Michael Dahle Place 42-21
Prescribed by secretary of State
section 141.031, Chapters 143 and 144, Texas Election Code
1/2017
ALL INFORMATION IS REQUIRED TO BE PROVIDED UNLESS INDICATED OPTIONAL
APPLICATION FOR A PLACE ON THE AanVr-M it B12 3 M 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
N FU LL
4-1-. - 0U1Vt• L. s ❑UNEXPIRED
FULL NAME (First, Middle, Last) PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT'
-�A� AA15 QAHLI C.�iAE—L bA.l4.kC
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.)
[il -;L C) C IrM f s) 4% n/
CITY
PUBLIC EMAIL ADDRESS (If available)
STATE ZIP
CITY
_rx ' 0017 Jq I Scl
OCCUPATION (Do not leave blank)
V0r SCO( 4$5
STATE ZIP
DATE OF BIRTH VOTER REGISTRATION VUID
NUMBER (Optional) 7
TELEPHONE CONTACT INFORMATION (Optional) LENGTH OF CONTINUOUS RESIDENCE AS OF DATE APPLICATION SWORN
Home: IN STATE IN TERRITORY FROM WHICH THE
OFFICE SOUGHT IS ELECTED3
Work: /IQ
:1 0 year (s) year (s)
Cell' `1 6 9 —$X,7 Z 7 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.
Before me, the undersigned authority, on this day personally appeared (name) MIGN aL OAAL E , who being by me
here and now duly sworn, upon oath says:
"I, (name) M l e—IJAE L nf�AE , of GlQ� County, Texas, being a
candidate for the office of 5C1JT5qZ 417Y COUn)CI L P (A 4j; 4 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 tyde a. ,F' yorrect."
_ SIGNATURE OF CANDI
Sworn to and subscribed before me at �, K� , this the _,L0 day of 4 a e . I
Sign_ ure of Officer Administering Oath Title of Offfcer Administering Oath
TO BE COMPLETED BY CITY SECRETARY OR SECRETARY OF BOARD:
(See Section 1.007)
_ Date Received Signat6re of Secretary
Voter Registration Status Verified u
y\ [ I
ti : �►': N
LU
.e_ OF
0T-t641��"
APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA
BY A CANDIDATE PG 1
2 CANDIDATE
NAME
3 CANDIDATE
MAILING
ADDRESS
4 CANDIDATE
PHONE
8 OFFICE
HELD
(if any)
6 OFFICE
SOUGHT
(If known)
7 CAMPAIGN
TREASURER
NAME
8 CAMPAIGN
TREASURER
STREET
ADDRESS
(residence or business)
S CAMPAIGN
TREASURER
PHONE
10 CANDIDATE
SIGNATURE
5'4N C k"S2 LiT v E &VN[.I L OAAcE L(
SCNL Rr-z- «T - a rje- Z
R FIRST MI
kAIQ CN
STREET ADDRESS (NO PO BOX PLEASE); AFT I SUITE ;t
PZ.q Glr
NICKNAME
CITY;
9 tDL4 IF ;�M 151$ A! ScN�i
LAST SUFFIX
i7 �Q axf
STATE; 21POODE
-rx 7 81SK
AREA CODE PHONE NUMBER EXTENSION
(atv)
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 corpora °:ion and labor ganizations.
Sign ure of Candidate Date Signed
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020
1 Total pages filed:
See CTA Instruction Guide for detailed Instructions.
MsIM MR
FIRST
MI
OFFICE USE ONLY
M1cIaC-L
Filer ID B
Fl
NICKNAME
LAST
SUFFIX
DataReoewed
OtAWLE
7
ADORES PO BOX;
APT I SUITE It CITY;
STATE; ZIP CODE
P. (), 30-)ie
Wi5 s4 -jjeMZ
Tk -Ally
Date Hand-delivered or Poatmarkad
PHONE NUMBER
EXTENSION
Receipt# AreoUMb
AREA CODE
0, V )
6 [ 9 a7 1
V �7
-i— —
Date Processed
Date Imaged
8 CAMPAIGN
TREASURER
STREET
ADDRESS
(residence or business)
S CAMPAIGN
TREASURER
PHONE
10 CANDIDATE
SIGNATURE
5'4N C k"S2 LiT v E &VN[.I L OAAcE L(
SCNL Rr-z- «T - a rje- Z
R FIRST MI
kAIQ CN
STREET ADDRESS (NO PO BOX PLEASE); AFT I SUITE ;t
PZ.q Glr
NICKNAME
CITY;
9 tDL4 IF ;�M 151$ A! ScN�i
LAST SUFFIX
i7 �Q axf
STATE; 21POODE
-rx 7 81SK
AREA CODE PHONE NUMBER EXTENSION
(atv)
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 corpora °:ion and labor ganizations.
Sign ure of Candidate Date Signed
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711 -2070
CODE OF FAIR CAMPAIGN
PRACTICES
(512) 463 -5800 (TDD 1- 800 - 735 -2989)
FORM CFCP
COVER SHEET
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
farm. 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
(Ethics Commission Filers)
3 NAME OF CANDIDATE
j (PLEASE TYPE OR PRINT)
4 TELEPHONE NUMBER
OF CANDIDATE
(PLEASE TYPE OR PRINT)
5 ADDRESS OF CANDIDATE
(PL.EASETYPE OR PRINT)
g 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)
www.ethics.State.tx.us
2 TYPE OF FILER
CANDIDATE
ff filing as a candidate, complete boxes 3 - 6,
then read and sign page 2.
TITLE (Dr., Mr., Ms., atc )
NICKNAME
FIRST
AkiG144Et-
LAST
DA u t-E
OFFICE USE ONLY
Date RSceWd
Date Handtieli wed or Postmarked
Dale Processed
Date Imaged
POLITICAL COMMITTEE ❑
ff filing for a political committee, complete
boxes 7 and 8, then read and sign page 2.
MI
SUFFIX (SR., JR.. III, etc.)
AREA CODE PHONE NUMBER EXTENSION
(fit o) 669 -sa.7 �L
STREET O BOX APV surrE tY; CITY; STATE; ZIP CODE
P.O. Sok N BS �ckE1 Tx �g�5 H
S4HERT7L e-" C4V -14IL P! -q[,E y
TITLE (Dr., M5 Q') at,-)
NICKNAME
FIRST MI
KARE1N
LAST SUFFIX (SR., JR.. III, etc.)
4A k�E
GO TO PAGE 2
Revised 11/23/2010
Texas Ethics Commission P.G. Box 12070 Austin, Texas 78711-2070 (512) 463 -5800 (CDD 1- 800- 735 -2989)
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 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 ofthe peoplemaybe
fully and clearly expressed on the issues.
I 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) 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 fancily life.
(3) I will not use or permit any appeal to negative prejudice based on race, sex, religion, or national origin.
(4) 1 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) 1 will not undertake or condone any dishonestor 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) 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.
Signatures
www.eth1cs.stste.tx.us
Date
Revised 11/2312010
MOM=
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Michael Dahle
is registered to vote at
9120 E FM 1518 N, Schertz, TX 78154 -6079.
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