Judith WilliamsAPPLICATION FOR A PLACE ON THE
TO: City Secretary/Secretary of Board
Nbv�hohe .1 d2i
2 -21
Prescr bed by Secretary of State
Section 141.031, Chapters 143 and 144, Texas Election Code
112017
GENERAL ELECTION BALLOT
i request that my name be placed on the above -named officiai baliot as a candidate for the office indicated below.
OFFICE SOUGHT (include any place number or other distinguishing number, if any.) INDICATE TERM
,50- Ae -i-1-Z FULL
❑UNEXPIRED
FULL NAME (First, Mid
PRINT NAME AS YOU WANT IT TO APPEAR ON THE
PERMANENT RESIDENCE ADDRESS (Do not include a P.O. Box or Rural PUBLIC MAILING ADDRESS (Campaign mailing address, if available.)
Route. If you do not have a residence address, describe the address
at which you receive personal mail and location of residence.)
CITY
�__Z
STATE zip CITY
PUBLIC EMAIL ADDRESS (If available)
,rI1--C-74JL dl7l_� W/ 1 1ia v>
77Y �1'7AJ54-11
OCCUPATION (Do not leave blank) I DATE OF BIRTH
TELEPHONE C6NTACT INFORMATION (Optional)
Home:
Cl �ls
STATE I ZIP
VUTFR REGISTRATION VOID
NUMBER (Optional) 2
OF CONTINUOUS RESIDENCE AS OF DATE APPLICATION SWORN
IN STATE IN TERRITORY FROM WHICH THE
OFFICE SOUGHT IS ELECTED
Work:
J � year (s) � year (s)
j Cell:
month(s) _ � month(s)
If using a nickname as part of your name to appear on the ballot_, you are also signing and swearing to the follo%Aiipg statements: I further swear
that my nickname does not constitute a slogan nor does it indicate a political, economic, social, or religious view or affiliation. I have been
commonly known by this nickname for at least three years prior to this election.
FBefore me, the undersigned authority, on this day personally appeared who being by me
here and now duly sworn, upon oath sags:: >
1, (name)' JLJZ)"7 —A1 1/V / �� �M� of )�e-J �/ �,
C./ 1_ County, Texas, being a
candidate for the office of COUAlt?1 / ME/UbF12 swear that I will support and defend the Constitution and laws
of the United States and of the State of Texas. I am 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 citizenship restored by other
official action; I have not been determined by a final judgment of a court exercising probate jurisdiction to be totally mentally incapacitated or
partially mentally incapacitated without the right to vote. I am aware of the nepotism law, Chapter 573, Government Code.
I further swear that the foregoing statements included in my application are in all things true and correct."
SIGNATURE OF CANDI
Sworn to and subscribed before me at : " t ' 'r
this the day of
LAIASE
i
Nomm Pam sVM OF TIM
ID t 1817400
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Sign ture of Officer Ai�nTs-tering Oath� '
Title of Offi&rXdm0jste'rin_j Oath
BE COMPLETED BY CITY SECRETARY OR SECRETARY OF BOARD: /
JTO
(See Section 1.007) 1f 2j-
C . - '3
i Date Received
9 Voter Registration Status Verified F
sign ure of Secretary
APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA
BY A CANDIDATE PO 1
the Election Code.
I am aware of the restrictions in title 15 of the Election Code on contributions
from corporations and labor organizations.
Signature of Candidate
GO TO PAGE 2
[Nate Signed
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 4/2/2021
1 Total pages filed:
See CTA Instruction Guide for detailed instructions.
1
2
CANDIDATE
MS /MRSIMR FIRST MI
OFFICE USE ONLY
NAME
p 4 �B J
% 1�.
Filer ID #
. . .
NICKNAME LAST SUFFIX
Date Received
3 CANDIDATE
ADDRESS 1 PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
MAILING
ADDRESS
L5�CeP47—,
'4
�� / ✓
Date Hand - delivered or Postmarked
CANDIDATE
AREA CODE PHONE NUMBER EXTENSION
Receipt#
Amount
PHONE
Date Processed
5
OFFICE
Date Imaged
HELD
(if any)
A
6
OFFICE
SOUGHT
(if known)
cp s� /
J T l �� iv o �/ " - be-,F- — A/a c e_
7
CAMPAIGN
MS;MRSIMR FIRST MI NICKNAME LAST SUFFIX
TREASURER
NAME
`, -4617LA C, CeCd
8
CAMPAIGN
STREET ADDRESS; APT SUITE CITY; STATE; ZIP CODE
STRE�SiJRtFt
STREET
� �J �`� -7
J� D 7
ADDRESS
(residence or business)
9
CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
�10
PHONE
CANDIDATE:
SIGNATURE
I am aware of the Nepotism Law, Chapter 573 of the Texas Government Code.
I
I am aware of my responsibility to file timely reports as required by title 15 of
the Election Code.
I am aware of the restrictions in title 15 of the Election Code on contributions
from corporations and labor organizations.
Signature of Candidate
GO TO PAGE 2
[Nate Signed
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 4/2/2021
Pursuant to chapter-258 of -the Election Code, every caildidatc and
political committee is encouraged to subscribe to the Code of Fair
Campaign Practices. The Code may be filed with the proper filing
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,
1 997, may subscribe to the code at any time.
Subscription to the Code of Fair Campaign Practices is voluntai7
FORM CFCP
COOPER SWEET
OFFICE USE ONLY
Date Received
DateHand-delivefed Ur%stnarked
Date Processed
Date Imaged
1 ACCOUNT NUMBER
2 TYPE OF FILER
(Ethics Commissionreets)
CANDIDATE ® POLITICAL COMMITTEE
If riling 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.
NAME. OF CANDIDATE
TITLE (Dr., Mr.. Ms., etc.) FIRST MI
(PLEASE TYPE OR PRINK
, f
-- --- ------ ---- ---- - - - - -V _� � / rp - ----- - - - --- (�J' --------------- -- --
NICKNAME LAST SUFFIX (SR.. JR., III, etc.)
4 T-ELEPH0i,,iF- NUMBER
AREA CODE FHONE NU;viBER Ei:T- ENSIOW-
OF CANDIDATE
tPLEASE YPEORPRINT)
5 ADDRESS OF CANDIDATE
STREET IPOBOX: APT lSUITE #; CITY; STATE; ZIP CODE
(PLEASE TYPE OR PRINT)
Je-6e -t-,,PLzf / % 91
g OFFICE SOUGHT
BY CANDIDATE
(PLEASE TYPE OR PRINT)
/i✓ � �� �� ������ � � sy ' s���� � � ,p�� p�
7 NAME OF COMMITTEE
(PLEASE TYPE OR PRINT)
p�
8 NAME OF CAMPAIGN I
TITLE (Dr., Mr.. Ms., etc.) FIRST MI
TREASURER
}�
/___________�
(PLEASE TYPE OR PRINT)
-- ---- --- -- - - - - -- ---------------------
NICKNAME LAST SUFFIX (SR.. JR., III, etc.)
� W* �
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2021
CODE OF FAIR CAMPAIGN PRACTICES
There are basic principles of decency, honesty, and fairplay that every candidate and political committee in this state
has amoral obligation to observe and uphold, in orderthat, after vigorously contested but fairly conducted campaigns,
our citizens may exercise their constitutional rights to a free and untraimneled choice and the will of the people maybe
fully and-clearly expressed-on the issues..
11211 OLIN 013: 9
(1) 1 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) 1 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 pennit 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, norwill I
use malicious or unfounded accusations that aim at creating or exploiting doubts, without justification, as to the
personal integrity or patriotism of my 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) 1 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 finer actiom 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, hereby voluntarily endorse, subscribe to, and solemnly pledge myself to conduct the campaign in accordance
with the above principles.and practices.
Signature
Date
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2021