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Tiffany M Gibson_Place 62-50 Prescribed by Secretary of State Section 141.031. Chapters 143 and 144, Texas Election Code; Section 11.055, Texas Education Code 07/2025 APPLICATION FOR A PLACE ON THE BALLOT FOR A SPECIAL ELECTION FOR A CITY, SCHOOL DISTRICT OR OTHER POLITICAL SUBDIVISION ALL INFORMATION IS REQUIRED TO BE PROVIDED UNLESS INDICATED AS OPTIONAL' Failure to provide required information may result in rejection of APPLICATION FOR PLACE ON THE { SPECIAL ELECTION BALLOT TO: City Secretary/Secretary of Board (nam of election) I request that my name be placed on the above -named official ballot as a candidate for the office indicated below. or other distinguishing number, if any.) OFFICE SOUGHT (include any ppl�ac/e� {IINNDD�ICATE TERM 0 �numJber 3c ltr V c/' CN C -!I act I !i lei. ��YY �iFULL UNEXPIRED FULL NAME (First, Midd , Last) PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT' kA or► t ue (71I L +� y ►� C� I�� PERMANENT RESIDENCE ADDRESS (Do not include a P.O. Box or Rural Route. PUBLIC MAILING ADDRESS (Address for which you receive campaign related If you do not have a residence address, describe location of residence.) correspondence, if available.) WY u�+ STATE T)O ZIP -7S I (N CITY STATE fV ZIP .191s� PUBLIC EMAIL ADDRESS (Address for which you receive qrnpaign relate ema' if available.) OCCUPATION (Do not leave blank) o � DATE OF BIRTH � ` � j � � � VOTER REGISTRATION VOID NUMBERz (Optional) [a(��� n wt 1 l t TELEPHONE CO TACT INFORMATION (f ptional) ((�� ` 7� V� Home: Office: Cell:st(J. V FELONY CONVICTION STATUS (You MUST check one) LENGTH OF CONTINUOUS RESIDENCE AS OF DATE THIS APPLICATION WAS SWORN I have not been finally convicted of a felony. IN THE STATE OF TEXAS IN TERRITORY/01STRICT/PRECINCT FROM 1 have been finally convicted of a felony, but I have been WHICH THE OFFICE SOUGHT IS ELECTED pardoned or otherwise released from the resulting year(s) year(s) disabilities of that felony conviction and I have provided proof of this fact with the submission of this application.3 month(s) month(s) This Box Must ONLY be Completed by Candidates for School District Board of Trustees Check the Box Below: am aware that I am not eligible to serve as a trustee of an independent school district. if I am required to register as a sex offender under Chapter 62, Code of "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 or contain a title, 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. Please review sections 52.031, 52.032 and 52.033 of the Texas Election Code regarding the rules for how names may be listed on the official ballot. Before me, the undersigned authority, on this day personally appeared (name, of candidate t' who being by me here and now duly sworn, upon oath says: 'I, (name f candidate ) t' �. - of 1 [. �, ] County, Texas, being a candidate for the office of VCAArX3-- C-n f 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 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 am aware that I must disclose any prior felony conviction, and if so convicted, must provide proof that I have been pardoned or otherwise released from the resulting disabilities of any such final felony conviction. I am aware that k ingly providing false information on the application regarding my possible felony conviction status constitutes a Class B misdemeanor. I further wear t ore ng statements inclu ed4n my application are in all things true and correct." X !� Sworn to and subscribed before me this the cL1 •' day of J Ck-l\. , by !t:fir` (day) (month) (year) (nam*�ofcandidate) v .:.9NE1EE L: Q9BN�Y iv- 4ignature of Officer Authorized to Administer Oath 4 JI " itLvvtwo Administer Oath ID! 12479641.4 07113/2025 Title of Icer Authorized to Adm sister Oath TO BE COMPLETED BY FILING OFFICER: THIS APPLICATION IS ACCOMPANIED BY THE REQUIRED FILING FEE (If Applicable) PAID BY: 0 CASH ❑ CHECK ❑ MONEY ORDER El CASHIERS CHECK OR El PETITION IN LIEU OF A FILING F This document and filing fee or a nominating petition of pages received. Voter Registration Status Verified 0 ( /2-0,A/ Q / PAL (See Section 1.007) Date Received Date Accepted -,Signature of Filing Officer or 0 CODE OF FAIR CAMPAIGN 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. FORM CFCP COVER SHEET OFFICE USE ONLY Date Received Date Hand -delivered or Postmarked Subscription to the Code offair Campaign Practices is voluntary. Date Processed Date Imaged 1 ACCOUNT NUMBER 2 TYPE OF FILER (Ethics Commission Filers) CANDIDATE R POLITICAL COMMITTEE 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., Mr., Ms., etc.) FIRST MI (PLEASE TYPE OR PRINT) ----�� ---------- —�1_ � ----------------------- NICKNAME NICKNAME LAST SUFFIX (SR., JR., III, etc.) 6 10 5w 4 TELEPHONE NUMBER AREA CODE PHONE NUMBER EXTENSION OF CANDIDATE �/v ( �J(� D� f0 (Q ( (PLEASE TYPE OR PRINT) 5 ADDRESS OF CANDIDATE STREET/POBOX; APT/SUITEu; CITY, STATE; ZIP CODE (PLEASE TYPE OR PRINT) /)AA"e �y _ _L �J7_ ,�-7Q1 `bc� F� Gil-[/T�' �,C:1 / U 'SV 6 OFFICE SOUGHT BY CANDIDATE (PLEASE TYPE OR PRINT) 7 NAME OF COMMITTEE (PLEASE TYPE OR PRINT) 8 NAME OF CAMPAIGN TREASURER (PLEASE TYPE OR PRINT) TITLE (Dr., Mr., Ms., etc.) FIRST cotes "alWc - 40 MI -- 5'=-------�1------------- � ---------------------- NICKNAME LAST SUFFIX (SR., JR., III, etc.) GO TO PAGE 2 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 andpolitical committee in this state has amoral 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 anduntrammeled choice and the will ofthepeople maybe fully and clearly expressed on the issues. 11 VOW 01 Ctin (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. (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, 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 APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA BY A CANDIDATE PG 1 See CTA Instruction Guide for detailed instructions. 1 Total pages filed: 2 CANDIDATE MS/MRS/MR FIRST MI OFFICE USE ONLY NAME �A`llf6- Filer ID # ------------- NICKNAME LAST SUFFIX Date Received R �st,�3 n Ok 3 CANDIDATE MAILING ADDRESS ADDRESS /PO BOX; APT/SUITE#; CITY, STATE; ZIP CODE � ® � �j/'}� N Date HandtlelrveredorPostmarked 4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION Receipt# Amount$ PHONE o ) � ('2— 7— Date Processed \✓— 5 OFFICE HELD f Date Imaged (if any) 6 OFFICE SOUGHT y (if known) 1 7 CAMPAIGN MS/MRS/MR FIRST MI NICKNAME LAST SUFFIX TREASURER NAME c>ow j� J C 8 CAMPAIGN TREASURER STREET ADDRESS; APT / SUITE #; CITY; STATE; ZIP CODE 14&1 � IQ C - Z SX j STREET 1� J 1 !% ADDRESS (residence or business) 9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE O Cy ( Z 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. I am aware of the restrictions in title 15 of the Election Code on contributions from corpo . ns and labor organizations. Signature of Candidilte Date Signed GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2026 CANDIDATE MODIFIED REPORTING DECLARATION 11 CANDIDATE NAME 12 MODIFIED REPORTING COMPLETE THIS SECTION ONLY IF YOU ARE DECLARATION I CHOOSING MODIFIED REPORTING FORM CTA PG 2 •• 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 $1,140 in political contributions or make more than $1,140 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, will be required to file pre -election reports and, if necessary, a runoff report. Year of election(s) or election cycle to which declaration applies i nature of Candidate This appointment is effective on the date it is filed with the appropriate filing authority. TEC Filers may send this form to the TEC electronically at treasa�)point anethics.state.tx.us or mail to Texas Ethics Commission P.O. Box 12070 Austin, TX 78711-2070 Non-TEC Filers must file this form with the local filing authority DO NOT SEND TO TEC For more information about where to file go to: https://www.ethics.state.b(.us/filinginfo/QuickFileAReport.php Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1 /1 /2026