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Ralph Gutierrez2-49 Prescribed by Secretary of State Section 141.031, Chapters 143 and 144, Texas Election Code; Section 11.055, Texas Education Code 07/2025 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 app APPLICATION FOR A PLACE ON THE A&VeAlAgyr ?0Z9-Jc-Ace1 ZGENERAL 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.) IND CATE TERM 0.0 FULL ❑ UNEXPIRED FULL NAM (First, Middle, Last) PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT* kelael rvCz I A',e i�-plez PERMANENT RESIDENCE ADDRESS (Do not include a P.O. Box or Rural Route. If PUBLIC WAILING ADDRESS (Optional) (Address for which you receive you do not have a residence address, describe loc9tion of residence.) campaign related correspondence, if available.) CITY STATE ZIP CITY' j ?NUMBER2 E ZIP 7 �g s Sc� e,* e PUBLIC EMAIL ADDRESS (Optional) (Address for OCCUPATION (Do not leave blank) DATE OF BIRTH R REGISTRATION VOID which you receive campaign related emails, if available.) (Optional) TELEPHONE CONTACT INFORMATION (Optional) Home: Office: Cell: FELONY 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 SO GHT IS ELECTED pardoned or otherwise released from the resulting year(s) 3 year(s) disabilities of that felony conviction and 1 have provided proof of this fact with the submission of this application.' _L month(s) month(s) This Box Must ONLY be Completed by Candidates for School District Board of Trustees Check the Box Below: I am aware that 1 am not eligible to serve as a trustee of an independent school district if I am required to register as a sex offender under Chapter 62, Code of Criminal Procedure. *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) `4.' who being by me here and now duly swom, upon oat say "I, (name of candidate) G L of I(rt A4 At a C County, Texas, Being a candidate fo the office of Z swear that I will support and defend t e Constitution and laws of the United States and of the State of Texas. I arnfa citizen of thk United States eligible to hold such office under the constitution and laws of this state. 1 have not been determined by a final 'udgment of a court exercising probate jurisdiction to be totally mentally incapacitated or partially mentally incapacitated without the right to vote. I am aware o 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 fu r t the foregoing statements included in my application are in all things true and correct. V /� SIG RE nt bLNnln&TF Sworn to and subscribed before me this the -Z day of (day) to Administer Oath4 Title of Offi*ejf Authorized to Admkhter Oath Printed by candidate) f!Mkk0gr Oath SHEILA M EDMONDSON y1*kkV ID ff 124952131 TO BE COMPLETED BY FILING OFFICER: THIS APPLICATION IS ACCOMPANIED BY THE Q D FILINt� of AMhable) ID BY: ' —1 CASHCHECK MONEY ORDER CASHIERS CHECK OR ❑ PETITION IN LIEU F This docu ent and $ f �� ` filing fee or a nominating petition of pages received. Voter e �is�t(ratio/n Status Verged % / (See Section 1.007) )ate Received Date Accepted Si of Fili ff Officer or Designee APPOINTMENT OF A CAMPAIGN TREASURL.,. BY A CANDIDATE See CTA Instruction Guide for detailed instructions. 2 CANDIDATE MS/MRSJMR FIRST J MI NAME 3 I.HIV U I LJH I t MAILING ADDRESS 41 CANDIDATE PHONE ----------- J-�& /? -�---------------------- NICKNAME LAST SUFFIX 6:a-11'ell,ez ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE la/6 -S., ldel'f-'ee 9/Iv/ Se-X e,el-z JX 7 9/S�l AREA CODE PHONE NUMBER EXTENSION Q210) 3 ,441 9�21 5 OFFICE HELD (N any) 6 OFFICE SOUGHT (if known) �l 7 CAMPAIGN MS/MRS/MR FIRST MI NICKNAME TREASURER NAME 8 CAMPAIGN STREET ADDRESS; APT I SUITE #; CITY; TREASURER ' STREET y I/ 1,1er1rCe /O/ ADDRESS pL cC, 15e4eplz- (residence or business) 9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE Q/0) j 10 CANDIDATE J SIGNATURE FORM CTA PG 1 1 Total pages filed: OFFICE USE ONLY Filer ID # Date Receive q(;7 tic, Date Hand -delivered or Postmarked Receipt# Amoturta Date Processed Date Imaged LAST SUFFIX ie�'Z STATE; ZIPCODE 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 corpo do s r labor organizations. 07 IVI.���s 4t-ureof Candidate Date Signed GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2025 CODE OF FAIR �':- : TPAIGN 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 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. Subscription to the Code of Fair Campaign Practices is voluntary. 1 ACCOUNT NUMBER (Ethics Commission Fiters) 2 TYPE OF FILER CANDIDATE to If riling as a candidate, complete boxes 3 - 6, then read and sign page 2. FORM CFCP COVER SHEET OFFICE USE ONLY Date Received Date Date Processed Date Imaged POLITICAL COMMITTEE If riling for a political committee, complete 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)gcL _�Gr_ I— ----------------------------------------- NICKNAME LAST SUFFIX (SR., JR., III, etc.) l z-1 � &e,(,//e- "eZ Q TELEPHONE NUMBER AREA CODE PHONE NUMBER EXTENSION OF CANDIDATE (PLEASE TYPE OR PRINT) ` 1,7/0 2 7/ 5 ADDRESS OF CANDIDATE STREET/POBOX; APT/SUITE#, CITY; STATE; ZIP CODE (PLEASE TYPE OR PRINT) /vP����e 5��e,�fz g OFFICE SOUGHT BY CANDIDATE ,� A (PLEASE TYPE ORPRINT) k 7 NAME OF COMMITTEE (PLEASE TYPE OR PRINT) $ NAME OF CAMPAIGN TITLE (Dr., Mr., Ms., etc.) FIRST MI TREASURER /� (PLEASE TYPE OR PRIM) _4 -------------- A!5�C------------------------------------------- lNICKNAME I /LAST / SUFFIX (SR., JR., 111, etc.) /C aZ2 GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2021 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 orderthat, aftervigorously contested but fairly conducted campaigns, ourcitizens may exercise their constitutional rights to a free and untrammeled choice and the will ofthepeople maybe fully and clearly expressed on the issues. �:10 to • (1) I will conduct the campaign openly and publicly and limit attacks on my opponent to legitimate challenges to m; opponent's record and stated positions on issues. (2) I will not use orpemrit the use ofcharacter defamation, whispering campaigns, libel, slander, or scurrilous attack on any candidate or the candidate's personal or family life. (3) I will not use orpermit any appeal to negative prejudice based on race, sex, religion, or national origin. (4) I will not use campaign material ofany 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 orpatriotism ofmy opponent. (5) I will not undertake or condone any dishonest or unethical practice that tends to corruptor 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 ofthis code or the laws governing elections. 1, the undersigned, candidate for election to public office in the State of Texas or campaign treasurer of a political ✓omrnittee, hereby voluntarily endorse, subscribe to, and solemnly pledge myself to conduct the campaign in accordance with the aboveprinciples and practices. %ZD ZS Date Forms provided by Texas Ethics Commission www.ethics.state.N.us Revised 1/1/2021