Loading...
Cedric B. Edwards, Sr.2 -26 Prescribed by Secretary of State Section 141.031, Chapters 143 and 144, Texas Election Code 09/2021 APPLICATION FOR A PLACE ON THE BALLOT FOR A GENERAL 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. r APPLICATION FOR A PLACE ON THE 12, GENERAL ELECTION BALLOT TO: City Secretary/Secretary of Board (name of election) I request that my name be placed on the above -named official ballot as a candidate for the office indicated below. OFFIC&S/ (Include any place number or other distinguishing number, if any.) INDICATE TERM / `r 1 u © FULL ❑ UNEXPIRED Mu- FULL NAME (Flkd, Middle, Last) PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT* c., &Aiv, W a nds Sr Nd f�, 0�w a,4, PERMANENT RESIDENCE ADDRESS (Do not include a P.O. Box or Rural Route. If PUBLIC MAILING ADDRESS (Optional) (Address for which you receive you Cip n_q hayjLa r a tion of residence.) ram ' n ate - carres onde i CITY STATE cZIIP¢ ,rg CITY [ � �L12tr47- STATES I ZIP X ' 54 PUBLIC EMAIL ADDRESS (Optional) (Address for j OCCUPATION (Do not leave blank) DATE OF BIRTH VOTER REGISTRATION VUID which you receive campaign related emaiis, if ava{lable�) j Z TELEPHONE CONTACT INFORMATI (Optional) Home: Office: Cell: FELO 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 /DISTRICT /PRECINCT FROM I have been finally convicted of a felony, but I have been WHICH THE OFFICE SOUGHT IS ELECTED 35 year(s) years) pardoned or otherwise released from the resulting disabilities of that felony conviction and I have provided q month(s) proof of this fact with the submission of this application 3 .2.,-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 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) r i G � 7. -240.1 V Sr- , who being by me here and nMy worn, upon oath says: / "I, � �Gx ��+ r �r +& /.- W 9- 4 poi County, Texas, (name of candidate) Li. of A being a candidate for the office of A, I ' _d /- swear that I will support and defend the Constitution and laws of the United States and of the State of Texe4 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 knowingly providing false infor non the icatio regarding my poss' a felony conviction status constitutes a Class B misdemeanor. I further swear that the foregoing st m is includ d i my i ation n s true and correct." Sworn to and subscribed before me this the -48Y of -' (day) 1 �Jc w � I Si ature of Officer Aut orized to Administer Oath4 Title of Officer thorized to Administer Oa SIGNATURE (year) (name of candidate) Printed icer�A6144110ist I � NOTAIIV PUBLIC - STAY OF TDU N �'t ic��on�t�OA?Y�t TO BE COMP ETED BY FILING OFFICER: THIS APPLICATION IS ACCOMPANIED BY THE REQUIRED FILIN ❑ CASH CHECK WJV 0 FfORDER ❑ CASHIERS CHECK OR ❑ PETITION IN LIEU OF A FILING FE J. This document and $ filing fee or a nominating petition of pages received. J, / _ cly / QC';P1 (See Section 1.007) r,._ Date Received Date Accepted Signature of Fi 0 (If Applicable) PAID BY: or Status Verified CODE OF FAIR CAMPAIGN FORM CFCP PRACTICES CTICES COVER 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 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. Date Hand - delivered or Postmarked 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 '1� 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) i / / %%�� _ J 3 NICKNAME � LAST ( SUFFIX (SR., JR., III, etc.) Ward ,Ld `Jr- Q TELEPHONE NUMBER AREA CODE PHONE NUMBER EXTENSION OF CANDIDATE (PLEASE TYPE OR PRINT) 40 *MINN* 5 ADDRESS OF CANDIDATE (PLEASE TYPE OR PRINT) STREE 'R B X; APT /5 nE STATE; ZIP CODE 4,Y.- G� Wi& LSC 6 OFFICE SOUGHT BY CANDIDATE (PLEASE TYPE OR PRINT) 7 NAME OF COMMITTEE (PLEASE TYPE OR PRINT) 8 NAME OF CAMPAIGN TITLE (Dr- ,Mr- ,Ms.,etc) FIRST Mt TREASURER ' }am;_p f---.-•------------------------------------------- (PLEASE TYPE OR PRINT) --------- -- -- - - - - -- -- --- -- - --- 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 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 maybe 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. (S) 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) 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 1 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