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Luz Ares2-50 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 SPECIAL 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. APPLICATION FOR A PLACE ON THE _s Xane, Con cxJr,_gP"' SPECIAL 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 C ( ( I ❑FULL UNEXPIRED FULL NAME (First, Middle, Last) PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT* L'" V 'e -- L LA:z A PERMANENT RESIDENCE ADDRESS (Do not include a P.O. Box or Rural Route. PUBLIC MAILING ADDRESS (Address for which you receive campaign related If you do not have a residence address, describe location of residence.) correspondence, if available.) � o�..l ��. i✓`eQ,� CITY STATE ZIP CITY STATE ZIP PUBLIC EMAIL ADDRESS (Address for which you OCCUPATION (Do not lea a blank) DATE OF BIRTH VOTER REGISTRATION VUID receive campaign related emails, if available.) cu ( P1 v �o r— 4-'A VN NUMBERZ (Optional) to jU4'k Z k u/ /s'j TELEP ONE CONTACT INFORMATION (Optional) Home: io Z1 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 SOUGHT IS ELECTED � pardoned or otherwise released from the resulting year(s) year(s) disabilities of that felony conviction and I have provided proof of this fact with the submission of this application 3 rr,onth(s) J 0 month(s) This Box Must ONLY be Completed by Candidates for School District Board of Trustees Check the Box Below: ❑ I am aware that I 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) who being by me here and now duly sworn, upon oath says: r "I, (name of candidate) ces of 11 t odia 4 County, Texas, being a candidate for the office of swear that I will support and de e�he C nstitution 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 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 tfe4nowingly providing false information on the application regarding my possible felony conviction status constitutes a Class B misdemeanor. I furtherrswear th e foregoing §te�tsts included in my application are in all C things true and correct." t" V Sworn t and subscribed before me this the 1,,4nq day of Y 'LUZ -�p� �V 1' Z X _ (day) (month) (ygarl , me of candidate) SigKture of Officer ,4u}ihoriie'dto AdmiMsfer date a 2MD e Officer Authorized to AdminisTer NA rl 319kial r Official Seal Title of Officer Authorized to Administer Oath TO BE COMPLETED BY FILING OFFICER: THIS APPLICATIOND FILING FEE (If Applicable) PAID BY: ASH CHECK ❑ MONEY ORDER CASHIERS CHECK OR PETITION IN LIEU OF A FILING FEE. his document and filing fee or a nominating petition of pages received. Voter egistration Status Verified N (See Section 1.007) �—/ Date Received Date Accepted Sig ture of Fili g kicir or Designee APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA BY A CANDIDATE PG 1 See CTA Instruction Guide for detailed Instructions. 1 Total pages filed: 2 CANDIDATE MS/MRS/MR FIRST Mi OFFICE USE ONLY NAME Filer lD# ---------------------------------- NICKNAME LAST SUFFIX Date Received 3 CANDIDATE ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE MAILING ADDRESS�.�e2 Date Hand-0eliveredorPos arked 4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION Receipt# Amount$ PHONE i Date Processed 5 OFFICE HELD (if any) Date Imaged 16 OFFICE SOUGHT�,11!_ i n (if known) 7 CAMPAIGN MS/MRS/MR FIRST MI NICKNAME LAST SUFFIX TREASURER r NAME LNZ Ams 8 CAMPAIGN STREETADDRESS; APT/SUITE#; CITY; STATE; ZIP CODE TREASURERSTREET ADDRESS C) y�( �• C �'� P%1 c� 2 �J[ Tf (residence or business) 9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE � 10 CANDIDATE SIGNATURE I am aware of the Nepotism Law, Chapter 573 of the Texas Government Code. 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. - -< - - Ll, Signature Candidate Date Signed GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2026 CANDIDATE MODIFIED REPORTING DECLARATION 11 CANDIDATE NAME 12 MODIFIED I REPORTING COMPLETE THIS SECTION ONLY IF YOU ARE DECLARATION CHOOSING MODIFIED REPORTING FORM CTA PG 2 •• 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 general election, and any related runoffs.) • Candidates for the office of state chair of a political party may NOT choose modified reporting. •- I do not intend to accept more than $1,140 in political contributions or make more than $1,140 in political expenditures (excluding filing fees) in connection with any future election within the election cycle. I understand that if either one of those limits is exceeded, I will be required 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 filing authority. TEC Filers may send this form to the TEC electronically at treasappoint{a_)ethics.state.tx.us or mail to Texas Ethics Commission P.O. Box 12070 Austin, TX 78711-2070 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: hftps://www.ethics.state.tK.us/filinginfo/QuickFileAReport.php Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2026 CODE OFFAIR CAMPAIGN 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, 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 POLITICAL COMMITTEE If filing as a candidate, complete boxes 3 - 6, If filing for a political committee, complete then mad 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) ---------------------------2"------------------ ----- e --�----------- NICKNAME LAST SUFFIX (SR., JR., III, etc.) 4 TELEPHONE NUMBER AREA CODE PHONE NUMBER EXTENSION OF CANDIDATE (� (PLEASE TYPE OR PRINT) �"��v n 5 ADDRESS OF CANDIDATE STREET/PO BOX; APT /SUITE#, CITY; STATE; ZIP CODE (PLEASE TYPE ORPRINT) � 71, 1 6 OFFICE SOUGHT BY CANDIDATE (PLEASE TYPE OR PRINT) G e 7 NAME OF COMMITTEE (PLEASE TYPE OR PRINT) 8 NAME OF CAMPAIGN TITLE (Dr., Mr., Ms., etc.) FIRST MI TREASURER f (PLEASE TYPE OR PRINT) -------------------.------- ________________ _C---------- NICKNAME LAST SUFFIX (SR., JR., III, P+r�s 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 basicprinciples.of decency, honesty, and fairplay that everycandidate andpolitical committee in this state has amoral obligation to observe and uphold, in orderthat, afftervigorously contested but fairly conducted campaigns, our citizens may exercise their constitutional rights to a free and untrammeled choice and the will ofthe people maybe fully and clearly expressed on the issues. 1 M ' 1 IS (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 orpermit 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 orpatriotism ofmy opponent. (5) 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 ofthe will ofthe 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 myself to conduct the campaign in accordance with the above principles and practices. Date Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2021