Mark Davis - Place 1f°
2.21
Prescribed by5ecretaryof State
dectlon 141.031, Chapters 143 and 144, TeXas Election Code
12/2015
All information is required to be provided unless Indicated as optional.
APPLICATION FOR A PLACE ON THE 5 14 C /L, i GENERAL ELECTION BALLOT
TO: City Secretary/Secretary of Board
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
I ► 7 U,NJC A-AC 1.
19FULL
OUNEXPIRED
FULL NAME (First, Middle, Last)
PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT
r4k,rzk (,DwAre -r) ,J)
MAe—K Z) ,A ,/ i-S
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.)
P4% k I .rte, k/
CITY
STATE
ZIP
CITY
STATE
ZIP
[�
PUBLIC EMAIL ADDRESS (If available)
OCCUPATION (Do not leave blank)
DATE OF BIRTH
VOTER REGISTRATION VUID
NUMBER (Optional)'
►= � 2 At� i; n� t'tl ��
C? s 3 o & o
1 1' 1-i
Texas Ethics Commission P.O. Box 12070 Austin TaYas 7A711_9n7n lF19\dRR_r'Anr) /TMM q_unn_7•xr, '3000\
APPOINTMENT ' TREASURER FORM CT
Y A CANDIDATE PG 1
See CTA Instruction Guide for detailed instructions.
1 Total pages filed:
2 CANDIDATE
MS /MRS R FIRST Mi
OFFICE USE ONLY
NAME
/kA �y, I�
� A E
Acct. #
NICKNAME LAST SUFFIX
Date Received
^y® AV ) f•
1�
3 CANDIDATE
ADDRESS / PO BOX; APT /SUITE #; CITY; STATE; ZIP CODE
MAILING
ADDRESS
)J✓:`z
P1 A a_f �; T A /—O
CW -•.,VL —7 _/5, 1 J
4 CANDIDATE
AREA CODE PHONE NUMBER EXTENSION
Date Hand - delivered or Postmarked
PHONE
ssyy//y
I l�l r6" 03 -�
\ (J !
Date Processed
5 OFFICE
Date Imaged
HELD
(if any)
6 OFFICE
T
(Sknown)
7 CAMPAIGN
MS /MR e9 FIRST MI NICKNAME LAST SUFFIX
TREASURER
NAME
NARK G DA v)
8 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE
TREASURER
STREET
ADDRESS
4 /44r4(;7--r4
(residence or business)
9 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
\ 91
10 CANDIDATE
SIGNATURE
I am aware of the Nepotism Law, Chapter 573 of the Texas Government Code.
1 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.
� /_'��f JVL l (r
Signature of Candidate Date Signed
GO TO PAGE 2
www.ethics.state.tx.us Revised 07/14/2010
Texas Ethics Commission P.O. Box 12070 Austin. Texas 78711 -2070 (512) 463 -5800 (TDD 1- 800 - 735 -29891
CODE OF FAIR CAMPAIGN
FORM CFCP
PRACTICES
OVER SHEET
OFFICE USE ONLY
Pursuant to chapter 258 of the Election Code, every candidate and
Date Received
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
f
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.
Subscription to the Code of Fair Campaign Practices is voluntary.
Date Processed
Date Imaged
1 ACCOUNT NUMBER
2 TYPE OF FILER
(Ethics Commission Filers)
CANDIDATE 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
TITLED ,Mr., s., etc.) FIRST
MI
(PLEASE TYPE OR PRINT)
1 (�
NICKNAME LAST
SUFFIX (SR., JR., III, etc.)
1�
4 TELEPHONE NUMBER
AREA CODE PHONE NUMBER
EXTENSION
OF CANDIDATE
1/
z m- o 7 �', 3
(PLEASE TYPE OR PRINT)
` '�
6 ADDRESS OF CANDIDATE
STREET /POBOX; APT /SUITE #; CITY;
STATE; ZIP CODE
(PLEASE TYPE OR PRINT)
6L.14�( r4AQ l �,s "7_4 L,N , ScN Fla, L rX -78I54
6 OFFICE SOUGHT
BY CANDIDATE
(PLEASE TYPE OR PRINT)
n / )
C Tv C oy✓, l c /� f�L
l 1 N
7 NAME OF COMMITTEE
(PLEASE TYPE OR PRINT)
8 NAME OF CAMPAIGN TITLE (Dr Mr.)s., etc.) FIRST
TREASURER IM Afz 1
MI
C
(PLEASE TYPE OR PRINT) . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . .
NICKNAME LAST `
SUFFIX (SR., JR., III, etc.)
GO TO PAGE 2
www.ethics.state.tx.us Revised 11/23/2010
Texas t-tnlos uommission H.V. box 1Zulu Austin, lexas /tS /11 -zutu (b1Z) 463 -bbUU (I UU'1 -t5UU-
J
There are basic principles of decency, honesty, and fair play that every candidate and political 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 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 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 ofthe 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 ofthis 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.
www.ethics.state.tx.us
plil- xv�
Signature
,;? S JOL / �
Date
Revised 11/23/2010