HomeMy WebLinkAbout220822 -- Willie Blackmon -- Application for Place on Ballot2-27
Prescribed by Secretary of State
Section 141.031, Chapters 143 and 144, Texas Election Code
09/2021
APPLICATION FOR A PLACE ON THE BALLOT FOR A SPECIAL ELECTION
FOR A CITY, SCHOOL DISTRICT OR OTHER POLITICAL SUBDIVISION
RECEIVED
AUG 2 2 ZOZZ
.L/-:51,. 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 C:. PECIAL ELECTION BALLOT
TO: City Secretary/Secretary of Board (name of elec ·on)
I request that my name be placed on the above-named official ballot as a ca didate for the office indicated below.
OFFICE SOUGHT (Include any place number or other distinguishing number, if any .) INDICATE TERM ,------/
D FULL lil.J UNEXPIRED
If you do not have a residence address, describe location of residence.) correspondence, if available.)
I have not been finally convicted of a felony.
O 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. 3
ZIP CITY STATE
·----/ )c.,
ZIP
VOTER REGISTRATION VUID
IN THE STATE OF TEXAS IN TERRITORY /DISTRICT/PRECINCT FROM
3_3year(s)
£-month(s)
WHICH THE OFFICE SOUGHT IS ELECTED
Kyear(s)
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.
/441e---e; /l,Z/>../l C,&;rrr a4(who being by me
Vt,,.£~~~--.~~£"-'~~~~~· of C~-b.ft/tw lL &,4;ce?cfmty, Texas,
being a candidate for the office of ~'2.i;;r that I will su~ptr,t and defend the Constitution and laws of the
United States and of the State of T as . I am a citizen of th e Unite 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 otherwi se 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 f elony conviction status constitutes a Class B misdemeanor. I further
swear that the foregoing stat ements Included In my application are in all things tru e and correct."
x · ~
SIGNATURE OF CANDIDATE
Sworn to and subscribed before me this the 22~ day of
(day)
Aui us..f· 2()2 2.. , by Wdliei;.8. R>/adrnDn
onth) (year) (name of candidate)
d to Administer Oath
TO BE COMPLETED BY FILING OFFICER: THIS APPLICATION U I Applicable) PAID BY:
D CASH D CHECK D MONEY ORDER D CASHIERS CHECK OR PETITION IN LIEU OF A FILING F_g /
This document and$ D filing fee or a nominating petition of ___ pages received . LM' Voter Registra ·on Status Verified
~
(See Section 1.0
Date Received Date Accepted
2-22
Prescribed by Secretary of State
Section 141.031, Chapters 143 and 144, Texas Election Code
09/2021
INSTRUCTIONS
A special election can be used to fill a vacancy only if authorized by law.
An application for a special election may not be filed until after the election is ordered. The filing deadline is
governed by Section 201.054 of the Texas Election Code, and by the date the special election was ordered. The
filing deadline should be stated in the election order. Please review the Secretary of State's current election law
calendars for Section 201.054 deadlines.
If you have questions about the application, please contact the Secretary of State's Elections Division at 800-252-
8683.
NEPOTISM LAW
The candidate must sign this statement indicating his awareness of the nepotism law. When a candidate signs the
application, it is an acknowledgment that the candidate is aware of the nepotism law. The nepotism prohibitions
of chapter 573, Government Code, are summarized below:
No officer may appoint, or vote for or confirm the appointment or employment of any person rPlritPrl within the
second degree by affinity (marriage) or the third degree by consanguinity (blood) to himself, or to any other
member of the governing body or court on which he serves when the compensation of that person is to be paid
out of public funds or fees of office. However, nothing in the law prevents the appointment, voting for, or
confirmation of anyone who has been continuously employed in the office or employment for the following period
prior to the election or appointment of the officer or member related to the employee in the prohibited degree:
six months, if the officer or member is elected at an election other than the general election for state and county
officers.
No candidate may take action to influence an employee of the office to which the candidate is seeking election or
an employee or officer of the governmental body to which the candidate is seeking election regarding the
appointment or employment of a person related to the candidate in a prohibited degree as noted above. This
prohibition does not apply to a candidate's actions with respect to a bona fide class or category of employees or
prospective employees.
FOOTNOTES
1An application for a place on the ballot, including any accompanying petition, is public information immediately
on its filing. (Section 141.035, Texas Election Code)
2 1nclusion of a candidate's VUID is optional. However, many candidates are required to be registered voters in the
territory from which the office is elected at the time of the filing deadline. Please visit the Elections Division of the
Secretary of State's website for additional information.
3 Proof of release from the resulting disabilities of a felony conviction would include proof of judicial clemency under
Texas Code of Criminal Procedure 42A.701, proof of executive pardon under Texas Code of Criminal Procedure
48.01, or proof of a restoration of rights under Texas Code of Criminal Procedure 48.05. (Texas Attorney General
Opinion l<P-0251)
One of the following documents must be submitted with this application:
Judicial Clemency under Te,~as Code of Criminal Procedure 42A.701
Executive Pardon under Texas Gode of Criminal Procedure'4.8.01
Restoration of Rights under Texas Code ofCriminal 'Procedure 48.05
4 All oaths, affidavits, or a!firmationsma,de ~ithin this State may ,be administered and a certificate of the fact given
by a judge, clerk, or commissioner of any court of record, a notary public, a justice of the peace, city secretary (for
a city office}, and the Secretary ot State at Texas. See Chapter 602 ot the Texas Government Code for the complete
list of persons authorized to administer oaths.
CODE OF FAIR CAMPAIGN FORM CFCP
PRACTICES COVER SHEET
OFFICE USE ONLY
Pursuant to chapter 258 of the E lection Code, every candidate and Date Received
political committee is encouraged to subscribe to the Code of Fair
Campaign Practices. The Code may be filed with the proper filing RECEIVED
authority upon submission of a campaign treasurer appointment
AUG 2 2 2022 form. Candidates or political committees that a lready have a 4·"6j{'nt current campaign treasurer appointment on file as of September 1,
1997, may subscribe to the code at any time. Date Hand-delivered or Postmarked
Date Processed
Subscription to the Code of Fair Campaign Practices is voluntary.
Date Imaged
1 ACCOUNT NUMBER 2 TYPE OF F IL E~
(Ethics Commission Filers)
CAND ID ATE POLITICAL CO MM ITTEE D
If filing as a candidate, complete boxes 3 -6, If filing for a political committee, complete
then read and sign page 2. boxes 7 and 8, then read and sign page 2.
3 NAME OF CAND IDATE T IT LE (Dr., Mr., Ms ., etc.) FIRST Ml
(PLEASE TYPE OR PR INT) M LL.I{?,/ /-! L3. ------------------------------------------------------/----------------------
NICKNAME LAST SUFFIX (SR., JR., 111 , etc.)
!3/i., t, //Ji t.0 f> L!i ?/C:.#/P A/
4 TELEPHONE NUMBER AREA CODE { PHONE NUMBER EXTENSION
OF CAND ID ATE
( (PLEASE TYPE OR PR INT)
5 ADDRESS OF CAND IDATE STREET I PO BOX; APT I S UITE#; C ITY ; STATE ; ZIP CODE
(PLEASE TYPE OR PR INT) ;:~ / ;;?-,
6 OFF I CE SOUGHT v6J L..'" ~ .P:-r'A< ~.,. &> ,v C ..1o~fr/._ 8" ~ecP,,,,-v./ BY CAND I DATE
(PLEASE TYPE OR PRINT)'
0?L/ Ge;, v A/v / / f L '5-'
7 NAME OF COM MITTEE /
(PLEASE TYPE OR PR INT)
8 NAME OF CAMPAIGN TITLE (Dr., Mr., Ms ., etc.) FIRST Ml
TREASURER
(PLEASE TYPE OR PR INT) ----------------------------------------------------------------------------
NICKNAME LAST S UFFIX (SR., JR.. Ill , etc.)
GO TO PAGE 2
Forms provided by Texas Eth ics Comm ission www.ethics.state.tx.us Revised 1 /112021
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 wil I of the people may be
fully and clearly expressed on the issues.
THEREFORE:
( 1) 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 permit the use of character defamation, whispering campaigns, libel, slandet~ 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 of any sort that misrepresents, distorts, or otherwise falsifies the facts, nor will I
use ma! icious 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 unde11ake 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 of a 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 Commission www.ethics.state.tx.us Revised 1/1/2021