HomeMy WebLinkAbout240722 -- Application for Place on Ballot -- Bob Yancy2-49
Prescribed by Secretary of State
Section 141.031, Chapters 143 and 144, Texas Election Code
09/2023
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' Failure to provide required information may result in rejection of application.
RECEIVE
JUL 222024
APPLICATION FOR A PLACE ON THE
TO: City Secretary/Secretary of Board
I request that my name be placed on the above
November 5, 2024 GENERAL
ELECTION BALLOT
(name of election)
-named official ballot as a candidate for the office indicated below.
OFFICE SOUGHT (Include any place number or other distinguishing number, if any.)
College Station City Council, Place 5
INDICATE TERM
✓ FULL
UNEXPIRED
FULL NAME (First, Middle, Last)
James R. (Bob) Yancy
PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT*
Bob Yancy
PERMANENT RESIDENCE ADDRESS (Do not include a P.O. Box or Rural Route. If
you
PUBLIC MAILING ADDRESS (Optional) (Address for which you receive
campaign related correspondence, if available.)
CITY
College Station
STATE
TX
ZIP
77845
CITY
College Station
STATE
TX
ZIP
77842
PUBLIC EMAIL ADDRESS (Optional) (Address for
which you receive campaign related emails, if available.)
bobyancycollegestation@gmail.com
OCCUPATION (Do not leave blank)
Retired
DATE OF BIRTH
VOTER REGISTRATION VUID
NUMBER2 (Optional)
TELEPHONE CONTACT INFORMATION (Optional)
Home: Office: Cell: (979) 229-5884
FELONY CONVICTION STATUS (You MUST check one)
LENGTH OF CONTINUOUS RESIDENCE AS OF DATE THIS APPLICATION WAS SWORN
v I have
not been finally convicted of a felony.
been finally convicted of a felony, but I have been
or otherwise released from the resulting
of that felony conviction and I have provided
of this fact with the submission of this application.3
IN THE
STATE OF
35 �(�ar(s)
TEXAS
month(s)
IN TERRITORY/DISTRICT/PRECINCT
WHICH THE
OFFICESOUGHT
3 year(s)
FROM
IS ELECTED
I have
pardoned
disabilities
proof
,,..,EN14
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,
being by me
"I, (name of
being a candidate
laws of the
this state.
mentally incapacitated
any prior felony
any such final
status constitutes
the undersigned authority, on this day personally appeared (name of candidate)
here and now duly sworn, upon oath says:
candidate) Bob Yancy of Brazos
Bob Yancy , who
County,
Texas,
and
and laws of
or partially
I must disclose
disabilities of
conviction
and correct."
for the office of CS City Council Place 5 , swear
that I will support and defend the Constitution
to hold such office under the constitution
to be totally mentally incapacitated
573, Government Code. I am aware that
or otherwise released from the resulting
, he a • •lication regarding possible felony
I - • I. my applicati • • - in all things true
C�
United States and of the State of Texas. I am a citizen
I have not been determined by a final judgment of a court
without the right to vote. I am aware of the
conviction, and if so convicted, must provide proof
felony conviction. I am aware that knowingly providing
a Class B misdemeanor. I further swear that the
of the United States eligible
exercising probate jurisdiction
nepotism law, Chapter
that I have been pardoned
false information •
foregoing stateme clu
X
'ATURE OF CANDIDAT.
Sworn
d subscribed before me this theactn4day
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of —So.—So.1, 0^C7,'f , by \/arNC%.j
(day)
(m nth)
(year)
(name
of ca didate)
Signa re of Officer Authorized to Administer Oath4
til
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TO BE COMPLETED
❑ CASH
This document
07 / 22
BY FILING OFFICER:
❑ CHECK ❑ MONEY ORDER
and $ 0 filing fee
THIS APPLICATION
❑ CASHIERS CHECK
or a nominating
/ 2D2 /
IS
petition
(See
ACCOMPANIED BY THE
OR ❑ PETITION IN LIEU
of pages
REQUIRED
OF A FILING
received.
FILING FEE (If
FEES.
Lila %Registration
Applicable) PAID BY:
Status Verified
h') ;flit.)
/ 2024 (97 / 2.2
Section
1.007) C
�Voter
� � //I
Date Received Date Accepted
Signa ure of I g Officer r Designee