All information is required to be provided unless indicated as optional

APPLICATION FOR A PLACE ON THE 11--t M & L£" IS C> TO: City Secretary/Secretary of Board

2-21

Prescribed by Secretary of State

Section 141.031, Chapters 143 and 144, Texas Election Code

12/2015

GENERAL ELECTION BALLOT

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

IS'D

FULL NAME (First, Middle, Last)

Cl-1/l..ISTofH~f" 'DorJ 1-{G(tR.o..J

PoSI\tot-l ~ FULL DuN EXPIRED

PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT

PERMANENT RESIDENCE ADDRESS (Do not include a P.O. Box or Rural PUBLIC MAILING ADDRESS {Campaign mailing address, if available.)

Route. If you do not have a residence address, describe the address

at which you receive personal mail and location of residence.) 1'5 go 1 A 1:/.l- Ll2A 51-h? P.E..5 t:.l>IA 1<-j

lr;~o1 A? A L~/1 $1-h?~E:S Co~((T

STATE ZIP STATE ZIP

?7-o'-f'f

PUBLIC EMAIL ADDRESS (If available) OCCUPATION (Do not leave blank) DATE OF BIRTH VOTER REGISTRATION VUID

C \,('iS~ t( r 0

n .f:,r h"' M ~ le 1 S J e NUMBER (Optional) 1

~MG\ : 1 • eo"" B"'s:11e<>s btJelort"'e.,t M5( 01 1 1-t- 1 t%1 l- 11-68' t 3 'f o 'f TELEPHONE CONTACT INFORMATION (Optional) LENGTH OF CONTINUOUS RESIDENCE AS OF DATE APPLICATION SWORN

Home: IN STATE

Work: _ I _year(s)

_1_1_ month(s)

IN TERRITORY ELECTED FROM

_ l _year(s)

_f_ 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 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.

Before me, the undersigned authority, on this day personally appeared (name) C hn' S h?r hA.f Pv., 1-/ e,..-;oVI , who being by me

here and now duly sworn, upon oath says:

"I, (name) C,t, n'Sfrlf h.e.,- ]) ~ " l-f~1fPI" , of (-}a rrr's County, Texas, being a

candidate for the office of t!~M ~t..e IS'> ~oA Rf) of -r.twST€t:'S 1t3 , swear that I will support and defend the Constitution 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 finally convicted of a felony for which I have not been pardoned or had my full rights of citizenship restored by other

official action. 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 '"'th" <W"' thot th• fo<Ogolog <tot•moot< '"""d•d '" my '"'Xoo ,. ?n ::_o7k , A , ~ 1' SIGNATURE OF C N.cJD.ATF... ..- ..- ..-

Sworn to and subscribed before me at N a rns L Ot(ll-1'4, this the fE.!c:_ day of 1- fl orugru ~ ~ I ~ .

. -tJ · ,{ /J I J -----;y 1 ~ -~~~ · · i~~~J ;~e~~~~

( ~" ~ J L/()JVLe;, f\}o -fa rq r ~ ~ ~ 'iN) My Commllllon Explr s ~ J1nu1ry 12.2020

Signatur ~ of ~fficer Administering ~ at~ 2 Title of Offfcer ~dmini}t'ering Oath n

-TO BE co.MPLETED BY CITY SECRETARY OR SECRE~~Of ~e~D:\ ?= ~ 11 , 1

A I ~ (See Sect10n 1.007) ,J.. · 1 ,::) --=--t- \..._ ),ll.vu:, ....-\ ~ lr AA.

Date Received \Signature of Secretij'ryj

Voter Registration Status Verified 0 V

Page 35 of 62

Texas Ethics Commission PO Box 12070 .. Austin Texas 78711-2070 '

(512) 463-5800 (TDD 1-800-735-2989)

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 MSIMRSI (!Y FIRST Ml

t) OFFICE USE ONLY NAME CH P.t SToP H-e:- i2..

Acct. II

. . . . . . . 0 •••• • • • • 0 •••• 0 . . ...... . . . . . . . NICKNAME LAST SUFFIX

c+t (2.1 S" HE; I< t?-otJ Dale Received

3 CANDIDATE ADDRESS I PO BOX; APT I SUITE #; CITY; STATE; ZIP CODE

MAILING

ADDRESS I ')f6o1- ft1:ALtd\- Si~-v~0S C\ 1

t.Jv~S1"otJ 1 T)<

1f-Dft 4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION Dale Hand-delivered or Poslmar1<ed

PHONE

( Sbl ) ('l-~ <6650 Dale Processed

5 OFFICE Date Imaged

HELD (if any)

6 OFFICE SOUGHT

1-tu i\1 B Lk rs!) '3oPrftP Of -r~us T &e 5 f'oSI Tt otJ 3 (if known) .........

7 CAMPAIGN I ~ RSIMR FIRST Ml NICKNAME LAST SUFFIX

TREASURER

A- H 0 ~ r<. u tJ - A- LL-t s v !J NAME G(., ~ ,j tJ I G c ~

8 CAMPAIG N STREET ADDRESS (NO PO BOX PLEASE); APT I SUITE#; CITY; STATE; ZIP CODE

TREASURER

STREET

ADDRESS I ~SII Mk& &-L'S (residence or business)

ISL-A rJ~ Co lA fl... ( / 1-hd''' P.> L 6. / T~ 7-7-Jt./6

9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION

TREASURER PHONE

( ~~? .J 1.(j-- ObCf b

10 CANDIDATE SIGNATURE 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

fro {[JEj ~ ~ d r; ~anizations.

II r ~~ w11 1 S ignature of Candidate

GOTOPAGE2

www.ethics.state.tx.us Revised 07/14/2010

Page 36 of 62

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)

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, after vigorously contested but fairly conducted campaigns,

our citizens may exercise their constitutional rights to a:fi:ee and untrammeled choice and the will ofthe 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, slandet~ 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 smt that misrepresents, distorts, or othetwise 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 corrupt or undermine our system

of:fi:ee elections or that hampers or prevents the full and free expression ofthe will of the voters, including any

activity aimed at intimidating voters or discouraging them :fi:om 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 fi·om 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 conductthe campaign in accordance

with the above principles and practices.

I ' f~ 'ry 2otT Date Signature

www.ethics.state.tx .us Revised 11/23/2010

Page 37 of 62

Texas Ethics Commission PO Box 12070 .. Austin Texas 78711-2070 '

(512) 463-5800 (TO D 1-800-735-2989)

CODE OF FAIR CAMPAIGN FORM CFCP

PRACTICES C ovER S HEET

OFFICE USE ONLY

Pursuant to chapter 258 of the Election Code, every candidate and Dale 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 voluntmy.

Dale Imaged

1 ACCOUNT NUM BER 2 TYPE OF F ILER (Ethics Commission Filers)

CANDIDATE D POLITICAL COM MITTEE D 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. ~ . Ms., etc.) FIRST

C H /l-1 5 To I' H ~ ~ Ml

"D (PLEASE TYPE OR PRINT)

' ' .. . . .... . . ... • 0 • 1 •• • •• 0 ••• . . . . . . . . . . ..... . ... . NICKNAME LAST SUFFIX (SR., JR., Ill, etc.)

CH~ I S H 0-R. ((_oN

4 TELEPHONE NUMBER AREA CODE PHONE NUMBER EXTENSION

OF CANDIDATE ( 56 \) rl-9 (PLEASE TYPE OR PRINT) -'3 6 SJ

5 ADDRESS OF CANDIDATE STREET /PO BOX; APT I SUITE#; CITY; STATE; ZIP CODE

(PLEASE TYPE OR PRINT)

IS ~of. A'lAlcll S\-h?R0S c.T, \1-v'-t sro,J 1 lj 1-1ulf'f

6 OFFICE SOUGHT

BY CANDIDATE

(PLEASE TYPE OR PRINT) ~~ l.{ M f> \...t \S 1) BoA-ltD of TP..tAS't EG- 5 Pos ttl o,J.; 3

7 NAME OF COMMITTEE

(PLEASE TYPE OR PRINT)

8 NAME OF CAMPAIG N TITLE (Dr., Mr., Ms., ale.) FIRST Ml

TREASURER

(PLEASE TYPE OR PRINT) ' '

..... . . . . . . . . . . . . .. ... .. ...... o I 0 0 I I o o o 0 o o I o o I

NICKNAME LAST SUFFIX(SR., JR., Ill, elc.)

GO TO PAGE 2

www.ethlcs.state.tx.us Revised 11/23/201 0

Page 38 of 62