Loading...
08-19-2024 ROBERT MARKS, JR2·26 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 OPTIONAL1 Failure to provide required information may result in rejection of application. APPLICATION FOR A PLACE ON THE C ; ·l-v C 01.u:.c;i ( P ic. 1· e-C:, GENERAL ELECTION BALLOT TO: City Secretary/Secretary of Board fn ame of election) I request that m name be laced 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 ( ·. ~ c l \ I ~ -~FULL D UNEXPIRED PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT• Tr. PERMANENT RESIDENCE ADDRESS (Do not include a P.O. Box or Rural Route. If you do not have a residence address, describe location of residence.) PUBLIC MAILING ADDRESS (Optional} (Address for which you receive campaign related correspondence, if available.) ' h ' CITY STATE ZIP CITY STATE ZIP JJ;L/ PUBLIC EMAIL ADDRESS (Optional) (Address tor OCCUPATION (Do not leave blank) DATE OF BIRTH JI I I~ VOTER REGISTRATION VUID. NUMBER2 (Optional) f " C\ "l T "' TELEPHONE CONTACT INFORMATION (Optional) Home: Office: FE l,ONY CONVICTION STATUS (You MUST check one) I have not been finally convicted of a felony. D I have been finally convicted of a felony, but I have been pardoned or otherwise released from the resulting disabilities of that folony conviction and I have provided proof of this fact with the submission of this application.3 I LENGTH OF CONTINUOUS RESIDENCE AS Of DATE THI S APPLICATION WAS SWORN IN THE STATE OF TEXAS IN TERRITORY/DISTRICT/PRECINCT FROM \:.f.\ WHICH THE OFFICE -S'UGHT rs ELECTED ~ year(s) year(s} ~month(s) _S':_ 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. ,who Before me, the undersigned authority, on this day personally appeared (name of candidate} Ro-'ae.c4 mo.rks-, "JC. being by me here and now duly sworn, u on oath says: "I, (name of candidate} of _ __..B~e.,,.>c"""o..o.&..c---------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 xas. 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 aov 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 state in lude~ in my · ation are in all things true and correct." Sworn to and subscribed before methisthe_q_..,_~dayot _R~v.....=~--r-~~~-~· dtJd.L{ ,by Ro~u \-c__ \'S\~'h~-, :J~. (day) (iT?oJlth) (year) (name of candidate) BY: This document and $ ____ filing fee or a nominating petition of ___ pages received. Di 1 lli do2:f {!?;_; ) 9 I~'{ (See Section 1.007) Date Received Date Acee ted 2-26 Prescribed by Secretary of State Section 141.031, Chapters 143 and 144, Texas Election Code 09/2021 INSTRUCTIONS An application for a place on the general election for a city, school district or other political subdivision, may not be filed earlier than 30 days before the deadline prescribed by this code for filing the application. An application filed b~fore that day is void. All fields of the application must be completed unless specifically marked optional. For an election to be held on a uniform election date, the day of the filing deadline is the 78th day before Election Day. If you have questions about the application, please contact the Secretary of State's Elections Division at 800-252-8683. NEPOTISM LAW The candidate must sign this statement indicating his awareness of the nepotism law. When a candidate signs the application, it is an acknowle dgment that the candidate is aware of the nepotism law. The nepotism prohibitions of chapter 573, Government Code, are summarized below: No officer may appoint, or vote for or confirm the appointment or employment of any person related within the second degree by affinity (marriage) or the third degree by co nsa ngu inity (blood) to the officer, or to any other member of the governing body or court on w h ich the officer serves when the compensation of that person is to be paid out of public funds or fees of office. However, nothing in the law prevents the appointment, voting for, or confirmation of anyone who has been continuously employed in the office or employment for the following period prior to the election or appointment of the officer or member related to the employee in the prohibited degree: six months, if the officer or member is elected at an election other than the general election for state and county officers. No candidate may take action to influence an employee of the office to which the candidate is seeking election or an employee or officer of the governmental body to which the candidate is seeking election regarding the appointment or employment of a person related to the candidate in a prohibited degree as noted above. This prohibition does not apply to a candidate's actions with respect to a bona fide class or category of employees or prospective employees. FOOTNOTES 1An application for a place on the ballot, including any accompanying petition, is public information immediately on its filing. (Section 141.035, Texas Election Code) 21nc/usion of a candidate's VUID is optional. However, many candidates are required to be registered voters in the territory from which the office is elected at the time of the filing deadline. Please visit the Elections Division of the Secretary of State's website for addition at information. http:ljwww .sos.state. tx . us /election s/laws /h b484-fa q.s htm I 3Proof of release from the resulting disabilities of a felony conviction would include proof of judicial clemency under Texas Code of Criminal Procedure 42A.701, proof of executive pardon under Texas Code of Criminal Procedure 48 .01, or proof of a restoration of rights under Texas Code of Criminal Procedure 48.05. (Texas Attorney General Opinion KP-0251) One of the following documents must be submitted with this application. Judicial Clemency under Texas Code of Criminal Procedure 42A.701 Executive Pardon under Texas Code of Criminal Procedure 48.01 Restoration of Rights under Texas Code of Criminal Procedure 48.05 4All oaths, affidavits, or affirmations made within this State may be administered and a certificate of the fact given by a judge, cle rk, or commissioner of any court of record, a notary public, a justice of the peace, city sec retary (for a city office), and the Secretary of State of Texas. See Chapter 602 of the Texas Government Code for the com,plete list of persons authorized to administer oaths. CODE OF FAIR CAMPAIGN PRACTICES 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 fonn. Candidates or political committees that already have a current campaign treasurer appointment on file as of September I, 1997, may subscribe to the code at any time. Subscription to the Code of Fair Campaign Practices is voluntmy. FORM CFCP COVER SHEET OFFICE USE ONLY Dare R!!ceived Date Hand-delivered or Oete Proces$ed Oare Imaged 1 A CCOUNT NUMBER (Ethics Commission Filers} 2 TYPE OF FILER CANDIDATE ~ POLITICAL COMMITTEE D 3 NAME OF CANDIDATE (PLEAS E TYPE OR PRINT) 4 TELEPHONE NUMBER OF CANDIDATE (PLEASE TYPE OR PRINT) 5 ADDRESS OF CANDIDAT E (PL EAS E TYPE OR PRINT) 6 OFFICE SOUGHT BY CANDIDATE (PLEASE TYPE OR PRINT) 7 NAME OF COMMITTEE (PLEASE TYPE OR PRINT) 8 NAME OF CAMPAIGN TREASURER (Pl.EASE TYPE OR PRINT ) Forms provided by Texas Ethics Commission If f;t;ng as a candidate, complete boxes 3 • 6, then read and sign page 2. TITLE (Dr., Mr .. Ms .. etc.) FIRST If filing for a political committee, complete boxes 7 and 8, then read and sign page 2. Ml -~r~------------~~---------------------~J ___________________ _ NICKNAME LAST SUFFIX (SR., JR.. Ill, etc.) AREA CODE PHONE NUMBER EXTENSION (~\~) STREET I PO BOX: AP T /SUITE#; CITY; STATE; ZIP COD E TITLE (Dr .. Mr ., Ms., etc.) FIRST Ml ___ fr!._t~------------~~-----------------~-~-l _________________ _ NICKNAME LAST SUFFIX (SR., JR .• Jn. etc.) GO TO PAGE 2 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 a moral obligation to observe and uphold, in order that, aft er 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) J 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) r 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 llte. (3) I will not use or permit any appeal to negative prejudice based on race, sex, religion, or national origin. ( 4) J v.rill not use campaign material of any sort that misrepresents, distorts, or otherwise falsifies the facts, nor will J use mahcious or unfounded accusations that aim at crea6ng or exploiting doubts, without justification, as to the personal integrity or patriotism of my opponent. ( 5) I wil I not undertake or condone any dishonest or unethi cal practice that tends to corrupt or undennine our system of free elections or that hampers or prevents the full and free expression of the will of the voters, including any activity <timed at intimidating voters or discouraging them from voting. ( 6) I. wil I def end 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 electfons. I , the undersigned, candidate for election to public office m the State of Texas or campaign treasurer of a polit1cal 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 provid ed by Texas Ethics Commission www.ethics.st ate.tx .us Revised 11112021 APPOINTMENT OF A CAMPAIGN TREASURER BY A CANDIDATE FORM CTA PG 1 2 CANDIDATE NAME 3 CANDIDATE MAILING ADDRESS 4 CANDIDATE PHONE 5 OFFICE HELD (if any) 6 OFFICE SOUGHT (if known} 7 CAMPAIGN TREASURER NAME 8 CAMPAIGN TREASURER STREET ADDRESS (residence or business) 9 CAMPAIGN TREASURER PHONE 10 CANDIDATE SIGNATURE See CTA Instruction Gulde for detalled instructions. 1 Total pages fil ed: MS /MRS/MR FIRST Ml OFFICE USE ONLY -~t:-----------~~~---------------C::-~-----Filer ID# NICKNAME LAST SUFFIX Dale Received ADDRESS I PO BOX; APT I SUITE #; CITY; STATE; ZIP CODE Date Hand·delivereo or Postmarked AREA CODE PHONE NUMBER EXTENSION Receipt# Amounts Date Processed Date Imaged C1+ CoMcl l PI tUe fo MS/MRS/MR FIRST Ml NICKNAME LAST S UFFIX !Ylrs . ess\c..6--(_,. .M~> STREET ADDRESS: APT I SUITE #; CITY; STATE; ZIP CODE AREA CODE PHONE NUMBER EXTENSION 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 corporations and labor organizations. ~ ... GOTOPAGE2 Forms provided by Texas Ethi cs Commission www.ethics.slate.tx.us Revised 1/1/2024 CANDIDATE MODIFIED REPORTING DECLARATION FORM CTA PG 2 11 CANDIDATE NAME 12 MODIFIED REPORTING DECLARATION COMPLETE THIS SECTION ONLY IF YOU ARE CHOOSING MODIFIED REPORTING ••This declaration must be filed no later than the 30th day before the first election to which the declaration applies. •• •• The modified reporting option is valid for one election cycle only. •• (An election cycle Includes a primary election, a g e neral e lection, and any related runoffs.} • Candidates for the office of state chair of a political party may NOT choose modified reporting. •• I do not i n tend to accept more than $1,080 in political con tributions or make more than $1,080 in political expenditures (exclud ing fil ing fees) in connection wit h any futu re e l ection within the election cycle. I understand that if either o ne of those limits is exceeded, I will be requ ired to file pre-election reports and, if necessary, a runoff report. Year of election(s) or election cycle to which declaration applies . .•.. ~----- Signature of Candidate This appointment is effective on the date it is filed with the appropriate fili ng authority. TEC File rs may send this form to the TEC electronically at t reasap ooint @ eth ics.state.tx.us or mail to Texas Ethics Commission P.O. Box 12070 Austin, TX 787 11-2070 Non-TEC Filers must file this form with the local filing authority DO NOT SEND TO TEC For more information about where to file go to: https://www .ethics.state.tx.us/filinginfo/QuickFileAReport .php Forms provided by Tex as Ethics Commission www.ethics .state .tx.us Revised 1/1/2024 AMENDMENT: APPOINTMENTOFA CAMPAIGN TREASURER BY A CANDIDATE FORM ACTA PG 1 1 CANDIDATE NAME 2 FI LE R IO # See ACTA Instruction Guide for detailed instructions. 3 Total pages filed : Use this form for changes to existln~ Information only. Do not provide information previously dlsclosed. 4 CANDIDATE NAME 5 CANDIDATE MAILING ADDRESS 6 CANDIDATE PHONE 7 O FFI C E HELD (ifanv) 8 OFFICE SOUGHT (if known) 9 CAMPAIGN TREASURE R NAME 10 CAMPAIGN TREASURER STREET ADDRESS (residence or busi ness) 11 CAMPAIGN TREASU R E R PHONE 12 C A NDIDATE SIG N ATUR E MS/M RS/MR FIRST Ml )Ar, RM OFFICE USE ONLY Date Received NICKNAME LAST SU FFIX ADDRESS I PO SOX; APT I SUITE#; CITY; STATE; ZI P CODE Date Hand·dolivered or Postmarked Receip1 # Amount$ Date Imaged C1+ MS f MRS I MR FIRST Ml NICKNA M E LAST SUFFIX CITY; STATE; ZIP CODE I am a w are of the Nepotism Law, Chapter 573 of the Texas Government Code. l am awar e of my responsibility t o file t imely reports as required by title 15 of the Election Code. I am aware of the restrictions in title 1 5 of the Elec tion Code on contributions from corporations nd labor GO TO PAGE 2 Forms provided by Te xas Ethi cs Commission www.ethics.state .tx .u s Revised 1/1/2024 AMENDMENT: FORM ACTA PG 2 CANDIDATE MODIFIED REPORTING DECLARATION 13 CANDIDATE NAME 14 MODIFIED REPORTING DECLARATION COMPLETE THIS SECTION ONLY IF YOU ARE CHOOSING MODIFIED REPORTING ••This declaration must be filed no later than the 30th day before the first election to which the declaration applies.•• •• The modified reporting option is valid for one election cycle only. •• {An election cycle includes a primary e l ection , a general election, and any related n.moffs.) •• Candidates for the office of state chair of a political party may NOT choose modified reporting.•• l do not in tend to accept more than $1,080 in polit ica l contributions or make more than $1 ,080 in political expenditures (excluding filing fees) in connection with any future e lec tion within the election cycle. I understand that if either one of those limits is exceeded, I will be required to file pre-election r eports and, if necessary, a runoff report. ·"··-·--~2'1 ---- Year of electlon(s) or election cycle to which declaration applies This appointment is effective on the date it is filed with the appropriate filing authority. TEC Filers may send this form to the TEC electronically at treasappoint@ethics.state.tx.us or ma il to Texas Ethics Commission P.O. Box 12070 Austin, TX 78711-2070 Non-TEC Filers must file this form with the local f iling authority DO NOT SEND TO TEC For more information about where to file go to: htlps:/fwww.ethics.state.tx.us/filinginfo/QuickFileAReport.php Forms provid&d by Texas Ethics Commissio n www.ethlcs .s tate .tx.us Revised 1/1/2024