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Lucas, Maggie - AP 2017-02-032-21 Prescribed by Secretary of State Section 141.031, Chapters 143 and 144, Texas Election Code 12/2015 All information is reauired to be provided unless indicated as optional. APPLICATION FOR A PLACE ON THE OPPELL. 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 `7 HULL C OQPrcl c_ CITY C'0 JC (L I JX A -Mi ❑ UNEXPIRED FULL NAME (First, Middle, Last) PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT M �rQG PrQ sv7 GQ �C `/ l.Vc.14A MIA CrG t E �.-vc 14 s 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.) tL) L+5 C eeex_ cQ655kr t0 �s CQ� C 12t�S5 i fJ� CITY STATE ZIP CITY STATE[ ZIP C \' pt-�LL- 7Y �y 'V�-1/� 7 .�y� PUBLIC EMAIL ADDRESS (If available) OCCUPATION (Do not leave blank) DATE OF BIRTH VOTER REGISTRATION VUID NUMBER (Optional)' �1ag9�lss Cc(��1 gr+rlctil • "wc%o r.1 �I r 1-1 N&' Z TELEPHONE CONTACT INFORMATION (Optional) LENGTH OF CONTINUOUS RESIDENCE AS OF DATE APPLICATION SWORN Home: R-12 10 1 W-510 IN STATE IN TERRITORY ELECTED FROM 1 1 Work: 0 year (s) 171 year (s) Cell: 2.14 51D5 156-7 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) MA W IC- L U C kS who being by me here and now duly sworn, upon oath says: y� n /�/ "I, (name) h`NGGiW LUCAS of 1lAILLA S County, Texas, being a candidate for the office of _ U G!_ , 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 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 S73, Government Code. I further swear that the foregoing statements included in my applicYation are in all things true and rrect." W`6u,1*y i Ukt,,6�, S rn to and subscribed before me at this the Fq day of JEAN,DWINNELISEAL'- �My.Go'mmis�ion Exoite5 J0J V JA A4 AA dune 1.6-2Q11 nature of Officer Administering Oath Title of Offi r AdminiS 'rino O BE COMPLETED BY CITY SECRETARY OR SECRETARY OF BOARD: (See Section 1.007) Date Receive Signature of Secretary Voter Registration Status Verified Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA BY A CANDIDATE PG 1 See CTA Instruction Guide for detailed instructions. 1 Total pages filed: 2 CANDIDATE MS c5R FIRST MI OFFICE USE ONLY NAME MW6n!_� Acct. # j'JrW.K,�j . . ICK . NAM . .E . . . . . . . . . LAS . T . . . . . . . . . . . . . . . . S. UFFIX . . . . . N Date Received MPEG I� L�GI�h 3 CANDIDATE ADDRESS /PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE MAILING FEB 3 2017 ADDRESS / 1134-S im t ly CO� (VcbmyG_ W1501 4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION Dale Hand -delivered or Postmarked PHONE • Dale Processed 5 OFFICE Date Imaged HELD (if any) 6 OFFICE SOUGHT JB �r C O ol/lil / C I Ty Uri (if known) Cv, 'CIL 7 CAMPAIGN MS4raAR FIRST MI NICKNAME LAST SUFFIX TREASURER NAME 415T1 8 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE TREASURERSTREET ADDRESS Z1 PR� ( w 00P V (R� Ct PP L '[X -7 "" I 9 (residence or business) 9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE /) \ q 10 CANDIDATE SIGNATURE 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 from corporations and labor organizations. A"5 61 . (1.­ewl 2 Si ature of Fndid.t. Date Signed GO TO PAGE 2 www.ethics.state.N.us Revised 07/14/2010 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (5121463-5800 (TDD 1-snn-735-7AAg) CODE OF FAIR CAMPAIGN FORM CFCP PRACTICES COVER SHEET OFFICE USE ONLY Pursuant to chapter 258 of the Election Code, every candidate and Dale Received 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 FEB 3 2017 form. Candidates or political committees that already have a current campaign treasurer appointment on file as of September 1, Date Hand -delivered or Postmarked 1997, may subscribe to the code at any time. Subscription to the Code of Fair Campaign Practices is voltintaq. Date Processed Date Imaged 1 ACCOUNT NUMBER 2 TYPE OF FILER (Ethics Commission Filers) 11CANDIDATE IJ 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., Mr., Ms., etc.) FIRST MI (PLEASE TYPE OR PRINT) w /� ,n / . `-cs- �� NICKNAME LAST SUFFIX (SR., JR., III, etc.) MI'PrGG ►`i.;- L v Cm:> 4 TELEPHONE NUMBER AREA CODE PHONE NUMBER EXTENSION OF CANDIDATE (PLEASE TYPE OR PRINT) •G I "��-7 5 ADDRESS OF CANDIDATE STREET I PO BOX; APTISUITE#; CITY; STATE; ZIP CODE (PLEASE TYPE OR PRINT) fe*Lt� COv�xCi kr, ^ (U_ 7y -1 '50A 6 OFFICE SOUGHT BY CANDIDATE (PLEASE TYPE OR PRINT) COPP� CI7`y ' Com)(IL, ,'.K C0r 1L, k� ✓ / 1 7 NAME OF COMMITTEE (PLEASE TYPE OR PRINT) 8 NAME OF CAMPAIGN TITLE (Dr., Mr., Ms., etc.) FIRST MI TREASURER MV L / k1a �. (PLEASE TYPE OR PRINT) . . . . . . .' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NICKNAME LAST SUFFIX (SR., JR., III, etc.) G q, kfN)6_ GO TO PAGE 2 www.ethics.state.tx.us Revised 11/23/2010 texas Cinlcs uommission I -:V. box -ILU/U Fiusun, IexaS /tsrri-ZU/U (5lG)4b3-0tSUU (I UU n-tSUU- CODE OF FAIR CAMPAIGN PRACTICES There are basic principles ofdecency, honesty, and fairplaythat every candidate andpolitical committee in this state has amoral obligationto observe anduphold, in orderthat, aftervigorously contestedbutfairly conducted campaigns, our citizens may exercise their constitutional rights to a free anduntrammeled choice andthe will ofthe people maybe 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 aitn at creating or exploiting doubts, without justification, as to the personal integrity or patriotism ofmy opponent. (5) I will not undertake or condone any dishonest or unethical practice that tends to corruptor undermine out 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 fiom 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 connmittee, hereby voluntarily endorse, subscribe to, and solemnly pledge myself to conduct the campaign in accordance with the above principles and practices. Q - UW -Z4 Si ature :6 I Date www.ethics.state.tx.us Revised 11/23/2010