HomeMy WebLinkAbout200727 -- Application for Place on Ballot -- Aron Collins2-26
Prescribed by Secretary of State
Section 141.031, Chapters 143 and 144, Texas Election Code
09/2021
'i /5g q_""
RECEIVED
JUL 2 8 2022 JS
APPLICATION FOR A PLACE ON THE BALLOT FOR A GENERAL ELECTION
FOR A CITY, SCHOOL DISTRICT OR OTHER POLITICAL SUBDIVISION
ALL INFORMATION IS REQUIRED TO BE PROVIDED UNLESS INDICATED AS OPTIONAL 1 Failure to provide re uired information may result in rejection of application .
APPLICATION FOR A PLACE ON THE ' 5 iOAJ GENERAL 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 SOUG~T ~include a,~Y place number. ~r other distinguishing number, if any .) INDICATE TERM
Cc I . e.S+u.r.o~ c,+ Lal.VJ<:..1L Plr.1.<.t:--.i uzr;ULL D UNEXPIRED
FULL NA E (First, Middle, Last) PRINT N ME AS YOU WANT IT TO APPEAR ON THE BALLOT*
1\-;cuJ ~ ~e-t-, ~N~ "'ON C, \I ' ,.J
PERMANENT RESIDENCE ADDRESS (Do not include a P.O. Box or Rural Route. If PUBLIC MAILING ADDRESS {Optional) (Address for which you receive
campaign related correspondence, if available.) you do not have a residence address, describe location of residence.)
, ~ 0 0 ;+e._ 200
CITY STATE ZIP ZIP
IK TX r'/1~ 1-15
PUBLIC EM L ADDRESS {Optional) (Address for OCCUPATION {Do not leave blank) DATE OF BIRTH VOTER REGISTRATION VUID
NUMBER 2 (Optional)
I have not been finally convicted of a felony.
D I have been finally convicted of a felony, but I have been
pardoned or otherwise released from the resulting
disabilities of that felony conviction and I have provided
proof of this fact with the submission of this application .3
LENGTH OF CONTINUOUS RESIDENCE AS OF DATE THIS APPLICATION WAS SWORN
IN THE STATE OF TEXAS IN TERRITORY/DISTRICT/PRECINCT FROM
J_j ., WHICH THE OFFICE ~UGHT IS ELECTED
:I_!_ year(s) year(s)
_J_ month(s) -3._ 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 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)--''--'-"....>..O'-"---"-'-=-u=e_,,._. _C,-=-....,l'-'-1'-/..=!$,__ _ __, who
being by me here and now qvly sworn, up oath says ~
"I, (name of candidate) 1-\t·~N Ct. e.... County, Texas,
being a candidate for the office of l ~ swear that I will support and defend the Constitution and
laws of the United States and of the State of Texas. I am a citizen of the United States eligible to hold such office under the constitution and laws of
this state. i have not been determined by a final judgment of a court exercising probate jurisdiction to be totally mentally incapacitated or partially
mentally incapacitated without the right to vote. I am aware of the nepotism law, Chapter 573, Government Code. I am aware that I must disclose
any prior felony conviction, and if so convicted, must provide proof that I have been pardoned or otherwise released from the resulting disabilities of
any such final felony conviction. I am aware that knowingly providing false information on the application regarding my possible felony conviction
status constitutes a Class B misdemeanor. i further swear that the foregoing statements included i y application a f W a~ things true and correct."
x . A:'i-w
SIGNATURE OF CANDIDATE
Sworn to and subscribed before me this the ~ oa ;) . by _l_--'_;;:~r -'--l--V"l."""""""""""'-"~~~.LL· .>:.::~"'-'
(year) (name of candidate)
L·.s A..-t Mc...Lrfil-:tn
TO BE COMPLETED BY FILING OFFICER: THIS APPLICATION IS ACCOMPANIED Y:
D CASH D CHECK D MONEY ORDER D CASHIERS CHECK OR D PETITION 1~· ~~~~ilSl!iW~:S:S::S::S:SSSISls:sall!N~
This document and$ D
fl1_; 2f I 2lJ22 .[}7 I 2f I 2tJ22 (Se e Sect ion 1.
Date Received Date Accepted
Print Rese t
CODE OF FAIR CAMPAIGN FORM CFCP
PRACTICES COVER SHEET
OFFICE USE ONLY
Pursuant to chapter 258 of the E lection Code, every candidate and Date Received
political committee is encouraged to subscribe to the Code of Fair ~ :53 a""
Campaign Practices. The Code may be filed with the proper filing RECEIVED J;
authority upon submission of a campaign treasurer appointment JUL 2 8 2022 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 F IL ER
(Ethics Commission Fi lers) ~ D CAND I DATE POLIT I CA L COMMITTEE
If filing as a candidate, comp lete boxes 3 -6, If filing for a political committee, comp lete
then read and sign page 2. bo xes 7 and 8, then read and sign page 2.
3 NAME OF CAND I DATE TITLE (Dr., Mr., Ms., etc.) FIRST Ml
(PLEASE TYPE OR PR INT) A,..(),J 4J
~---------------------------------------------------------------------------
NICKNAME LAST S UFFIX (SR., JR., 111, etc.)
Ce Jl tf\/~
4 TELEPHONE NUMBER AR EA CODE PHONE NUMBER EXTE NS ION
OF CAND IDAT E ('\ ~ (PLEASE TY PE OR PRINT)
5 ADDRESS OF CAND IDATE STREET I PO BOX; APT I SU ITE#; CITY; STATE ; Z IP CODE
(PLEASE TYPE OR PR IN T)
6 OFF I CE SOUGHT
BY CAND IDAT E Co lf t~·e S tL\-+ iCJAI (,· i~ ~"volvi , P l~ (,it-L (r'LcA::;c I Yf-'c UK f-'KIN I)
7 NAME OF CO MMITTEE
(PLEASE TYPE OR PR INT)
8 NAME OF CAMPAIGN T ITLE (Dr., Mr .. Ms., etc.) FIRST Ml
TREAS UR ER Wo.. \ tel' (PLEASE TYPE OR PR INT) ---------------------------------------------------------------------------
NICKNAME H ;,.,kte SUFF IX (SR., JR., Il l , etc.)
GO TO PAGE 2
Forms provided by Texas Eth ics Co mmi ss ion www.eth ics.s tate .tx .us Rev ise d 1/1/202 1
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.amoral obligation to observe and uphold, in order that, after vigorously contested but fairly conducted campaigns,
ou~~itizepsP1'~Y, ~f~rgise,theirconstitutional rights to a free and untrammeled choice and the will of the people may be
fully andCleaNy expressed on the issues.
THEREFdJ{~: ~· : ';;
(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 scrnrilous 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 und~rtake 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 myselfto conduct the campaign in accordance
with the above principles and practices.
Signature Date
Forms provided by Texas Ethics Commission www. ethics. state. tx. us Revised 1/1/2021