 or email completed form to: [email protected] THE DEADLINE TO SUBMIT NOMINATION IS 12:00 PM, JULY 12, 2023