Application for Place on Ballot - Roden, GaryAW2-15,7/2011
Prescribed by Secretary of State
Sections 141.03 1, 143.004, 143.006, Texas Election Code
All information is required to be provided unless indicated as optional.
I APPLICATION W)R A PLACE ON THE CITY OF Cogpel1 GENERAL ELECTION BALLOT 1
TO: City Secretary I I request that my name be placed on the above-named omcial ballot as a candidate for the office indicated below. I
I I OFFICE SOUGHT lnclude any place number or other distinguishing number, if any. INDICATE TERM
I City Council Place lf- 1 FULL 0 ,EXPIRED
I Gary Don Roden I Gary Roden I
I
FULL NAME (First, Middle, Last) PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT
I
Coppell I Texas 1 75019
EMAIL ADDRESS (Optional) I OCCUPATION (Do not leave blank) I DATE OF BIRTH 1 VOTER REGISTRATION WID NUMBER
PERMANENT RESIDENCE ADDRESS (Street address and apartment
number. If none, describe location of residence. Do not include P.O.
Box or Rural Rt.)
130 Clover Meadow
CITY I STATE I ZIP
MAILING ADDRESS (If different from residence address)
I IN STATE I
CITY
gdroden5O@gmail.com
IN CITY
STATE I ZIP
I IN DISTRICT OR PRECINCT1 I
design and construction
business owner
51 - yr(s) L6 Y r(s) 1 Amos 7 mos I -
TELEPHONE NUMBER (Include area code) (Optional)
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.
lo/^^^^^^
Length of Continuous Residence as of Date Application Sworn
Before me, the undersigned authority, on this day personally appeared (name) Gary Don Roden , who being by me
here and now duly sworn, upon oath says: "I, (name) Gary Roden of Dallas-
County, Texas, being a candidate for the office of City C0uncil Place rt , swear that I will support and
defend the Constitution and laws of the United States and of the State of Texas. I an :itizen of the United States eligible to hold such office under
the Constitution and laws 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. 1 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.
(if applicable)
IO~ ( 98972.3
I further swear that the foregoing statements included in my
Sworn to and subscribed before me at n
.,. ,.-- CItl dV
TO BE COMPLETED BY ClTY SECRETARY: 7 FEB 0 6 2612 (See Section 1.007)
Coppell, TX 7501 9
Texas Ethics Commission P.O. Box 12070 Austin. Texas 7871 1-2070 (51 2) 4635800 (TDD 1-800-735-2989)
APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA
BY A CANDIDATE PG 1
1 Total pages filed:
OFFICE USE ONLY
ACCt #
Date Rece~ved .- -- -- - .---, - --
FEB 0 6 iDi2
SECX3iGY
See
2 CANDIDATE
NAME
3 CANDIDATE
MAILING
ADDRESS
CTA Instruction Guide for detailed instructions.
2
MSlMRSlMR FIRST MI
Mr. . . . Gary . D ... . .
* NIC~U&~ ' ' ' LAST' ' SUFFIX ' ' '
Roden
ADDRESS I PO BOX, APT I SUITE #, CITY. STATE, ZIP CODE
130 Clover Meadow Coppell, TX 75019
4 CANDIDATE
PHONE
5 OFFICE
HELD
(lf any)
6 OFFICE
SOUGHT
(I known)
7 CAMPAIGN
TREASURER
NAME
8 CAMPAIGN
TREASURER
STREET
ADDRESS
(residence or busmess)
9 CAblPAlGN
TREASURER
PHONE
10 CANDIDATE
SIGNATURE
AREA CODE PHONE NUMBER EXTENSION
(214) 803-8291
Date Imaged
NIA
City Council Place : +
MSIMRSIM R FIRST MI NICKNAME LAST SUFFIX
Mr. Reymund R~Y Zuniga
STREET ADDRESS (NO PO BOX PLEASE); APT 1 SUITE #. CITY. STATE. ZIP CODE
321 Beechwood
AREA CODE PHONE NUMBER EXTENSION
( 214) 536-9929
I am aware of the Nepotism Law, Chapter 573 of the Texas Government Code.
I am aware of my responsibility to file timely reports as required by title 15 of
the Election Code.
I am aware of the restrictions in title 15 of the Election Code on contributions
2 / 4 / zoir
Date Signed
GOT0 PAGE 2
www.ethics.state.tx.us Revised 0711 41201 0
Texas Ethics Commission P.O. Box 12070 Austin, Texas 7871 1-2070 (51 2) 463-5800 (TDD 1-800-735-2989
PRACTICES
FORM CFCP
Covew SHEET
OFFICE USE ONLY
Pursuant to chapter 258 of the Election Code, every candidate and DateRecetved
political committee is encouraged to subscribe to the Code of Fair
Campaign Practices. The Code may be filed with the proper filing
authority upon submission 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.
Subscription to the Code of Fair Campaign Practices is voluntary.
1 Date HandQeliverN w Postmarked
1 ACCOUNT NUMBER
(Ethii Commission Filers)
2 TYPE OF FILER
CANDIDATE POLITICAL COMMITTEE [I]
I 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.
I
3 NAME OF CANDIDATE TlTLE (Dr.. ~r., ~s.. etc.) FIRST MI
(PLEASE TYPE OR PRINT) Mr. Gary D ...............................................
NICKNAME LAST SUFFLX (SR.. JR.. Ill, etc.)
Roden
4 TELEPHONE NUMBER
OF CANDIDATE
(PLEASE TYPE OR PRINT)
AREA CODE PHONE NUMBER
( 21 4 ) 803-8291
---
5 ADDRESS OF CANDIDATE I STREET~ PO BOX; APT 1 SUITE #: CITY; STATE;
-- --
ZIP CODE
(PLEASE NPE OR PRINT) 1 130 Clover Meadow Coppell TX 7501 9
6 OFFICE SOUGHT
BY CANDIDATE
(PLEASETYPE OR PRINT) City Council Place. Lj-
7 NAME OF COMMITTEE
(PLEASE TYPE OR PRINT)
8 NAME OF CAMPAIGN
TREASURER
(PLEASE TYPE OR PRINT)
I TITLE (a. M.. u.. etc.) FIRST MI
Reymund ...........................................
NICKNAME I LAST SUFFIX (SR.. JR.. Ill, etc.)
I R~Y Zuniga
GO TO PAGE 2
www.ethics.state.tx.us Revised 11 1231201
Texas Ethics Commission P.O. Box 12070 Austin, Texas 7871 1-2070 (51 2) 463-5800 (TDD 1-800-735-2989)
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 amoral obligation to observe and uphold, in order that, after vigorously contested but fairly conducted campaigns,
our citizens may exercise their constitutional rights to a fiee and untrammeled choice and the will of the people may be
llly 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 111 and fiee expression of the will of the voters, including any
activity aimed at intimidating voters or discouraging them fiom voting.
(6) I will defend and uphold the right of every qualified voter to 111 and equal participation in the electoral process,
and will not engage in any activity aimed at intimidating voters or discouraging them fiom voting.
(7) I will immediately and publicly repudiate methods and tactics that may come hm 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, subscriie to, and solemnly pledgemyselfto conduct the campaign in accordance
with the above principles and practices.
Date
www.ethics.state.tx.us Revised 11 I23120 1 0