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Home My WebLink About200721 - Candidate Application - Jason Cornelius I RECEIVED P M 2-21 1 i, ,; (. 1 Prescribed by Secretary of State /� ' Section 141.031,Chapters 143 and 144,Texas Election Code 1/2017 ALL INFORMATION IS 1113ARECtIO.B.E.PROULDIEWILESS INDICATED OPTIONAL APPLICATION FORA PLACE ON THE C°..1 I Ieu' . trA w, C,hi CCUy.C., I GENERAL 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.) INDICATE TERM C `y j� r L ` I 4FULL orr � c.� 11J'" l.�. eixkv c,� 1 NW.. UNEXPIRED FULL NA (First,Middle,Last) I PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT' 116m ( uiurt eA`l lrv`S ) tsy\ CM A il5 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 i), at which you receive personal mail and location of residence.) o tir ‘ 311 ISbI McAv ck DI 1 CITY STATE ZIP CITY STATE ZIP Cal i, 1-�.0 Ctte Si cr Tail PUBLIUMAIL ADDRESS(If available) OCCUPATION(Do not leave blank) DATE OF BIRTH VOTER REGISTRATION VUID NUMBER(Optional)2 D kti TELEPHONE CONTACT INFORMATION(Optional) LENGTH OF CONTINUOUS RESIDENCE AS OF DATE APPLICATION SWORN Home: IN STATE IN TERRITORY FROM WHICH THE OFFICE SOUGHT IS ELECTED3 Work: 31 year(s) i1 year(s) Cell: �qV1 51LI-1b15 . month(s) I 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. —.i�' Before me,the undersigned authority,on this day personally appeared(name) ca.S u t.ne (iH s .who being by me here and now duly sworn,upon oath says: "I, (name) _)c� �S. 1tnL�,.u1 . of pdct26S County, Texas, being a candidate for the office of C_ %it i S 1 Jisr', et 1-1 Csua+r..;(1 Plate I ,swear that I will support and 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 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 further swear that the foregoing statements included in my application are in all thin true and correct." X SIGNATURE OF, :, D 0' E AL__is_.x, _,. ,, Sworn to and s ribed before me at i0 t f,S 4/Y) ,this the (rr day of /, • _ sts»„ . "�°'�' �s �` RL W MOSES (v Notary,D # 129170298 p , I My Commission Expires j 1 "f4>f11111t' October 19, 2020 Si f-OffiJ el Opt ' Title of Officer Administering Oath ii TO BE COMPLEtED BY CITY S'RETARY OR SECRETA Y OF BOARD:�� '" -?=-:-- (See Section 1.007) E97^�- .o 1?1 Date Received Sign ure of cretary Voter Registration Status Verified 12( 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 Campaign Practices. The Code may be filed with the proper filing RECEIVED authority upon submission of a campaign treasurer appointment I ,, ,. form. Candidates or political committees that already have a N : .0�, h,,, current campaign treasurer appointment on file as of September 1, BY:.. 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) CANDIDATE uf 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 MI (PLEASE TYPE OR PRINT) NICKNAME LAST SUFFIX(SR.,JR.,III,etc.) 4 TELEPHONE NUMBER AREA CODE PHONE NUMBER EXTENSION OF CANDIDATE (PLEASE TYPE OR PRINT) (MCI ) ✓1,�14 ' ,01` 5 ADDRESS OF CANDIDATE STREET/PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE (PLEASE TYPE OR PRINT) 1 516 i ► ia," OY Colo 91L-Lcs 11* 6 OFFICE SOUGHT BY CANDIDATE ! ` /� �� (PLEASE TYPE OR PRINT) (4 , tit 1't�, / _��, V t` ' t 7 NAME OF COMMITTEE (PLEASE TYPE OR PRINT) 8 NAME OF CAMPAIGN TITLE(Dr.,Mr.,Ms.,etc.) FIRST MI TREASURER (PLEASE TYPE OR PRINT) 1"�{�• 1 L`'r't' NICKNAME LAST SUFFIX(SR.,JR.,III,etc.) GO TO PAGE 2 www.ethics.state.tx.us Revised 11/23/2010 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 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 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 corrupt or 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. Signature Date www.ethics.state.tx.us Revised 11/23/2010