Cedric Edwards - Place 4AW2 -15, 7/2011
Prescribed by Secretary of State
Sections 141.031, 143.004, 143.006, Texas Election Code
All information is required to be provided unless indicated as optional.
APPLICATION FOR A PLACE ON THE CITY OF y GENERAL ELECTION BALLOT
TO: City Secretary
I request that my name be placed on the above -named official ballot as a candidate for the office indicated below.
OFFICE SOUGHT Include any place number or other distinguishing number, if any. INDICATE TERM
0 �Jl FULL 0 UNEXPIRED
i �-, 0 Liu � C 1 I�
FULL NAME (First, Middle, Last) PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALL OT
Cad �� �. �,���� � � � � �� � ►® �'��� �` � ���t� ��,-�' s
PERMANENT RESIDENCE ADDRESS (Street address and apartment MAILING ADDRESS (If different from residence address)
number. If none, describe location of re deuce. Do not include P.O.
Box or Rural Rt.) t)) Lp ke (A()ti)Cv U
CITY STATE ZIP CITY STATE ZIP
1, e -Z, ) I'i 15
EMAIL ADDRESS (Optional) OCCUPATION (Do not leave blank) DATE OF BIRTH VOTER REGISTRATION VUID NUMBER
(if applicable)
CCL�u�rrcl� S(!�C�✓�jZ .0 ,, 1�1QAC1 0,I A6\V 5L�� �`�1� 67
c
TELEPHONE NUMBER (Include area code) (Optional)
Length of Continuous Residence as of Date Application Sworn
OFFICE: -- (
IN STATE IN CITY IN DISTRICT OR PRECINCT'
yr(s) r-d yr(s) — yr(s)
HOME: 1 U
— mos _ mos _ mos
If using a nickname as part of your name to appear on the ballot, you are also signing and swearing to the following statements: I further
social, or religious view or affiliation. I have
swear that my nickname does not constitute a slogan nor does it indicate a political, economic,
been commonly known by this nickname for at least three years prior to this election.
Before me, the undersigned authority, on this day personally appeared (name) C' C: z t who being by me
"I,
here and now duly sworn, upon oath says: (name)
swear that I will support and
County, Texas, being a candidate for the office of %,
defend the Constitution and laws of the United States and of e State of Texas. I a citizen of the United States eligible to hold such office under
the Constitution and laws of this state. I have not been finally convicted of a felony for which I have not been pardoned or had my full rights of
been determined by a final judgment of a court exercising probate jurisdiction to be totally
citizenship restored by other official action. I have not
incapacitated or partially mentally incapacitated without the right to vote. I am aware of the nepotism law, Chapter 573, Government Code.
mentally
I further swear that the foregoing statements included in my application are in all things true and correct."
SIGNATURE OF CANDIDATE
Sworn and subscribed before me ai this the day of
BRENORIME DENNIS
NOTARY PUBLIC
L ft A- STATE OF TEXAS
l Title of O cer a istering oath MY Cotnmisslon Explres 1103.18
ignature of Officer administering oath'
SECRETARY:
TO BE COMPLETED BY CITY
(See Section 1.007)
Date Received Signature of City Secretary
TGvnc P:thinc r:nmmicQinn P n Rny 1 ?n7n Austin. Texas 78711 -2070 (512) 463 -5800 (TDD 1- 800 -735 -2989)
APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA
Y A CANDIDATE PG
See CTA Instruction Guide for detailed instructions.
1 Total pages filed:
2 CANDIDATE
NAME
MS /MRS /MR FIRST MI
N' \ R
OFFICE USE ONLY
Acct. #
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NICKNAME LAST SUFFIX
Date Received jj `
3 CANDIDATE
ADDRESS / PO BOX; APT/ SUITE #; CITY; STATE; ZIP CODE
MAILING
ADDRESS
4 CANDIDATE
AREA CODE PHONE NUMBER EXTENSION
Date Hand - delivered or Postmarked
PHONE
^
b> j p 4
Date Processed
5 OFFICE
HELD
l
, � a�
Date Imaged
(if any)
L`y'1 e-f l
6 OFFICE
SOUGHT���
(if known)
7 CAMPAIGN
TREASURER
MS/MRS /MR FIRST MI NICKNAME LAST SUFFIX
NAME
8 CAMPAIGN
TREASURER
STREET ADDRESS (NO 1POlBOX jPPLLEAgSE�);, APT / SUITE t !CITY; STATE; / ZIP- CODE
f �• �'--� �LilL2V` ` (0 `�4
STREET
l l I\ i �
/ 1 ��
ADDRESS
(residence or business)
9 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
J
/I l `� '� ,' 3
10 CANDIDATE
SIGNATURE
I am aware of the Nepotism Law, Chapter 573 of the Texas Government Code.
I am aware of my responsibility to file timely reports as required by title 15 of
the Election Code.
am aware of the restrictions in title 15 of the Election Code on contributions
from 9prporations and labor organizations.
Signature of Candidate Date Signed
GO TO PAGE 2
www.ethics.state.tx.us Revised 07/14/2010
TPY59C Fthicc (:nmrniccinn P _ Rnx 1 ?n7n Austin. Texas 78711 -2070 (512) 463 -5800 (TDD 1- 800 -735 -2989)
CANDIDATE MODIFIED FORM CTA
DEPORTING DECLARATION PG 2
11 CANDIDATE
NAME
12 MODIFIED
REPORTING
COMPLETE THIS SECTION ONLY IF YOU ARE
DECLARATION
CHOOSING MODIFIED REPORTING
•• This declaration must be filed no later than the 30th day before
the first election to which the declaration applies. •-
•• The modified reporting option is valid for one election cycle only. ••
(An election cycle includes a primary election, a general election, and any related runoffs.)
•• Candidates for the office of state chair of a political party
may NOT choose modified reporting. •-
I do not intend to accept more than $500 in political contributions or
make more than $500 in political expenditures (excluding filing fees)
in connection with any future election within the election cycle.
I understand that if either one of those limits is exceeded, I will be
required to file pre - election reports and, if necessary, a runoff
report.
C r_1
r,
Year of election(s) or election cycle to Signature of Candidate
which declaration applies
This appointment is effective on the date it is filed with the appropriate filing authority.
www.ethics.state.tx.us Revised 07/14/2010
A.. C -r ,, 7a711_9mn 15121463 -5800 (TDD 1- 800 - 735 -2989)
texas c>:nlcs uonuntssivn - -- - -
CODE OF FAIR CAMPAIGN FORM CFCP
COVER SHEET
PRAC TICES
OFFICE USE ONLY
Pursuant to chapter 258 of the Election Code, every candidate and
DateRecelved
political committee is encouraged to subscribe to the Code of Fair
Campaign Practices. The Code may be filed with the proper filing
P �
authority upon submission of a campaign treasurer appointment -
form. Candidates or political committees that already have a
current campaign treasurer appointment on file as of September 1,
Date Hand - delivered or Postmarked
1997, may subscribe to the code at any time.
Date Processed
Subscription to the Code of Fair Campaign Practices is voluntary.
Date Imaged
1 ACCOUNT NUMBER
2 TYPE OF FILER
(Ethics Commission Filers)
POLITICAL COMMITTEE El
If filing as a candidate, complete boxes 3 - 6, If filing for a political committee, complete
then read and sign page 2. boxes 7 and 8, then read and sign page 2.
3 NAME OF CANDIDATE
TITLE (Dr., tr Ms., etc.) FIRST /2MI
(PLEASE TYPE OR PRINT)
`-°° J
._ ............ ....
NICKNAME LAST SUFFIX (SR.,JR., III, eta)
4 TELEPHONE NUMBER
AREA CODE PHONE NUMBER EXTENSION
OF CANDIDATE
/ (1�1
`C L 1 6—e
(PLEASE TYPE OR PRINT)
5 ADDRESS OF CANDIDATE
STREET /PO BOX; APT /SUITE#; CITY; STATE; ZIP CODE
� �
(PLEASETYPE OR PRINT)
I l�/ � � ���°L-' l • 1 � �C -ate.° Shy `C.' " l � -�i
[[
6 OFFICE SOUGHT
BY CANDIDATE
(PLEASE TYPE OR PRINT)
7 NAME OF COMMITTEE
(PLEASE TYPE OR PRINT)
8 NAME OF CAMPAIGN
TREASURER
TITLE (Dr., Mr., Ms., etc) FIRST MI
�.r` ar'��
(PLEASE TYPE OR PRINT)
..... .
NICKNAME LAST SUFFIX (SR., JR., III, eta)
GO TO PAGE 2
www.eth1cs.state.tx.us Revised 11 1'zjizWlU
F. v. OUA IGU /V /AWSLIH, IeXas tOt I- I -ZU /U (bl Z)4bd -bBUU (IUL) 1 -800-
There are basic principles of decency, honesty, and fairplay that every candidate andpolitical committee in this state
has amoral obligation to observe anduphold, in order that, after vigorously contestedbut fairly conducted campaigns,
our citizens may exercise their constitutional rights to a free and untrammeled choice andthe will ofthe people maybe
My and clearly expressed onthe issues.
THEREFORE:
(1) I will conduct the campaign openly and publicly and limit attacks on my opponent to legitimate challenges to my
opponent's record and stated positions on issues.
(2) I will not use or permit the use of character defamation, whispering campaigns, libel, slander, or scurrilous attacks
on any candidate or the candidate's personal or family life.
(3) I will not use or permit any appeal to negative prejudice based on race, sex, religion, or national origin.
(4) I will not use campaign material of any sort that misrepresents, distorts, or otherwise falsifies the facts, nor will I
use malicious or unfounded accusations that aim at creating or exploiting doubts, without justification, as to the
personal integrity orpatriotism ofmy opponent.
(5) I will not undertake or condone any dishonest or unethical practice that tends to corrupt or undermine our system
of free elections or that hampers or prevents the full and free expression of the will of the voters, including any
activity aimed at intimidating voters or discouraging them from voting.
(6) I will defend and uphold the right of every qualified voter to full and equal participation in the electoral process,
and will not engage in any activity aimed at intimidating voters or discouraging them from voting.
(7) I will immediately and publicly repudiate methods and tactics that may come from others that I have pledged not
to use or condone. I shall take firm action against any subordinate who violates any provision of this code or the
laws governing elections.
I, the undersigned, candidate for election to public office in the State of Texas or campaign treasurer of a political
committee, herebyvoluntarily endorse, subscribe to, and solemnlypledge myselfto conduct the campaign in accordance
with the above principles and practices.
ature
Date
www.ethics.state,tx.us Revised 11123/2010