HomeMy WebLinkAbout260813 -- Application for a Place on Ballot -- Padon Holt2-50
Prescribed by Secretary of State
Section 141.031, Chapters 143 and 144, Texas Election Code; Section 11.055, Texas Education Code
07/2025
APPLICATION FOR A PLACE ON THE BALLOT FOR A SPECIAL ELECTION
FOR A CITY, SCHOOL DISTRICT OR OTHER POLITICAL SUBDIVISION
RECEIVED
AUG 13 7026 J 5
ALL INFORMATION IS REQUIRED TO BE PROVIDED UNLESS INDICATED AS OPTIONAL' Failure to provide required information may result in rejection of application.
APPLICATION FOR A PLACE ON THE City of College Station
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 SOUGHT (Include any place number or other distinguishing number, if any.)
College Station City Council - Place 5
FULL NAME (First, Middle, Last)
Padon David Holt
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.)
CITY
College Station
PUBLIC EMAIL ADDRESS (Address for which you
receive campaign related emails, if available.)
padon@padonholt.com
TELEPHONE CONTACT INFORMATION (Optiona )
STATE
TX
INDICATE TERM
FULL
SPECIAL ELECTION BALLOT
UNEXPIRED
PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT*
Padon Holt
PUBLIC MAILING ADDRESS (Address for which you receive campaign related
correspondence, if available.)
PO Box 9182
ZIP CITY
77845 College Station
OCCUPATION (Do not leave blank)
Attorney
Home:
FELONY CONVICTION STATUS (You MUST check one)
0 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.' 1 1 month(s) 9 month(s)
This Box Must ONLY be Completed by Candidates for School District Board of Trustees
Check the Box Below:
❑ I am aware that I am not eligible to serve as a trustee of an independent school district if I am required to register as a sex offender under Chapter 62, Code of
Criminal Procedure.
*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) Padon D. Holt , who being by me here and
now duly sworn, upon oath says:
"I, (name of candidate) P dqn D. Holt , of Brazos County, Texas, being a candidate for the
office of CS City Council PL 5 , 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 inf mation on the application
regarding my possible felony conviction status constitutes a Class B misdemeanor. I further s : • +' e for goinpplication are in all
things true and correct."
DATE OF BIRTH
STATE
TX
ZIP
77842
VOTER REGISTRATION VUID
NUMBER2 (Optional)
09 /
Office: (979) 213-4761
Cell: (806)
OF CONTINUOUS RESIDENCE AS OF DATE THIS APPLICATION WAS SWORN
IN THE STATE OF TEXAS IN TERRITORY/DISTRICT/PRECINCT FROM
WHICH THE OFFICE SOUGHT IS ELECTED
38 year(s) 8 year(s)
Sworn to and subscribed before me this the � k day of 1 *.y4
(day) Month)
Signatuof Officer Authorized to Administer Oath4
'pO XA kJ l'JI'-k4 JCC.�I°�nrVl
Title of Officer Authorized to Akminister Oath
fG1 ThRt OF CAN
la. r , by
(year)
(name of candidate)
NTON
rya, fit, Nster O_th
MY COMM. EXP. 06/20/29
NOTARY ID 129465522
TO BE COMPLETED BY FILING OFFICER: THIS APPLICATION IS ACCOMPANIED BY THE REQUIRED FILING FEE (If Applicable) PAID BY:
❑ CASH ❑ CHECK ❑ MONEY ORDER ❑ CASHIERS CHECK OR ❑ PETITION IN LIEU OF A FILING FEE.
This document and $ filing fee or a nominating petition of pages received. Voter Registration Status Verified
Of / /3 / 202L OS i 202G (See Section 1.007)
Date Received Date Accepted Signatt re of FiJ,I g Officer or Designee