Bogdanowicz, Erin-AP 2020-02-102.21
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ALL WFOIIMATON IS BFAUMFOTO BE PROVIDED UNLESS INDICTED OPTIONAL M17
APPLICATION FOR A PLACE ON THE City of Coppell GENERAL ELECTION BALLOT
TO: City Secrecarw Secretary of Board
Irequest that my name be placed on the above-named official ballot as a candidate for the office indicated below.
OFFICE SOUGHT (Include any piece number or other distinguishing number, if any.)
INDICATE TERM
COPPeII City Council, Place 5
FULL
Ox UNEXPIRED
FULL NAME (First, Middle, Last)
PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT
Erin Michelle Bogdaeoal
Erin Bogdalsowicc
PERMANENT RESIDENCE ADDRESS (Do not Include a P.O.Box or Rural
PUBLIC MAILING ADDRESS(Gmpaign mailbag atldress, if available.)
Route. If You do not have a residence address, describe the address
at which you receive personal mail and location of residence.)
113 Newcastle Court
113 Newcastle Court
CITY
STATE
ZIP
CITY
STATE ZIP
Coppell
TX
75019
Coppell
T% 75019
PUBLIC EMAIL ADDRESS (If available)
OCCUPATION (Op not leave blank) DATE OF BRITNVOTER
REGISTRatTION VYID
eanforcitycouncil@gmail.am
Attorney
NUMBER IOptiunallz
07
TELEPHONE CONTACT INFORMATION(Optional)
LENGTH OF CONTINUOUS RESIDENCE
AS OF DATE APPLICATION SWORN
Home:
IN RATE
INTERRITORYFRDMWHICHTHE
OFFICE SOUGHT IS ELECTED'
Work:
34 year (s)
3 year (s)
Cell:
6 monthl.1
9 month s
If using a nickname as part of your name to appear on the ballot, you are also signing and swearingto the following statements: 1 further swear
that my nickname does not constitute a slogan nor does it indicate a polRial, economic, social, or religious view or aHlllabon, I have been
commonly known by this nickname for at least three years prior to this election.
Before me, the undersigned authority, mthis day personally appeared(name) Erin Bogdanowiczwho being by me
here and now duly sworn, upon oath says:
"I, (name) Erin Bogdanowia 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 are' true and correct.'
X
SWNATUREOFCANDI AT
Sworn to and subssibedetore meat,CQjq(j thisthe dayof w, DEVON DITTMER
.k%No Comm.Expir State of T
mm. Expires OS-Oa.Z
x"•�01 e+° Notary I0 1311159a
Oath
S' nature of Officer—Administering Oath Title of Offer A01.
TO BE COMPLETED BY CITY SECRETARY OR RY OF BOARD:
(See Sectlon 1.007)
Date Received ofSepe
Vater ReglstrMlon Status Verified
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