HomeMy WebLinkAbout191210 - Candidate Application - Elizabeth R Cunharic.:-) ·r:T r,~-~~-1·v ~:~ D1· I Jt..:'4~ •• ~., , ··~l'I' ....... ¥ ~· Jf:..."4
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! Q [ ( ; l) , ~ Pre scrib ed by Sec r et ar y o f St at e
· s'ettib n 14 1.03 , Ch ap t ers 14 3 an d 144, Texas Elec ti on Co de I '0 ~u ALL INFORMATION IS REQUIRED TO BE PROVIDED UNLESS INDICATED OPTIONAL ', "· I
APPLICATION FOR A PLACE ON THE e 5h · 7 ';3; AL ELECTION BALLOT
TO: City Secretary/Secretary of Board
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.)
G lie:--c:-5t1r:t f--/c;-r; U 'I--U rJ n c-/ I f /ttu_
FULL NAME (First, Middle, Last) PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT 1
fir· Z4-i e 1-ll I( tJ 6 s JJ rn Ct1 n lz a-£//µ j e-f lz Cv n ha-
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 pe r sonal mail and location of
(? 78l(~
CITY STATE ZIP
77tlf)
OCCUPATION (Do not leave blank) DATE OF BIRTH
STATE ZIP
VOTER REGISTRATION VUID
NUMBER (Optional)2 PUBLIC EMAIL ADDRESS {If
/ 7g3J7
TELEPHONE CONTACT INFORMATION (Optional)
Home:
LENGTH OF CONTINUOUS RESIDENCE AS OF DATE APPLICATION SWORN
IN STATE
Work: 37 year (s)
Cell : __ month(s)
IN TERRITORY FROM WHICH THE
OFFICE SOUGHT IS ELECTED 3
3 / year (s)
__ month(s)
If using a nickn ame 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) a · Ztt?b .er-g Cun i .?i--
here and now duly sworn, upon oath says:
, who being by me
"I, (name) 13 r ttl ~tf; 5 Col/ If fv County, Texas, being a
candidate for the office of ' 'J. , swear that I will support fnCi defend the Constitution and laws
of the United States and of the Sta e 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 o r 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 further swear that the foregoing statements included in my application are in all things true and correct."
x
(See Section 1.007)
Voter Registration Status Verified ~ Date Received
Texas Ethics Commission P.O. Box 12070 Austin , Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
!RECEIVED
CODE OF FAIR CAMPAIGN PRACTICESDEC 1 0 LUl9
. . .. : ,y,JJ9r..~.ID ....
There are basic principles of decency, honesty , and fatr play that every candidate and pohtica ·cmmmtte lii~s-sta:
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 of the 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 , 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 othe1wise 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 unde1mine_ 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 iight 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 w1dersigned, 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.
I (J £lecj ~If
Date
www .ethics.state .I x .us Revised 11/23/201 0
AM E NDM E NT: APPOINTMENTO F A FORM ACTA
CAMPAIGN TREASURE R BY A CANDIDATE PG 1
1 CANDIDATE 2 FILER ID# 3 Total pag es filed :
NAME Ii /; /1 l:, /24 ef· Cu1th P0
See ACTA Instruction Guide for detailed instructions.
Use this form for changes to existing information only. Do not provide information previously disclosed .
4 CANDIDATE NEW I M S/M RS/MR FIR ST Ml
OFFICE USE ONLY
NAME
Date Rece ive d . . . . . . . . . . . . . . . . . . . . . . . . ... . . ..
RECEIVED NI CKNAME LA ST SUFFIX
U EC l 0 2019/V\
5 CANDIDATE N E W I A DD RESS I PO BOX; A PT I SUITE #; CITY ; STATE; Z IP CODE ··---I~ {0 flMA MAILING
ADDRESS
D t ~il'nil -<Je1ivere<3<0 r·iYos tmaFked• •• •• • •
Re ceip t # I Amount $
Date Processed
6 CANDIDATE N E W I AR EA COD E PH ONE NU MB ER EXT ENSIO N
PHONE Date Im aged
( )
7 OFFIC E H E LD NEW I
(if any)
8 OFFICE NEW I
SOUGHT Ct1 II er-e-5 1-a ll t:J71 {;; f y {{;v 12 ee'/) //av8 L/ (if known)
9 CAMPAIGN N EW I MS/MRS/M R F IRS T Ml NI C KNAM E LAST SUFF IX
TREASURER
NAME
10 CAMPAIGN N EW I STRE ET ADDRESS (NO PO BOX PLEASE ); APT I SUITE #; C IT Y; STATE; ZIP CO DE
TREASURER
STREET
ADDRESS
(resid ence or bus in ess)
11 CAMPAIGN N EW I AR EA CODE PHONE NU MBER EXTEN SION
TREASURER ( ) PHONE
12 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
from corporations and labor organizations .
~-JtJ /Jeov 1r
Signature of Candidate Date Signed
GO TO PAG E 2
For ms provid ed by Te xas Ethi cs C ommis sion www .ethics . state . I x .us Revised 12/5/2019
Texas Ethics Commission P.O . Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
CODE OF FAIR 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 RECEIVED
Campaign Practices . The Code may be filed with the proper filing DEC l 0 2019 ~ (\ authority upon submission of a campaign treasurer appointment
form. Candidates or political committees that already have a BY:J.'..J.'Q.~ ......
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 Im aged
1 ACCOUNT NUMBER 2 TYPE OF FILER
(Ethics Commission Filers)
00 D CANDIDATE POLITICAL COMMITTEE
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., Mr., Ms ., etc.) FIRST Ml
(PLEAS E TYPE OR PRINT) Mt 6 . £'// 2cc b .tfh ~
. . . . . . . . . . . . . . ....... . . . ..
NICKNAME LAST SUFFIX (SR ., JR ., Ill, etc.)
uunh~
4 TELEPHONE NUMBER AREA CODE PHONE NUMBER EXTENSION
OF CANDIDATE ( (PLEASE TYPE OR PRINT)
5 ADDRESS OF CANDIDATE STREET I PO BOX ; APT I S UITE#; CITY; STATE; Z IP CODE
(PLEASE TYPE OR PRINT)
6 OFFICE SOUGHT
BY CANDIDATE ct) /let? s fct f 1?7n ~ ·1,y Ct1t1n d 11 fJ 1t~~e '-/
(PLEASE TYPE OR PRINT)
7 NAME OF COMMITTEE
(PLEASE TYPE OR PRINT)
8 NAME OF CAMPAIGN TITLE (Dr., Mr., Ms., etc.) FIR ST Ml
TREASURER ! ;-!
(PLEASE TYPE OR PRINT) .. ..... . . ' ' . . . . . . . . . . .
N ICK NA M E LAST SUF F IX (SR ., JR ., Ill , etc.)
,
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www.ethics .state .t x.us Revised 11123/2010