Cedric Edwards Place 32.21
Prescribed by Secretary of State
Section 141031, Chapters 143 and 144, Texas Election Code
1/!017
ALL INFORMATION IS REQUIRED TO BE PROVIDED UNLESS INDICATED OPTIONAL
APPLICATION FOR A PLACE ON THE OWiw�vrG ENERAL 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.)
jINDICATE TERM
ND
ff
��FULL
❑UNEXPIRED
I0.1`Q�
....... 171.,171E .._...1..
....
FLI C NAM( rst, Middle, Last) PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT'
Cedf Sr -. ur"iG 1E6Lo&
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.)
L o r
°sir
........ ..... .... ..
CITY
STATE ZIP
CITY
STATE
ZIP
47&_64
PUBLIC EMAIL ADDRESS (If available) OCCUPATION (Do not leave blank) : DATE OF BIRTH VOTER REGISTRATION VUID
NUMBER (Optional)1
r) ■ UGC t
TELEPHONE CONTACT INFORMATION (Optional) LENGTH OF CONTINUOUS RESIDENCE AS OF DATE. APPLICATION SWORN
Home: --,S L _0-1 D'Z- IN STATE IN TERRITORY FROM WHICH THE
OFFICE SOUGHT IS ELECTE63
Work: -4640 33 I
year (s) � Z3 year (s)
Cell: D —0� J �� � 14 .. month(s) months . ,- .._ _
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.
Before me, the undersigned authority, on this day personally appeared (name) riG . -C&=T �5 s .....:, who being by me
here and now duly sworn, upon oath says:
"I, (name) 1 eJA CIA G F1&0CLrV6 of Q County, Texas, being a
candidate for the office of 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 .:all '1 s tru -nd
Sworn to and subscribed before me at :. J G `. ° . ?ix` ._ this the .ay y EMS
oje.
:NOTARY 58 OFTENS
EL, 4�, .. .
5i nature of Officerl^Administering Oath4 ,...... Title of Officer Admin' . eeing a
TO BE COMPLETED BY CITYSECRETARY OR SECR Y OF BOARD: ) : N..: !
(See Section 1.007) 1 r
Date Received ure of Secretary
Voter Registration Status.Verified' ... .... .... ....
APPOINTMENT OF A CAMPAIGN TREASURER
FORM CTA
BY A CANDIDATE
PG
7 Tots) pages filed:
Sae
CTAInstrue4len Guide /lordetrrdled Instruetions.
2 CANDIDATE
NAME
MSIMRSIMR FIRST M`I-�
&-dr1c,Filer
OFFICE USE ONLY
NICKNAME lA3�T �r SUFFIX
DateRgoolvqKL
3 CANDIDATE
ADDRESS IPOBOX; APTIyGUITEa; crTV; STATE; ZIP CODE
MAILING
ADDRESS
to It,
Date Hart"81Nered or Postmarked
4 CANDIDATE
AREA CODE PHONE NUMBER EXTENSION
Reoelpt6
AmWriS
PHONE
(,r fa {;i
Date Processed
5 OFFICE
HELD
Date Imaged
(it any)
.. .., .....
6 OFFICE
SOUGHT
(if known)
7 CAMPAIGN
MSIMRSRdR FIRST Mr NICKNAME
LAST SUFFIX
TREASURER
NAME
B CAMPAIGN
STREET ADDRESS (NO PO BOXX PLEASEk APT I SUITE t. CITY;
STATE; ZIP CODE
TREASURER
3 4 I /7*�+� h y11 3 U
,Tic —j y1 V
STREET
ADDRESS
(residence or business)
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
fly
io 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._ . o . lions and labor organizations.
Zzl AP Z
sigQiiiie of candidate
Date Signed
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 111/2020
Tovmr. Fthir_c Cnmrniasinn P n Rex 12070 Austin. Texas 78711-2070 (512) 463 -5800 (TDD 1 -80D- 735 -2989)
CODE OF FAIR CAMPAIGN FORM CFCP
PRACTICES COVER SHEET
OFFICE USE ONLY
Pursuant to chapter 258 of the Election Code, every candidate and
DoleRecoWd
political committee is encouraged to subscribe to the Code of Fair'
'1
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 anytime.
:Date Hand-delivered orPostmarked
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 �4 POLITICAL COMMITTEE
if filing as a candidate, complete boxes 3 - 6, if Cling for a political committee, complete
then read and sign page 2. boxes 7 and 6, then read and sign page 2.
3 NAME OF CANDIDATE
(PLEASE TYPE OR PRINT)
T LE(Dr.,M�r.,,M.,W.) FIRST Ml
NICKNAME IAS7 _ SUFFIX(SR.,JR.,III,at,-)'
7� Sr
4 TELEPHONE NUMBER
AREA CODE PHONE NUMBER EXTENSION
OF CANDIDATE
(PLEASE TYPE OR PRINT)
! JOl ���to
l ! 1
5 ADDRESS OF CANDIDATE
STREET I PO BOX; APT / SUITE#; CITY; STATE; ZIP CODE
(PLEASE TYPE OR PRINT)
g OFFICE SOUGHT
BY CANDIDATE
(PLEASE TYPE OR PRINT)
''� _...., .
7 NAME OF COMMITTEE
(PLEASE TYPE OR PRINT)
'8 NAME OF CAMPAIGN
Tin i(tF.,Mr.,M&, FIRSTr /' L
TREASURER
���LL.L// �� 1 _-T]
(PLEASE TYPE OR PRINT)
. . . . . . . . .. ....... .-... .. . . . . .
NICKNAME SUFFIX (SR,JR., fit, etc.)
�
GO TO PAGE 2
www.ethics.state.tx.us Revised 11/23/2010
Texas Ethics Commission P.O. Sox 12070 Austin, Texas 78711 -2070 (512)483 -5800 (TDD 1- 800 - 735 -2989
CODE OF FAIR CAMPAIGN PRACTICES
There are basic principles of decency, Honesty, and fair playthat every candidate and political committee in this state
has amoral obligationto observe and uphold, inorderthat, aftervigorouslycontested but fairly conducted campaigns,
our citizens may exercise their constitutional rights to a free and untrammeled choice and the will ofthe people maybe
fully and clearly expressed on the issues.
W' 1 CC '
(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 orpermit the use of character defamation, whispering campaigns, libel,. slander, or scurrilous attacks
on any candidate or the candidate's personal or family life.
(3) 1 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 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) 1 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 conductthe campaign in accordance
with the above principles and practices.
' Signature Date
www.ethics.state.U.us
-- I
Revised 11/2312010