City Council Members Daniel Tucker Hours of Operation Marie Middleton Mon-Thurs 8:00am - 5:00pm Philip Loving Estb 1567 Friday 8:00am - Noon Roland Agrella w.dpopivepolisuscon Arthur Fuhrmann Mayor Ric Bogue City ofLiverpool . 8901 CR 171 P.O. Box 68 Liverpool, Texas 77577 Office: 281-581-2342 Fax: 281-605-1817 mwdpofemslsussen December 16, 2024 Dear Prospective Candidate: Thank you for your consideration to offer your services to the citizens of the City ofLiverpool by becoming a candidate in this year's municipal election. In an effort to assist you, my office has prepared this candidate's packet with the necessary forms and pertinent instructions. Iurge you to read this letter and the enclosed material prior to filling out the specific forms. All candidates for the office oft the City ofl Liverpool must be a resident ofthe City ofLiverpool, a qualified voter oft the State of Texas, at least twenty-one (21) year of age, and have been a resident of the City of] Liverpool for not less than one (1) year immediately preceding the election. The race for May 3, 2025, election is for 2 City Council seats and the Mayor's office. The term of office for these positions is two (2) years from May 2025 to May 2027. The forms and information for the 2025 City ofLiverpool General Election for City Officials are listed below: The first two forms listed below are the two forms you will need to submit when you file for office. 1. One copy of an Application For A Place On the City General Election Ballot The loyalty oath is included on this application and must be notarized. My office can notarize the form for you when you file your application. This form must be filed in my office no earlier than 8:00 AM Wednesday January 15, 2025, and no later than 5:00 PM, Friday, February 14, 2025. There is no filling fee. Please note that each application must be carefully reviewed to determine whether it complies with the Election Code requirements as to content. Please file your application as soon as practicable to allow sufficient time for this review. 2. One (1) copy of an Appointment of a Campaign Treasurer Be A Candidate (Form CTA), together with Form CTA - Instruction Guide The Form CTA should be filed in my office at the same time as the application for a place on the ballot. Please note the statement must be signed regarding the nepotism law. Behind CTA Instruction Guide is Chapter 573 of the Government Code in relation to Nepotism, along with a chart. 3. Once copy of an Amendment: Appointment Of A Campaign Treasurer by a Candidate Form ACTA). with Form ACTA Instruction Guide. The Amended Appointment of a Campaign Treasure by a Candidate is to be completed by the candidate or the candidate's treasurer (but signed only by the Candidate). Use this form for changing information previously report on Form CTA and for reviewing your choice to report under the modified schedule. The information you enter on this form will replace the information from your previous Appointment of a Campaign Treasurer by a Candidate (Form CTA). If any oft the information required to be reported on your Campaign Treasurer Appointment changes, you should file an amendment. Use the Amendment Form (Form ACTA) to report changes. DO NOT USE THE APPOINTMENT FORM (FORM CTA). You must also use the Amendment form to renew your option to file under the modified schedule. The instructions on how to file the Final Report are in the Instruction Guide for Form C/OH. 4. One copy of CandidateOficeholder Campaign Finance Report (Form C/OH).together with Form C/OH - Instruction Guide. The Form C/OH is to be completed by the candidate or the candidate's campaign treasurer (but signed only by the candidate). This is to be filed in my office on the dates specified on the form and on the election calendar. Form C/OH-FR, Campagr/Oticenolder Report: Designation of Final Report is the last page attached to Form C/OH. This form is to be filled in when you are no longer receiving or spending political contributions. A completed Form CO/H CandidateOficeholder Campaign Finance Report) must be filed when you file the Designation of Final Report. The instructions on how to file the Final Report are in the Instruction Guide for Form C/OH. 5. Calendar ofi important dates for this election indicating dates for filing, submitting forms, etc. 6. A copy of the Texas Ethics Commission 2025 Filing Schedule. Int this schedule you will find information regarding the May 3rd Election. Any question on reporting procedures, contributions, or expenditures should be addressed to the Commission at (800) 325-8506 or (512) 463-5800. 7. A copy of Campaign Finance Guide for Candidates and Officeholders Who File With Local Filing Authorities. 8. A copy of1 the Texas Ethics Commission's Code of] Fair Campaign Practices Form CFCP. This form may be signed voluntarily; it is not mandatory. 9. A copy oft the Texas Ethics Commission' S Political Advertising, What You Need to Know. 10. The city ofLiverpool's Code of Conduct Please carefully read the entire section ofthe Code of Conduct and seek guidance in the interpretation thereofifi need be THE CITY OF LIVERPOOL CANNOT ADVISE YOU OR GROUP WHO SUPPORT OR OPPOSE CANDIDATES ON MATTERS OF ELECTION OR CAMPAIGN FINANCE LAW. AS A MUNICIPAL CORPORATION, THE CITY MUST MAINTAIN, NEUTRALITY, IN THE ELECTORAL PROCESS. THE DUTIES OF THE CITY, SECRETARY. ARE LIMITED TO ACCEPTING AND FILING THE VARIOUS APPLICATIONS, AFFIDAV1TS, AND STATEMENTS, AND NOTING THE DATE AND MME OF FILING THEREON. THE CITY SECRETARY IS NOT EXPECTED TOJUDGE OR COMMENT UPON THE TIMELINESS OF SUFFICENCY OF THE REPORTS FILED. Should you have any questions regarding report procedures, contributions, or expenditures, please call the Texas Ethics Commission at (512) 463-5800 or visit them online at www.ethies.stateikus You may direct questions about election laws to the Secretary of State at (800) 252-8683 or (512) 463-5650 or go online at www.sos.state.IK.US A copy of the current Election Code can be viewed online at wwehicssiteuskse/Itilel5nd: Please note that all documents filed in my office are public records and are open for inspection by any person. Ifyou have any concerns or ifI may be of assistance, do not hesitate to contact me at (281) 581-2342, via email at clong@cityofiverpooltexas.com, or drop by my office. My best wishes to you. Respectfully, Couhanhe herg Catherine Long, TRMC City Secretary City ofLiverpool 2-4 Prescribed by Secretary of State Sections 141.031, 141.039, 172.021, 172.022, 172.023, 172.024, Texas Election Code 11/2023 APPLICATION FOR A PLACE ON THE GENERAL PRIMARY BALLOT ALL INFORMATIONI IS REQUIRED TO BE PROVIDEDI UNLESS INDICATED AS OPTIONALFailure to provide required information may result in rejection of application. APPLICATION FOR A PLACE ON THE PARTY GENERAL PRIMARY BALLOT To: State/County Chair (Democratic or Republican) Ir request that my name be placed on the above-named official primary ballot as a candidate for nomination to the office indicated below. OFFICE SOUGHT (Include any place number or other distinguishing INDICATE TERM INCUMBENT DECLARATION: (Check this number, ifa any.) FULL UNEXPIRED box if you are the incumbent.) INCUMBENT FULL NAME (First, Middle, Last) PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT* PERMANENT RESIDENCE ADDRESS (Do not include a P.O. Box or Rural PUBLIC MAILING ADDRESS (Optional) (Address for which you receive campaign Route. Ify you do not have a residence address, describe location of residence.) related correspondence, if available.) CITY STATE ZIP CITY STATE ZIP PUBLIC EMAIL ADDRESS (Optional) (Address OCCUPATION (Do not leave blank) DATE OF BIRTH VOTER REGISTRATION VUID for whichy your receive campaign relatede emails, if NUMBER2 (Optional) available.) / - TELEPHONE CONTACT INFORMATION (Optional) Home: Office: Cell: FELONY CONVICTION STATUS (You MUST check one) LENGTH OF CONTINUOUS RESIDENCE. AS OF DATE THIS APPLICATION WAS SWORN Ihaver not been finally convicted of a felony. IN THE STATE OF TEXAS IN TERBHTOR/DSTRIC/PRECINGT FROM have been finally convicted of a felony, but have been WHICH THE OFFICE SOUGHT IS ELECTED pardoned or otherwise released from the resulting year(s) year(s) disabilities of that felony conviction and have provided proof of this fact with the submission of this application." 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: Ifurther swear that my nickname does not constitute a slogan or contain a title, nor does iti indicate a political, economic, social, or religious view or affiliation. Ihave been commonly known byt this nickname for at least threey years prior tot this election. Please review sections 52.031, 52.032 and! 52.033 oft the Texas Election Coder regarding the rules for how names may be listed on the official ballot. Before me, the undersigned authority, on this day personally appeared (name of candidate)_ who being by me here and now duly sworn, upon oath says: "I, (name of candidate) of County, Texas, being a candidate fori the office of swear that I will support and defend the Constitution and laws of the United States and of the State of Texas. - am a citizen of the United States eligible to hold such office under the constitution and laws of this state. Ihave not been determined by a finalj judgment of a court exercising probate. jurisdiction tol be totally mentallyi incapacitated or partially mentally incapacitated without the right to vote. lam aware of the nepotism law, Chapter 573, Government Code. lam aware that must disclose any prior felony conviction, and if so convicted, must provide proof that have been pardoned or otherwise released from the resulting disabilities of any such final felony conviction. I am aware that knowingly providing false information on the application regarding my possible felony conviction status constitutes a Class B misdemeanor. further swear that the foregoing statements included in my application are in all things true and correct." X SIGNATURE OF CANDIDATE Sworn to and subscribed before me this the day of by. (day) (month) (year) (name of candidate) Signature of Officer Authorized to Administer Oath4 Printed Name of Officer Authorized to Administer Oath Notarial or Official Seal Title of Officer Authorized to Administer Oath TO BE COMPLETED BY CHAIR OR SECRETARY OF THE COUNTY EXECUTIVE COMMITTEE: THIS APPLICATION IS ACCOMPANIED BY THE REQUIRED FILING FEE PAID BY: CASH CHECK MONEY ORDER CASHIERS CHECK OR PETITION IN LIEU OF A FILING FEE Voter Registration Status Verified This document and $ filing fee or a nominating petition of pages received. (See Section 1.007) Date Filed Signature of Chair or Designee Receiving Filed Application or Date Accepted Date Rejected Signature of Chair or Secretary Upon Determination of Application 2-4 Prescribed by Secretary of State Sections 141.031, 141.039, 172.021, 172.022, 172.023, 172.024, Texas Election Code 11/2023 INSTRUCTIONS An application for a place on the general primary election ballot must be filed with the state party chair, for a statewide or district office filled by voters of more than one county. An application for an office filled by voters of a single county must be filed with the county party chair or the secretary of the county executive committee, if any. (Section 172.022, Texas Election Code) This candidate application must be accompanied by either a filing fee or a completed Petition in Lieu of a Filing Fee. Please see Sections 172.021, 172.025, Texas Election Code, for the required number of signatures on a submitted Petition in Lieu of a Filing Fee. The filing deadline is 6:00 p.m. on the second Monday in December of the odd-numbered year preceding the General Primary Election and the application may not be filed earlier than 30 days before the filing deadline. For additional information, please see the Candidate's Guide on the Secretary of State's website, including the page on Frequently Asked Questions on Party Affiliation and Candidacy. NEPOTISM LAW The candidate must sign this statement indicating his awareness of the nepotism law. When a candidate signs the application, it is an acknowledgment that the candidate is aware of the nepotism law. The nepotism prohibitions of Chapter 573, Government Code, are summarized below: No officer may appoint, or vote for or confirm the appointment or employment of any person related within the second degree by affinity (marriage) or the third degree by consanguinity (blood) to the officer, or to any other member of the governing body or court on which the officer serves when the compensation of that person is to be paid out of public funds or fees of office. However, nothing in the law prevents the appointment, voting for, or confirmation of anyone who has been continuously employed in the office or employment for the following period prior to the election or appointment of the officer or member related to the employee in the prohibited degree: one year, if the officer or member is elected at the General Election for State and County Officers. No candidate may take action to influence an employee of the office to which the candidate is seeking election or an employee or officer of the governmental body to which the candidate is seeking election regarding the appointment or employment of a person related to the candidate in a prohibited degree as noted above. This prohibition does not apply to a candidate's actions with respect to a bona fide class or category of employees or prospective employees. FOOTNOTES 1An application for a place on the ballot, including any accompanying petition, is public information immediately on its filing. (Section 141.035, Texas Election Code) 2inclusion of a candidate's VUID is optional. However, many candidates are required to be registered voters in the territory from which the office is elected at the time of the filing deadline. 3Proof of release from the resulting disabilities of a felony conviction would include proof ofj judicial clemency under Texas Code of Criminal Procedure 42A.701, proof of executive pardon under Texas Code of Criminal Procedure 48.01, or proof of a restoration of rights under Texas Code of Criminal Procedure 48.05. (Texas Attorney General Opinion KP-0251) One of the following documents must be submitted with this application. Judicial Clemency under Texas Code of Criminal Procedure 42A.701 Executive Pardon under Texas Code of Criminal Procedure 48.01 Restoration of Rights under Texas Code of Criminal Procedure 48.05 4AII oaths, affidavits, or affirmations made within this State may be administered and a certificate of the fact given by a judge, clerk, or commissioner of any court of record, a notary public, a justice of the peace, and the Secretary of State of Texas. See Chapter 602 of the Texas Government Code for the complete list of persons authorized to administer oaths. 2-4 Prescribed by Secretary of State Sections 141.031, 141.039, 172.021, 172.022, 172.023, 172.024, Texas Election Code 11/2023 FILING FEE SCHEDULE (172.024 Texas Election Code) United States Senator $5,000 All Other Statewide Offices $3,750 United States Representative $3,125 State Senator $1,250 State Representative $750 Member, State Board of Education $300 Chief Justice or Justice, Court of Appeals, other than a justice specified by Subdivision $1,875 (8) Chief Justice or. Justice of a Court of Appeals that serves a Court of Appeals District in $2,500 which a county with a population of more than 1.2 million is wholly or partly situated District Judge or. Judge specified by Sec. 52.092(d) for which this schedule does not $1,500 otherwise prescribe a fee District or Criminal District Judge of a court in a judicial district wholly contained in a $2,500 county with a population of more than 1.5 million Judge of a Statutory County Court, other than a judge specified by subdivision (12) $1,500 Judge of a Statutory County Court in a county with a population of more than 1.5 $2,500 million District Attorney or Criminal District Attorney or County Attorney performing the $1,250 duties of a District Attorney County Judge, County Commissioner, District Clerk, County Clerk, Sheriff, County Tax- Assessor-Collector and County Treasurer County of 200,000 or more population $1,250 County of under 200,000 population $750 Justice of the Peace or Constable County of 200,000 or more population $1,000 County of under 200,000 population $375 County Surveyor $75 All County Offices not otherwise listed $750 2-4 Prescrito por el Secretario de Estado Secciones 141.031, 141.039, 172.021, 172.022, 172.023, 172.024, Codigo Electoral de Texas 11/2023 SOLICITUD DE INSCRIPCION PARA UN LUGAR EN LA BOLETA DE LA ELECCION PRIMARIA GENERAL TODA LA INFORMACION ES REQUERIDA Al MENOS QUE SE INDIQUE COMO OPCIONAL EIH hecho de no proporcionar la informaciôn requerida puede resultar en el rechazo de la solicitud. SOLICITUD DE INSCRIPCIÔN PARA UN LUGAR EN LA BOLETA DE LA ELECCION PRIMARIA GENERAL DEL PARTIDO Para: Presidente Estatal/Presidente del Condado (Democrata o Republicano) Solicito que mi nombre sei incluya en la boleta oficial del la primaria mencionada anteriormente como candidato(a) paral lar nominacion alc cargog que sei indica a continuaciôn. CARGO SOLICITADO (Incluya cualquier numero de cargo u otro numero INDIQUE TÉRMINO DECLARACION DE TITULAR ACTUAL: distintivo, si lo hay.) TÉRMINO COMPLETO (Indique si usted es el titular actual.) TÉRMINO INCOMPLETO TITULAR ACTUAL NOMBRE COMPLETO (Primer Nombre, Segundo Nombre, Apellido) ESCRIBA: SU NOMBRE COMO DESEA QUE APAREZCA EN LA BOLETA* DIRECCION DE RESIDENCIA PERMANENTE (No incluya un apartado postal o DIRECCION DE CORREO PUBLICO (Opcional) (Direccion en lac que recibe la una ruta rural. Si usted no tiene una direccion de residencia, describa la ubicaciôn correspondencia relacionada con la campana, si està disponible.) del lar residencia.) CIUDAD ESTADO CÔDIGO POSTAL CIUDAD ESTADO CÔDIGO POSTAL DIRECCION DE CORREO ELECTRONICO PUBLICO OCUPACION (No deje este FECHA DE NACIMIENTO VUID - NUMERO UNICO DE (Opcional) (Direcciôn donde recibe correo electrénico espacio en blanco) IDENTIFICACION DE VOTANTE2 relacionado con la campana, sie està disponible.) / / (Opcional) INFORMACION DE CONTACTO TELEFONICO (Opcional) Hogar: Trabajo: Celular: ESTADO DE CONDENA POR DELITO GRAVE (DEBE marcar uno) DURACION DE RESIDENCIA CONTINUA A PARTIR DE LA FECHA EN QUE ESTA! SOLICITUD FUE. JURADA No he sido finalmente condenado por un delito grave. EN EL ESTADO DE TEXAS EN EL TEBAITONODSTRTOPRECNTO He sido finalmente condenado por un delito grave, pero he sido DEL CUAL SE ELIGE EL CARGO BUSCADO indultado o liberado de otro modo de las discapacidades resultantes ano(s) ano(s) de esa condena por delito grave y he proporcionado prueba de este mes(es) hecho con lay presentacion de esta solicitud.3 mes(es) *Si usa un apodo como parte de su nombre para aparecer enl lal boleta, también està firmandoy y. jurandol las siguientes declaraciones:. Juro ademas que mi apodo no constituye un lema ni contiene un titulo, ni indica un punto de vista o afiliaciôn politica, economica, social o religiosa. He sido comunmente conocido por este apodo durante al menos tres aros antes de esta eleccion. Por favor, revise las secciones 52.031, 52.032y y 52.033 del Cédigo Electoral de' Texas con respecto al las reglas sobre como se pueden incluir los nombres en la boleta oficial. Ante mi, la autoridad abajo firmante, en este dia aparecio personalmente (nombre del candidato) quien estando a mi lado aqui y ahora debidamente, juramentado, bajo juramento dice: "Yo, (nombre del candidato) del condado de Texas, siendo candidato para el cargo de juro que apoyaré y defenderé la Constitucion y las leyes de los Estados Unidos y del Estado de Texas. Soy und ciudadano de los Estados Unidos elegible para ocupar dicho cargo segun la Constituciôn y las leyes de este estado. No: ser me ha determinado por un fallo final de una corte que ejerce laj jurisdiccion testamentaria que esté totalmente incapacitado mentalmente o parcialmente incapacitado sin derecho a voto. Soy consciente de la ley de nepotismo segun el Capitulo 573 del Codigo de Gobierno. Soy consciente de que debo divulgar cualquier condena previa de un delito grave y, si he sido condenado, debo proporcionar prueba de que he sido indultado o liberado de otro modo de las discapacidades resultantes de dicha condena final por delito grave. Soy consciente de que proporcionar a sabiendas informacion falsa en la solicitud con respecto a mi posible estado de condena por delito grave constituye un delito menor de Clase B. Juro ademas que las declaraciones anteriores incluidas en mi solicitud son, en todos los aspectos, verdaderas y correctas". FIRMA DEL CANDIDATO Jurado y suscrito ante mi este dia de_ del por (dia) (mes) (ano) (nombre de candidato) Firma del oficial autorizado para administrar elj juramento* Nombre del oficial autorizado para administrar, juramentos en letra de molde Notarial o sello oficial Titulo del oficial autorizado para administrar el juramento TO BE COMPLETED BY CHAIR OR SECRETARY OF THE COUNTY EXECUTIVE COMMITTEE: THIS APPLICATION IS ACCOMPANIED BY THE REQUIRED FILING FEE PAID BY: CASH CHECK MONEY ORDER CASHIERS CHECK OR PETITION IN LIEU OF A FILING FEE Voter Registration Status Verified This document and $ filing fee or a nominating petition of pages received. (See Section 1.007) Date Filed Signature of Chair or Designee Receiving Filed Application or 2-4 Prescrito por el Secretario de Estado Secciones 141.031, 141.039, 172.021, 172.022, 172.023, 172.024, Codigo Electoral de Texas 11/2023 INSTRUCCIONES Una solicitud para un lugar en la boleta de la elecciôn primaria general debe ser presentada al presidente estatal del partido, para un cargo estatal O un cargo de distrito elegido por votantes de mâs de un condado. Una solicitud para un cargo elegido por votantes de un solo condado debe ser presentada al presidente del condado del partido o al secretario(a) del comité ejecutivo del condado, si lo hay. (Seccion 172.022, Codigo Electoral de Texas) Esta solicitud de candidatura debe ir acompahada de un pago de inscripcion o una Peticion Presentada en Sustitucion del Pago de Inscripcion. Consulte las Secciones 172.021, 172.025, del Codigo Electoral de Texas para conocer el numero de firmas requerido en una Peticion Presentada en Sustitucion del Pago de Inscripciôn. La fecha limite de presentacion es a las 6:00 p.m. del segundo lunes de diciembre del ano impar anterior a la elecciôn primaria general y la solicitud no podrà presentarse antes de los 30 dias anteriores de la fecha limite de presentacion. Para obtener informacion adicional, consulte la Guia del Candidato en el sitio web de la Secretarià de Estado, incluida la pagina de Preguntas Frecuentes sobre afiliacion del partido y candidatura. LEY DE NEPOTISMO El candidato debe firmar esta declaracion indicando su conocimiento de la ley del nepotismo. Cuando un candidato firma la solicitud, es un reconocimiento de que el candidato conoce la ley del nepotismo. Las prohibiciones de nepotismo del capitulo 573, Codigo de Gobierno, se resumen a continuacion: Ningun funcionario puede nombrar, votar o confirmar el nombramiento o empleo de cualquier persona emparentada dentro del segundo grado por afinidad (matrimonio) O del tercer grado por consanguinidad (sangre) con el funcionario, o con cualquier otro miembro del organo de gobierno O corte en la que sirve el funcionario cuando la compensacion de esa persona debe pagarse con fondos publicos O honorarios del cargo. Sin embargo, nada en la ley impide el nombramiento, la votacion ola confirmacion de cualquier persona que haya estado empleada continuamente en la oficina O el empleo durante el periodo siguiente antes de la eleccion o el nombramiento del funcionario o miembro emparentado con el empleado en el grado prohibido: un ano, si el funcionario o miembro es elegido en las elecciones generales para funcionarios estatales y del condado. Ningun candidato puede tomar medidas para influir en un empleado del cargo al que aspira a ser elegido o en un empleado o funcionario del organismo gubernamental al que aspira a ser elegido en relaciôn con el nombramiento o el empleo de una persona emparentada con el candidato en un grado prohibido, tal como se ha indicado anteriormente. Esta prohibicion no se aplica a las acciones de un candidato con respecto a una clase o categoria de buena fe de empleados O empleados prospectos. NOTAS Una solicitud para un lugar en la boleta electoral, incluida cualquier peticion que la acompane, es informacion publica inmediatamente después de su presentacion. (Seccion 141.035, Codigo Electoral de Texas) 2La inclusion del numero unico de dentificacion de votante (VUID, por: sus siglas en Ingles) es opcional. Sin embargo, a muchos candidatos se les exige que estén registrados como votantes en el territorio desde el cual se elige el cargo en el momento de la fecha limite de presentacion. 3La prueba de liberacion de las discapacidades resultantes de una condena por un delito grave incluiria prueba de clemencia judicial segun el Codigo de Procedimiento Penal de Texas 42A.701, prueba de indulto ejecutivo segun el Codigo de Procedimiento Penal de Texas 48.01, o prueba de una restauracion de derechos segun el Codigo de Procedimiento Penal de Texas 48.05. (Opinion de Fiscal General de Texas KP-0251) Se debe enviar uno de los siguientes documentos con esta solicitud: Clemencia judicial segun el Codigo de Procedimiento Penal de Texas 42A.701 Prueba de indulto ejecutivo segun el Codigo de Procedimiento Penal de Texas 48.01 Prueba de una restauracion de derechos segun el Codigo de Procedimiento Penal de Texas 48.05 4Todos lo los juramentos, declaraciones juradas O afirmaciones hechas dentro de este estado pueden ser administrados y un certificado del hecho dado por un juez, secretario(a) o comisionado de cualquier corte de registro, un notario publico, un juez de paz, y el Secretario de Estado de Texas. Consulte el Capitulo 602 del Codigo del Gobierno de Texas para obtener la lista completa de personas autorizadas a administrar juramentos. 2-4 Prescrito por el Secretario de Estado Secciones 141.031, 141.039, 172.021, 172.022, 172.023, 172.024, Codigo Electoral de Texas 11/2023 LISTA DE PAGOS DE INSCRIPCION (172.024 Codigo Electoral de Texas) Senador de los Estados Unidos $5,000 Todas las Demas Oficinas Estatales $3,750 Representante de los Estados Unidos $3,125 Senador Estatal $1,250 Representante Estatal $750 Miembro, Junta de Educacion Estatal $300 Juez Presidente O Juez, Corte de Apelaciones, que no sea un juez especificado por la $1,875 subdivision (8) Juez Presidente O Juez de Corte de Apelaciones que sirve una corte de apelacion del $2,500 distrito en el cual un condado con una poblacion de mas de 1.2 millones està situado total op parcialmente Juez de Distrito O Juez especificado por la Sec. 52.092(d) para el cual esta lista no $1,500 prescribe de otro modo un honorario Juez de Distrito o Juez de Distrito Criminal de una corte en un distrito judicial situado $2,500 completamente en un condado con una poblacion de màs de 1.5 millones Juez de una Corte Estatutaria del Condado, que no sea un juez especificado por la $1,500 subdivision 12 Juez de una Corte Estatutaria del Condado en un condado con una poblacion de mâs de $2,500 1.5 millones Procurador del Distrito o Procurador del Distrito Criminal o Procurador del Condado que $1,250 ejerce las funciones del Procurador del Distrito Juez de Condado, Comisionado del Condado, Secretario del Distrito, Secretario del Condado, Alguacil, Asesor-Colector de Impuestos del Condado o Tesorero del Condado Un condado con una poblacion de 200,000 o mas $1,250 Un condado con una poblacion de menos de 200,000 $750 Juez de Paz o Condestable Un condado con una poblaciôn de 200,000 O màs $1,000 Un condado con una poblacion de menos de 200,000 $375 Agrimensor del Condado $75 Todos los puestos oficiales del condado que no se han mencionado $750 APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA BY A CANDIDATE PG 1 1 Total pages filed: See CTA Instruction Guide for detailed instructions. 2 CANDIDATE MS/MRS/MR FIRST MI OFFICE USE ONLY NAME Filer ID: # NICKNAME LAST SUFFIX Date Received 3 CANDIDATE ADDRESS /PO BOX; APT/SUITE: #; CITY; STATE; ZIP CODE MAILING ADDRESS Datel Hand-delivered or Postmarked 4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION Receipt # Amounts PHONE ) Date Processed 5 OFFICE Date Imaged HELD (if any) 6 OFFICE SOUGHT (if known) 7 CAMPAIGN MS/MRS/MR FIRST MI NICKNAME LAST SUFFIX TREASURER NAME 8 CAMPAIGN STREET, ADDRESS; APT/ SUITE #; CITY; STATE; ZIP CODE TREASURER STREET ADDRESS (residence or business) 9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE / 10 CANDIDATE SIGNATURE am aware of the Nepotism Law, Chapter 573 of the Texas Government Code. - am aware of my responsibility to file timely reports as required by title 15 of the Election Code. : am aware of the restrictions in title 15 of the Election Code on contributions from corporations and labor organizations. Signature of Candidate Date Signed GO TO PAGE 2 Forms provided by Texas Ethics Commission www.athicsstate.kus Revised 1/1/2023 CANDIDATE MODIFIED FORM CTA REPORTING DECLARATION PG 2 11 CANDIDATE NAME 12 MODIFIED REPORTING COMPLETE THIS SECTION ONLY IF YOU ARE DECLARATION CHOOSING MODIFIED REPORTING ee This declaration must be filed no later than the 30th day before the first election to which the declaration applies. 0e 0 The modified reporting option is valid for one election cycle only. e (Anelectionc cyclei includes aj primary election,agenerale edmed-yesadann) ee Candidates for the office of state chair of a political party may NOT choose modified reporting. ee - do not intend to accept more than $1,010 in political contributions or make more than $1,010 in political expenditures (excluding filing fees) in connection with any future election within the election cycle. I understand that if either one of those limits is exceeded, I will be required to file pre-election reports and, if necessary, a runoff report. Year ofe election(s) or election cycle to Signature of Candidate which declaration applies This appointment is effective on the date it is filed with the appropriate filing authority. TEC Filers may send this form to the TEC electronically at reasappon@entssale tx.us or mail to Texas Ethics Commission P.O. Box 12070 Austin, TX78711-2070 Non-TEC Filers must file this form with the local filing authority DOI NOT SEND TO TEC For more information about where to file go to: ntps/wwetncsstatusfingmodurAFleAReportpnp Forms provided by Texas Ethics Commission www.ethicsstate.ikus Revised 1/1/2023