180723 - Candidate Application - Dennis Maloney RECEIVED
I 3 ?{ 2-21
�" /2, iJ !_1� tI "Prescribed by Secretary of State
0
1 Section 141.031,Chapters 143 and 144,Texas Election Code
1/2017
ALL INFORMATION li UNLESS INDICATED OPTIONAL
APPLICATION FOR A PLACE ON THE (//r (...)1/eJGi 1 GENERAL ELECTION BALLOT
TO:City Secretary/Secretary of Board
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
/� FULL
�. ���7/�(,e r UNEXPIRED
FULL NAME(First, Middle,Last) PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT'
b eiqJ,f Tel/14' Lip,)/V :t�,�if �i,AL O,
PERMANENT RESIDENCE ADDRESS(Do not Include a P.O.Box or Rural PUBLIC MAILING ADDRESS(Campaign mailing address,if available.)
Route. If you do not have a residence address, describe the address
at which you receive personal mail and location of residence.)
__1'
CITY ) STATE ZIP CITY STATE ZIP
PUBLIC EMAIL ADDRESS(If available) OCCUPATION(Do not leave blank) DATE OF BIRTH VOTER REGISTRATION VUID
-- //� /
TELEPHONE CONTACT INFORMATION(Optional) LENGTH OF CONTINUOUS RESIDENCE AS OF DATE APPLICATION SWORN
Home: ( IN STATE IN TERRITORY FROM WHICH THE
OFFICE SOUGHT IS ELECTED3
Work: ✓^. yyear(s) �cL year(s)
Cell:
month(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 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.
Before me,the undersigned authority,on this day personally appeared(name) ])e/Pi oo/ /y1,4L 1JIvery .who being by me
here and now duly sworn,upon oath says:
"I, (name) I)CA/i.I,'.( J�,,1 r;'y _ , of g74 LD.� County, Texas, being a
candidate for the office of (:00vi%/Me4be't/ -. ‘, ,swear that I will support and defend the Constitution and laws
of the United States and of the State of Texas. l am a cltlzert'of the United Stales eligible lu hold suuli uffiLe under the t.ullslilutiun and Idws of
this state. I have not been finally convicted of a felony for which I have not been pardoned or had my full rights of citizenship restored by other
---
official action. 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 further swear that the foregoing statements included in my application are in all things true and correct."
X `) I 'Liha, 1.
SIGNATURE OF CADATE
Sworn to and subscribed before me at (13 ON ESCai ce e.�,this the _2- day of Tu t.--`f , ').__U t i3 ,
/Lk.
{p \s,`a'Pt,ea-,� SARA A. MIRZA
/cK-A-4/ ,.
czar �,%Notary Public,State of Terms
Signature of Officer Administe ' Oath4 Title of Officer Administerin Oath ;;�9 y��: Comm.Expires 11 15-20:1
g g r r► •vr
TO BE COMPLETED BY CITY SECRETARY OR SECRETARY OF BOARD: ��'rria�� (votary ID 6731.919—
(See Section 1.007) 1 " 23 1 B ,
Date Received ign ure f ecretary
Voter Registration Status Verified d I 0 4 OLL.,0 154 .
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
CODE OF FAIR CAMPAIGN FORM CFCP
PRACTICES COVER SHEET
OFFICE USE ONLY
Pursuant to chapter 258 of the Election Code, every candidate and Date Received
political committee is encouraged to subscribe to the Code of Fair RECEIVED
Campaign Practices. The Code may be filed with the proper filing
authority upon submission of a campaign treasurer appointment JUL 2 3 Nib
form. Candidates or political committees that already have a BY: t 01 `c).
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 FILER
(Ethics Commission Filers)
CANDIDATE 1D7 POLITICAL COMMITTEE ❑
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 CANDIDATE TITLE(Dr.eMs.,etc.) FIRST MI
(PLEASE TYPE OR PRINT)
DeNM:1
NICKNAME LAST SUFFIX(SR.,JR.,III,etc.)
M4 / itle- /
4 TELEPHONE NUMBER AREA CODE PHONE NUMBER EXTENSION
OF CANDIDATE )
(�}'
5 ADDRESS OF CANDIDATE STREET/PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE
(PLEASE TYPE OR PRINT)
-_--
6 OFFICE SOUGHT
----BY CANDIDATE
(PLEASE TYPE OR PRINT) ea//� i ^, / P/Ace7 NAME OF COMMITTEEv(/L` C(/
(PLEASE TYPE OR PRINT)
8 NAME OF CAMPAIGN TITLE(Dr.,Mr.,Ms.,etc.) FIRST MI
TREASURER
(PLEASE TYPE OR PRINT)
NICKNAME LAST SUFFIX(SR.,JR.,III,etc.)
GO TO PAGE 2
www.ethics.state.tx.us Revised 11/23/2010
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
CODE OF FAIR CAMPAIGN PRACTICES
There are basic principles ofdecency,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 ofthe 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,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 of any 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 ofthe 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 ofthis 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 myselfto conduct the campaign in accordance
with the above principles and practices.
CA) OP„e_41
Signature Date
www.ethics.state.tx.us Revised 11/23/2010