200727 -- Application for Place on Ballot -- Mark Smith2-26
Prescribed by Secretary of State
Section 141.031, Chapters 143 and 144, Texas Election Code
RECEIVED
JUL 2 7 2022
09/2021
APPLICATION FOR A PLACE ON THE BALLOT FOR A GENERAL ELECTIO ~
FOR A CITY, SCHOOL DISTRICT OR OTHER POLITICAL SUBDIVISION
l \•.J.&..._
ALL INFORMATION IS REQUIRED TO BE PROVIDED UNLESS INDICATED AS OPTIONAL1 Failure to provide required information may result in rejection of application.
APPLICATION FOR A PLACE ON THE City of College Station 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 SOUGHT (Include any place number or other distinguishing number, if any.) INDICATE TERM
College Station City Council Place 1 [{]FULL D UNEXPIRED
FULL NAME (First, Middle, Last) PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT*
Mark Lewis Smith Mark Smith
PERMANENT RESIDENCE ADDRESS (Do not include a P.O. Box or Rural Route. If PUBLIC MAILING ADDRESS (Optional) (Address for which you receive
you do not have a residence address, describe location of residence.} campaign related correspondence, if available.}
CITY
College Station
STATE
Texas
ZIP
77845
CITY STATE ZIP
PUBLIC EMAIL ADDRESS (Optional) (Address for OCCUPATION (Do not leave blank) DATE OF BIRTH VOTER REGISTRATION VUID
NUMBER2 (Optional) which you receive campaign related emails, if available.)
Cell: (
LENGTH 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
~ year(s) _5_ year(s)
1Q__ month(s) -2.Q_ 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) Mark Smith who
being by me here and now duly sworn, upon oath sa ys:
"I, (name of candidate) Mark Smith of Brazos County, Texas,
being a candidate for the office of College Station City Council Place 1 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 em nts included i my application are in all things true and correct."
Sworn to and subscribed before me this the .1:1_ day of ___,J.._,, ... , ..... )__,~.,__ ___ _,. 2 os<... , by M a.,. k S'n..,d-L,
(day) (m6 nth) (year) (name of candidate)
\bt1</e ~~-Ur
Ire oW,fficer Autho 1zed to _Administer Oath4
uh +I l/gs1t#d
Printed Name of Officer Authorized to Administer Oath
Title of Officer Authorized to Administer Oath
TO BE COMPLETED BY FILING OFFICER: THIS APPLICATION IS ACCOMPA PAID BY:
0 CASH 0 CHECK D MONEY ORDER D CASHIERS CHECK OR D PETITI'Tll\Nlllfl!S~
This document and$ Q filing fee or a nominating petition of __ @_IS;i~~~~~"Sl!i~~ffttl~M!~M1~1tatus Verified
{)]I j_7 ;2{)22 12.Z_;z:l_; 20?2
Date Received Date Accepted
CODE OF FAIR CAMPAIGN
PRACTICES
Pursuant to chapter 258 of the E lect ion Code, every candidate and
political committee is encouraged to subscr ib e to the Code of Fair
Campaign Practices . The Code may be filed with the proper filing
authority upon submi ssion of a campaign treasurer appointment
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 .
Subscr iption to the Code of Fair Ca mpaig n Practices is voluntary.
1 ACCOUNT NUMBER
(Ethics Commission F il e rs)
FORM CFCP
COVER SHEET
OFFICE USE ONLY
Date Received
RECEIVED
JUL 2 7 2022
~\\':2,~v-.--
Date Hand-delivered or Postm ark ed
Date Processed
Date Im aged
2 TYPE OF FILER
CAND I DATE [if POLITICAL CO MMI TTEE D
3 NAME OF CAND I DATE
(PLEASE TYPE OR PRINT)
4 TELEPHONE NUMBER
OF CAND IDAT E
(PLEASE TYPE OR PRINT)
5 ADDRESS OF CAND IDAT E
(PLEASE TYPE OR PR INT)
6 OFF I CE SO UGHT
BY CAND I DATE
(PLEASE TYPE OR PRI NT )
7 NAME OF COM MITT EE
(PLEASE TYPE OR PRINT)
8 NAME OF CAMPA I GN
TREASURER
(PLEASE TYPE OR PRINT)
Forms provided by Texas Ethi cs Co mmi ss ion
If filing as a ca ndidate, complete boxe s 3 -6,
then read and sign page 2.
TITL E (Dr., Mr , Ms., etc.) FIRST
If filing for a political committee, complete
bo xes 7 and 8, then read and sign page 2.
Ml
1\/\ t:l V'( '-~----------------]-~-~------------------------------------------------------
NICKNAME LAST S UFFIX (SR., JR., 111 , etc.)
AREA CODE PHONE NUMBER EXTE NS ION
STREET I PO BOX; APT I SU IT E#; C IT Y; STAT E; Z IP CODE
TITLE (Dr., Mr .. Ms , etc) FIR ST Ml
-----~c;-~~~---~t:j_?_~~r;:._~----------------------------------------
NICKNAM E LAST SUFFIX (SR., JR., 111 , etc.)
GO TO PAGE 2
www.ethics.state.tx.us Revised 11112021
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:
(I) 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 perrnitthe 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 ofany 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 ofa political
committee, hereby voluntarily endorse, subscribe to, and solemnly pledge myself to conduct the campaign in accordance
with the above principles and practices.
Date
Forms provided by Texas Ethics Cornrnission www.ethics.state.tx.us Revised 1/1/2021