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Robert C. Marks, Jr2 -26 Prescribed by Secretary of State Section 141.031, Chapters 143 and 144, Texas Election Code 09/2021 ALL INFORMATION IS APPLICATION FOR A PLACE ON THE BALLOT FOR A GENERAL ELECTION FOR A CITY, SCHOOL DISTRICT OR OTHER POLITICAL SUBDIVISION TO BE PROVIDED UNLESS INDICATED AS OPTIONAL' Failure to provide required Information may result in rejection of application. APPLICATION FOR A PLACE ON THE 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, OFFICE SOUGHT (Include any place number or other distinguishing number, if any.) INDICATE TERM XFULL ❑ UNEXPIRED FULL NAME (First, Middl , Last) PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT* I s >r. R 6 , tAoA6, 3-d PERMANENT RESIDENCE ADDRESS (Do not include a P.O. Box or Rural Route. If PUBLIC MAILING ADDRESS (Optional) (Address for which you receive you 4=0 f ue n i of residence.) tam al n related canes n en le. C STATE ZIP LITY STATE ZIP 4__� 1, S c' k 7k 254f �7_T / -V, I&SY- PUBLIC EMAIL ADDRESS (Optional) (Address for OCCUPATION (Do not leave blank) DATE OF BIRTH VOTER REGISTRATION VOID which you receive campaign related emails, if available.) r� ` NUMBER2 (Optional) TELEPHONE (Optional) Home: Office: Cell: _I FE NY 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 pardoned or otherwise released from the resulting years) year(s) disabilities of that felony conviction and I have provided //�� proof of this fact with the submission of this application.3 JCL 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 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) RDber-4 /" „// Z1.r1C6_ - who being by me here and now duly sworn, upon oath says: "I, (name of candidate) ofC t� County, Texas, being a candidate for the office of pf swear that I will support and defend the Constitution and laws of the United States and of the State of Tex s. 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 information on the application regarding my possible felony conviction status constitutes a Class B misdemeanor. I further swear that the foregoing statemen .ncluded in my application are in all things true and correct.” SIGNATURE OF CANDIDATE t Sworn t99 a subscribed before me this the ' `day of —� �. by�:Wlw" I i I )(ti�f_ /_ , f _ %I /% v) ( nth) _(ygar) r' r(6aTe ofcandi Sig*ekl o Officer Au Pet drninister ath4 Printed Name of Officer Authorized to Administer Oath Title of Cif icer 4utQ rued to inister Oath EDIA )TIP BE COMPLETED BY FILI FFICER: THIS AP (CATION IS ACCOMPANIED BY T i AID BY: ASH ❑ CHECK ❑ MONEY ORDER ❑ CASHIERS CHECK OR ❑ PET T N IN LI IN Ei M 03MM740 VOW 001, at s Verified his document and $ % _u filing fee or a nominating petition o p g l�JZ, (See Section 1.007) Date Received Date Accepted Signature of Filing Officer or Designee CODE OF FAIR CAMPAIGIvI FORM CFCP PRACTICES 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, Date Hand - delive arked 1997, may subscribe to the code at any time. Date Processed Subscription to the Code of Fair Campaign Practices is voluntary. Date Imaged 1 ACCOUNT NUMBER 2 TYPE OF FILER (Ethics Commission Filers) CANDIDATE IR 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) , 4-- / ---- - - - - -- ------- - - - - -- NICKNAME LAST --------------- - - - -- SUFFIX (SR., JR., III, etc.) r. Q TELEPHONE NUMBER AREA CODE PHONE NUMBER EXTENSION OF CANDIDATE (PLEASE TYPE OR PRINT) 4W 41NOW 5 ADDRESS OF CANDIDATE STREET /PO BOX; APTISUITE #; CITY; STATE; ZIP CODE (PLEASE TYPE OR PRINT) 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 MI TREASURER j}}j--��pp I -- -------- S✓6e k (PLEASE TYPE OR PRINT) - - -- - - - -A- -r -- --- --- -C` NICKNAME LAST -�--r ----------------- - - - - -- SUFFIX (SR., JR.. III, etc.) F �— - — -- j- -- 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 basi c 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 of my opponent. (5) 1 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 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 elution to. public office in the State of Texas or campaign treasurer of a political committee, hereby voluntarily endorsJ, subscribe to, and solemnly pledge myself to conduct the campaign in accordance with the above principles and practices. Signature 08Z0.31202,),- Date Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2021