Jeannine A. GrahamALL INFORMATION IS REQUIRED TO BE PROVIDED UNLESS INDICATED OPTIONAL
h APPLICATION FOR A PLACE ON THE CITY OF SCHERTZ
TO: City Secretary/Secretary of Board
NOVEMBER 2, 2021
2 -21
Prescribed by Secretary of State
Section 141.031, Chapters 143 and 144, Texas Election Code
1/2017
GENERAL ELECTION BALLOT
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.) I INDICATE TERM
CITY COUNCIL PLACE #6 FULL
UNEXPIRED
FULL NAME (First, Middle, Last)
PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT'
JEANNINE ANTOINETTE GRAHAM
JEANNINE A. GRAHAM
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.)
I
CITY STATE ZIP CITY
STATE ZIP
SCHERTZ I TX 78154 SCHERTZ
TX 78154
PUBLIC EMAIL ADDRESS (If available) OCCUPATION (Do not leave blank) DATE OF BIRTH
VOTER REGISTRATION VUID
NUMBER (Optional )2
ELECTJGkAHAM @GMAIL.COM U.S. ARMY VETERAN /RETIREE
TELEPHONE CONTACT INFORMATION (Optional)
, LENGTH OF CONTINUOUS RESIDENCE
AS OF DATE APPLICATION SWORN
IN STATE
IN TERRITORY FROM WHICH THE
Home:
OFFICE SOUGHT IS ELECTED-'
Work:
s year (s)
s year (s)
Cell:
10 month(s)
10 month(s)
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 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.
1
Before me, the undersigned authority, on this day personally appeared (name) LQ riV11 rq 6'rG>1 AIM _ who being by me
here and now duly upon oath says:
-sworn,
"l, (name} ��� Ili QY'C Inc. ►nn of V C` v� County, Texas, being a
candidate for the office of * Q , 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 corre "
JIMENEZ
.IUSTME
v� puDllc. State of Texas
,^
Comm. Expires 03 22 2023
SIGNATURE 0
Sworn to and subscribed before me at —VPS Li- E Sri this the 'r'"day of v
SEAL
i
Signature of Officer Administering Oath Title of Officer Administering Oath
TO BE COMPLETED BY CITY SECRETARY OR SECRETA Y OF OARD:
(See Section 1.007) 2 .' ' ► Lam' _
r Date eceived S ature o retary
APPOINTMENT OF A CAMPAIGN TREASURER
BY A CANDIDATE
See CTA Instruction Guide for detailed instructions.
2 CANDIDATE MS /MRSIMR FIRST MI
NAME MS. JEANNINE A
NICKNAME LAST SUFFIX
GRAHAM -
3 CANDIDATE ADDRESS I PO BOX; APT/ SUITE #; CITY; STATE; ZIP CODE
MAILING
ADDRESS
abORM CTA
PG 1
I Total pages filed:
i
OFFICE USE ONLY
Filer ID #
Date Received
Date Hand-delivered or Postmarked
4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION Receipt# Amount$
PHONE `
Date Processed
5 OFFICE
Date Imaged
HELD
(if any)
6 OFFICE
SOUGHT
CITY OF SCHERTZ COUNCIL MEMBER PLACE #6
(if known)
7 CAMPAIGN
MSIMRS /MR FIRST MI NICKNAME LAST SUFFIX
TREASURER
NAME
MS. JEANNINE A. GRAHAM
8 CAMPAIGN
STREETADDRESS; APT/ SUITE #; CITY; STATE; ZIP CODE
TREASURER
STREET
ADDRESS
(residence or business)
9 CAMPAIGN 1
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
70 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.
I am aware of the restrictions in title 15 of the Election Code on contributions
froi n corporations and labor organizations.
Signature of Candidate Date Signed
GO TO PAGE 2
CODE OF FAIR C AV P IGW,
PRACTICES
Pursuant to chapter 258 of the Election Code, every candidate 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,
1997, may subscribe to the code at any time.
Subscription to the Code of Fair Campaign Practices is voluntary.
1 ACCOUNT NUMBER Z TYPE OF FILER
(Ethics Commission Firs)
CANDIDATE
If filing as a candidate, complete boxes 3 - 6,
then read and sign page 2.
3 NAME OF CANDIDATE
(PLEASE TYPE OR PRINT)
4 TELEPHONE NUMBER
OF CANDIDATE
(PLEASE TYPE OR PRINT)
5 ADDRESS OF CANDIDATE
(PLEASE TYPE OR PRINT)
6 OFFICE SOUGHT u
BY CANDIDATE
(PLEASE TYPE OR PRINT)
7 NAME OF COMMITTEE
(PLEASE TYPE OR PRINT)
6 NAME OF CAMPAIGN
TREASURER
(PLEASE TYPE OR PRINT)
TITLE (Dr., Mr., Ms., etc.)
FIRST
{�r } —
1 N9��N L —
NICKNAME
LAST
11
AREA CODE
PHONE NUMBER
STREET 1 PO BOX; APT / SUITE #; m CITY;
C I I C O LA N L4 I ME
FORM CFCP
COVEN SWEET
OFFICE USE ONLY
Dale Received
V& 1a1
Date Hand - delivered or Postmarked
Date Processed
Date Imaged
POLITICAL COMMITTEE
If filing for a political committee, complete
boxes 7 and 8, then read and sign page 2.
MI
a
--------------------------------
SUFFIX (SR., JR., III, etc.)
EXTENSION
STATE; ZIP CODE
J
f7 i1 e Y\ Ai
TITLE (Dr., Mr., Ms., etc.) FIRST —
-- ?------ - - - - -- 5' -1 wC--- - - - - --
NICKNAME LAST
V--IP4. 4r,
GO TO PAGE 2
MI - - --
-- - ° ----------- --
SUFFIX (SR., JR., III, etc.)
CODE ,OF FAIR CAMPAIGN PRACTICES
There are basic principles of decency, honesty, and fair play that every candidate and political committee in this state
has a moral obligation to observe and uphold, in order that, after vigorously contested but fairly conducted campaigns,
our citizens may exercise their constitutional rights to a free and untrammeled choice and the will of the people may be
fully and clearly expressed on the 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 or patriotism of my opponent.
(5) I will not undertake or condone any dishonest or unethical practice that tends to corruptor 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.
() 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, hereby voluntarily endorse, subscribe to, and solemnly pledge myselfto conduct the campaign in accordance
with the above principles and practices.
Signature
L ` 7 2_ �
Date