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HomeMy WebLinkAbout240723 -- Candidate Application -- Craig Regan2-49 Prescribed by Secretary of State Section 141.031, Chapters 143 and 144, Texas Election Cade 09/2023 RECEIVED JUL 23NZ4 APPLICATION FOR A PLACE ON THE BALLOT FOR A GENERAL ELECTION 1 g: ItGP •n. FOR A CITY, SCHOOL DISTRICT OR OTHER POLITICAL SUBDIVISION �S APPLICATION FOR A PLACE ON THE 2024 "C0//e.i`.----�, L,LdENERAL ELECTION BALLOT TO: City Secretary/Secretary of Board (nam election) 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.) College Sation City Council - Place 6 INDICATE ✓ TERM FULL UNEXPIRED FULL NAME (First, Middle, Last) Craig Michael Regan PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT* Craig Regan PERMANENT RESIDENCE ADDRESS (Do not include a P.O. Box or Rural Route. If you do not have a residence address, describe location of residence.) 2712 Red Hill Dr PUBLIC MAILING ADDRESS (Optional) (Address for which you receive campaign related correspondence, if available.) CITY College Station STATE TX ZIP 77845 CITY STATE ZIP PUBLIC EMAIL ADDRESS (Optional) (Address for which you receive campaign related emails, if available.) reganforcouncil24@gmail OCCUPATION (Do not leave blank) Commercial Surety DATE OF BIRTH 06 / 03 / 1985 VOTER REGISTRATION VUID NUMBER2 (Optional) TELEPHONE CONTACT INFORMATION (Optional) Home: (979) 217-1661 Office: Cell: 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. ❑ 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.' IN THE STATE OF TEXAS @ ip Year(s) IN TERRITORY/DISTRICT/PRECINCT FROM WHICH THE OFFICE SOUGHT IS ELECTED yl year(s) 1 i 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 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) Cis, /4 a - , who being by me here and now dul sworn, uponoathsays: "I, (name of candidate) ; r,• /L , of Z .r2o,5 County, Texas, � being a candidate for the office oeli C.rA a s44.-f Gl:swear that I will support and defend the Constitution and laws of the United States and of the Stat of Texas. I am a cit n 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 lica ' arding my possible felony conviction status constitutes a Class B misdemeanor. I further swear that the foregoing statement u in ion are in all things true and correct." X U F ATE 11 ��Vl. by Cmi(� ' e� ► Sworn to and subscribed before me this the IC' day of J t y 02_4 _ _, (day) (month) (year) (name o candidate) CcA ITYClit,Nt 0r1 gnat r of Officer Aut ri{ d to Administer Oath4 Printed Name of Orficer Authorized to A inister Oath ----- 1i--- 41/--- € '.j IIKENEA' MCNULTY BORING ni Title of Off r Authorized to Administer Oath Notary ID 0131724482 TO BE COMPLETED BY FILING OFFICER: THIS APPLICATION IS ACCOMPANIED BY THE 's. • .ply :•:, FILIIJCb &it fi�pi` afjfe) ` • ID BY: ❑ ❑ ❑ ORDER ❑ CASHIERS CHECK OR ❑ PETITION IN LIEU • CASH CHECK MONEY This document and $ 0 filing feeora nominating petition of pages received. Voter Registration Status Verified 07 / .23 /o.D.7T 0 7 / o{ 3 / QOg2' (See Section 1.007) (Y2 �--' Date Received Date Accepted Signatur of Fil' Officer r Designee