The URL can be used to link to this page

Home My WebLink About200727 -- 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