Robert C. Marks, Jr.2-26
Prescribed by Secretary of State
Section 141.031, Chapters 143 and 144, Texas Election Code
09/2021
ALL
APPLICATION FOR A PLACE ON THE BALLOT FOR A GENERAL ELECTION
FOR A CITY, SCHOOL DISTRICT OR OTHER POLITICAL SUBDIVISION
RATION 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 ``
' GENERAL ELECTION BALLOT
TO: City Secretary/Secretary of Board f
(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
tuna It
FULL UNEXPIRED
FULL NAME (First iddle, Last)
-
PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT*
PERMANENT RESIDENCE ADDRESS (Do not include a P.O. Box or Rural Route. If
PUBLIC MAIL NG ADDRESS ( ptional) (Address for whi h you receive
you do not have a residence address, describe location of residence.)
campaign related correspondence, if available.
CITY
STATE ZIP
CITY
STATE ZIP
� I
�
PUBLIC EMAIL ADDRESS (Optional) (Address for
OCCUPATION (Do not lea a blank)
DATE OF BIRTH
VOTER REGISTRATION VUID
which you receive ca paign related emails, if available.)
� BERZ (0 lion I)�
GGlI//
/
I
Iyy��
TELEPHONE CONTACT I O (OptioAa)
Home: Office:
Cell: 2.Asp
ONY 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
19 year(s)
WHICH THE OFFICE �S_p/ Uyear(s) GHT IS ELECTED
�
pardoned or otherwise released from the resulting
disabilities of that felony conviction and I have provided
month(s)
month(s)
proof of this fact with the submission of this applications
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 I
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.
y
Before me, the undersigned authority, on this day personally appeared (name of candidate) / ^ who
being by me here and now duly sworn, upo oath ays:
'% (name of candidate) of County, Texas,
t swear that I will support being a candidate for the office of G and defend the Constitution and
laws of the United States and of the State of T as. 1 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 statement included in pp n are in all things true and correct."
K r
SIGNA RE OF CANDIDAIE .
Sworn to arW subscribed before me this the,,"Ab-- day
(month)
Administer
Title of Officel Authorized to Admini er Oath
TO BE COMPLETED BY FILING OFFICER: THIS APPLICATION IS ACCOMPANIED BY TH
CASH CHECK MONEY ORDER 11 CASHIERS CHECK OR PETITION IN LIEU
7� his document
and $ filing fee or a nominating petition of pages red
�/_24d_ y (See Section 1.007)
Date Received Date Accepted Signi
by
SHEILA M. EDMONDSON
RVOJBLIC • STATE OF TEXAS
ID 112495213•1
of Filing lDfflcer or
BY:
Status Verified
CODE OF FAIR CAMPAIGN FORM CFCP
PRACTICES COVER SHEET
OFFICE USE ONLY
1.
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
' Date Processed
Subscription to the Code of Fair Campaign Practices is voluntary.
Date Imaged
1 ACCOUNT NUMBER 2 TYPE OF FILER
(Ethics Commission Filers)
CANDIDATE9f POLITICAL COMMITTEE
If filing as a candidate, complete boxes 3 - 6, if tiling 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 I TITLE (Dr., Mr., Ms., etc.) FIRST MI
(PLEASE TYPE OR PRINT) P (/'^�
-- � ----------- ---=f V i-------------
---------------------------------
NICKNAME LAST SUFFIX (SR., JR., III, etc.)
Jy
4 TELEPHONE NUMBER AREA CODE PHONE NUMBER EXTENSION
OF CANDIDATE
(PLEASE TYPE OR PRINT)
5 ADDRESS OF CANDIDATE STREET/ POBOX; APT/SUITE#; CITY; STATE; ZIPCODE
(PLEASE TYPE OR PRINT)
6 OFFICE SOUGHT
BY CANDIDATE /J �`)
(PLEASE TYPE OR PRINT) /— I I 1 , !/ .— _ A _ " / 7✓✓ { / 7r i
7 NAME OF COMMITTEE
(PLEASE TYPE OR PRINT)
8 NAME OF CAMPAIGN
TREASURER
(PLEASE TYPE OR PRINT)
/TITLE (Dr., Mr., Ms., etc.)
/- `rjo.
---------------
NICKNAME
FIRST MI
U;_-ierr
a �--------------------- ----------------
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 fairplay 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 ofthe 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 of my 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 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.
Si ture
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2021