Walker, Jim-AP 2020-01-15 2-21
Prescribed by Secretary of State
Section 141.031,Chapters 143 and 144,Texas Election Code
1/2017
ALL INFORMATION IS REQUIRED TO BE PROVIDED UNLESS INDICATED OPTIONAL
APPLICATION FOR A PLACE ON THE CITY OF COPPELL 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
COPPELL CITY COUNCIL, PLACE 5 X FULL
UNEXPIRED
FULL NAME(First,Middle,Last) PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT'
JAMES WILLIAM WALKER JIM WALKER
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.)
400 HAWK COURT 400 HAWK COURT
CITY STATE ZIP CITY STATE ZIP
COPPELL TX 75019 COPPELL TX 75019
PUBLIC EMAIL ADDRESS(If available) OCCUPATION(Do not leave blank) DATE OF BIRTH VOTER REGISTRATION VUID
NUMBER(Optional)2
JWWESQ@AOL.COM ATTORNEY
05 / 12 / 1960
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: 59 year(s) 21 year(s)
Cell:
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) JAMES WILLIAM WALKER ,who being by me
here and now duly sworn,upon oath says:
"I, (name) JAMES WILLIAM WALKER , of DALLAS County, Texas, being a
candidate for the office of COPPELL CITY COUNCIL, PLACE 5 ,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 573,Government Code.
I further swear that the foregoing statements included in my application ar " - I hings r a Al '
Iii
SIGNATURE OF CANDIDATE
Sworn to and subscribed before me at p,114,q Coa...kital ,this the (off day o rmN4, , . -oa-CD .
�
SEAL
p‘`pr.uwp4�4 ADRIENNE HICKEY
.7O-4.1.../....4-7a. gr °:' 4:••(i-,5:Notary Public,State of Texas
Signature of Officer Administers Oath" T . i" AORITIfi3t etih3-27-2023
TO BE COMPLETED BY CITY SEC ETARY OR SECRIfARY OF BOARD: I ''1,46, 1"o Notary ID 124",126 •
(See Section 1.007) v f. / ,/..k i b Ii-4;417 -ear— Ziiiir7lli1.. .I _i
Date Receive. Signature of Secretary
Voter Registration Status Verified V