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Home My WebLink AboutScotty Richardson - Place 3z-z6 Prescri6ed 6y Secretary of State Section 14f.03}., Chapters 14� and 144, Texas Election Code 09/2021 ApR[.�CATION FOR A PLACE ON THE BALLOT FOR A GENERAL ELECTION FOR A ClTY, SCHOOI. DISTRICT OR OTHER P�LITICAL SUBDIVISI�N RECEIV�D �_.c�,ryi L— 16 2023 cso !1'O�'� ALL INFORMATION IS REQUIRED i� BE PROVIDEO UNiESS INDICATE� AS OPTIONALl Failure to provide required information may result in re�ecYion of application. APPLICATIQN FOR A PLACE ON THE L.L GENERAL ELECTION BALLOT T4: City Secretary/Secretary of Board (name af ele[tianj I req�est that my name 6e plac�d an the above-named afficial ballot as a candidate for Yhe offite indicated belaw. OFFICE SOUGHT {inclucie any place numher pr o4F�er disting�ishing number, if any.) INDICATE TERM � � �FULL C� UNEXPIRE� FUlL NAME (First, Middie, Lastj PRINT NAME AS YOl! WANT !T TO A�PEAR ON TFEE BAtLOT* SCa�rT G� Ri S� � PERMANE11iT RESID€NCE AbDRE55 {oo not include a P.O. eox or Rural Raute. If PUBLlC MAI�IIVG ADDRESS {ppiional) (Address for which yo� receive you do noi have a residence address, descri6e location of residence.j <ampaign reiated mrrespondence, ff available.� Z8 c D �ETY STAT� ZIP CITY STAT� ZIP Go�c.F Yv��, TX �bo3� PUBLIC EMAlL A��RFSS {pptionaf� [nddress tor OCCIiPATION [Do no# leave 61ank) DATE OF BERTH V4TER REGlSTi�ATION V[1[D which you receivecampaign relatedemails, if availabSe.} {SfIiMBERz (Out[onall a R�r�R�n TELEPHf)11EE CONTACTlNFDRNlATION (Optiona 9��0� Home: � Office: I Y Ceil: O��'�7 7� � 2� Z a F�COrIY CONVICi{ON 5 AiUS {You MUST chec& pne) I.ENGT OF CdNTINl10v5 RESIDENCE AS pF f3A7ETH15 APPLICATION WAS SWORN have not been #inaHy convicted of a fe�ony. IN THE 5TATE OF TEXAS IN 7�RRITORY/D4STRlCr/PAEGNCT FROM � I have been finally con�icted of a felony, 6ut I have been WHfCH THE OF�ICE SOUGH7 15 ElEtTE� garcfor�ed or otherwEse released from the resufting � Year{s) _� year(sf disa6ifities of that felony conviction and I have provided praof of this fact with the submission of this appEication.3 � month{sj __�__ :��r�th{s) *if using a nickname as part of your name to appear on the bapot, you are also signing and swearing to the fo�lowing statements: I further swear tha[ my nicknarne does not constituYe a slagan or contain a title, nor does it indicate a po�itica€, ecorromic, social, or refigious view or affiliation. I have been commonly knouvn 6y this nicknarne for at least three years prior to this election. Please review sections 52.03i, 52.032 anci 52.033 of the Texas Election Cade regarding the rules for how names may he IisCed on tf�e official ballat. Before me, the undersig�ed authority, on Ehis day personalEy appeared {�ame of candidace} S who being by me here and now duly sworn, upon oath says: "I, {name of candidate) SeoTT r � � Gl,l��„Sb f�_ of County, Texas, being a candidate for ihe office of�Y�tr`� [fTYC�rtAle��, swear that I will support and defencE the Constitutinn and laws af the United States and of [he State of Texas. ! am a �itizen of the linited States eligi6le to hold s�ch office under the conscitutinr� and laws of this state_ ! have not been determineci by a final judgment of a court exercising pro6ate;urssdiction to be total{y mentally incapacitated ar partiafly mentally incapatitated without the right tn vote. I am aware of the nepotism law, Chapter 573, Governmeni Code. I am aware thaE I must dssclose any prior felony convictian, and if so convicted, must provide proaf that l have been pardoned or otherwise refeased from the resukting disabilities of any such final felony canviction. I am aware that knowingly providing €a[se ir�forrr3ation on the application regarding my possible fefony con�ictfon status constitutes a Class & misdemeanor. I further swear that #he foregoing stateme�ts ind�ided in my application are in all things true and correct" X ' _ _ 51 TURE OF NDIDATE Swam to and subscribe� before me this che ��day o# T p�0 __ ,�y 5e,o'TrY 1 C�-{(� L (da - y s) [name of candidaEe} k -� :;�°":?�,,, c�ws �E �.avEni :.� :*= My tJot�y �� # t1 i.,D ►1 C lli. Signature of Officer Authorized to Administer Qa �r±;�,�,�+r�� f6g �}12, nted rne of Officer Au#harized to Administer Oath j�[OT�A2'; ._.__ :.,,-,�n:�� .:� c��„��_� �_�; Title of Officer Authorized to Administer Oath TO BE CdMPLfi�p BY FIiING QFFIC�R: TH15 APPLECATION !S ACCQiVIPANIEQ BY THE REQUIRED FILING FEE (If Applica6le) PAID BY; ❑ CASH ❑ CHECK ❑ MONEY ORDER ❑ CASiilERS CHECK DR ❑ PETI710N I�f LIEU OF A FILING FEE. This document and $ filing fee or a nominating petition of pages recei�ed. �oter gis ration Status Verified -�J-/ .�,� /�_f �o a3 (See Section 1A07� � Date Recei�ed f?ate Accepted � Signature of Filing O€ficer or Designee APPOINTMENT OF A CAMPAIGN TREASURER FORnn CTA BY A CANDIDATE PG 1 7 To�al pages fi�ed: See CTA Instruction Guide for detailed instructions. � 2 CANDIDATE ��srmasim'.a FiRsr u� pFFICEUSEONLY NAME Rler ID! -_--R._- ScorrY G ------ - - - --------------- N��K��,,�E �.�r ,�FF�r oa�e�e��-iECEIVED RrcHARoso�v �w�emL- 3 CANDIDATE �coaEss �aoac;�. aar�sui*Ex cirv. sra'r. ziFCCOF � 1� 2�13 MAILING AooREss 2�005R��NdtosDlZJUf,Go�tkYu��.E� TX �.p � �° ✓V� 7603� �at^�ara-0eliveretlorPosM1rark=a 4 CANDIDATE /ftEA CO�E PHCN[ NUM6'cR EATENSIGN RecaptR :amounlb PHONE /y \ V I! / 676 - z i z p Da�e Precessea s oFF�cE pLAntn,iN� � zo�yi�lrG CoMmiSSioN °a�e�ma9e° H a Y� GOLlEYV14lE �'GONOMtt Ev s oFFicE SOUGHT / L v _I (ifknown) l.b�FYV��.�.E ��%f CDu,•:.i�. PIAcE � 7 CAMPAIGN MS/MRSIMR FIRST MI NICWI.4ME WST SUFFlX TREASURER NAME S RttNARpSoN 1�lRS. 7ENN Y 8 CAMPAIGN SrReeraOCREsS. „arrsulre., rm, sr,��=_ Zia��oee TREASURER STREET / r ADORESS 200�j RE�Y�lO�.OS oR►V6� �+O:�I.�t �:��i.i.� I! X 76 a3 y ;residence or business) 9 CAMPF�IGN ��Ea cocE �r+cn�E N��nnsEa ExrE��sicry TREASURER PHONE / [� I �\ � �� _ � I �' �a � '10 CANDIDATE si�NaTURe 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 requfred by titie 15 of the Election Code. I am aware ofthe restrictions in title 15 ofthe Election Code on contributions from corporations and labor organizations. -- �7 —("�S''2023-- Sig ire of Cantlidate Date Signed GO TO PAGE 2 Forms providetl by Texas Ethics Commission NMrov_ethics.state.tx.us R2vised 1/i/2023 CANDIDATE MODIFIED FORnn CTA REPORTING DECLARATION P� 2 �'1 CANDIDATE NAME '12 MODIFIED REPORTING COMPLETE THIS SECTION ONLY IF YOU ARE DECLARATION CHOOSING MODIFIED REPORTING •• This declaration must be £led no later than the 30th day before the £rst election to which the declaration applies. •• •• The modified reporting option is valid for one election cycle only. •• (An elecGon cycle inGudes a primary election, a general election, antl any related runofB.) •• Candidates for the office of state chair of a political party may NOT choose modified reporting. •• I do not intend to accept more than $1,0'10 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 wili be required to file pre-election reports and, if necessary, a runoff report. Vearofelection(s)orelectioncycleto SignatureofCandidate which declaration applies This appointment is effective on the date it is fled with the appropriate filing authority. TEC Filers may send this form to the TEC electronically at treasappoint(a�ethics.state.bc.us or mail to Texas Ethics Commission P.O. Box 12070 Austin, TX 78711-2070 ��:�fl-T�� ':@(5 !71LS2 ,l�e � �^:iS (O{"?l'Jit� i,h� fCC��i �i��,.^.y 8 -.. (;�y '�G�IOTSciJDiO i�^. For more information about where to fle go to https:/lwww.ethics.state.tx. us/filinginfo/QuickFileAReport. php rorms promtletl by lexas tthics Commisslon vn.vw.ethics.state.tx.us Revised 1/V2023 CODE OF FAIR CAMPAIGN FORM CFCP PRACTICES COVER SHEET OFFICE USEONLY Pursuant to chapter 258 of the Election Code, every candidate and oa,eRe�e;�� political committee is encouraged to subscribe to the Code of Fair RECEIVED Campaign Practices. The Code may be filed with the proper filing '��" authority upon submission of a campaign treasurer appointment �1 3 2023 form. Candidates or political committees that already have a Cso current campaign treasurer appointment on file as of September l, 1=0 1997, may subscribe to the code at any time. °a'eHd"'°"1Vef°°`P°=�"a`Ne° oaie amcessea Subscription ta the Cocle of Fair Campaign Yractices is vo[untary oaieimaeea 1 ACCOUNT NUMBER 2 TYPE OF FILER (Ethics Commssion Filers) CANOIDATE � POLITICAL COMMITTEE � If 61ing as a candidate, complete boxes 3- 6, l( lling /or a poGtical committee, complete then read and sign page 2. boxes 7 antl 8, then read and sign page 2. $ NAME OF CANDIDATE nr�E(oc.Mr_ms.,e�.� Fiasr Mi (PLFASE TYPE OR PRINTj -------R'----- ScortY--------------G----------------- NICKNqME LAS! SUFfI%(SR.,JR..III,e�c.) K�cNARASoN Q TELEPHONE NUMBER �EACOOE PHONENUMBER E%TENSION OF CANDIDATE /l L (PLEASETVPEORPRINT) ` S'�� {J _ �' �� 5 ADORESS OF CANDIDATE sraeeT�aoeox: narisuirea; crtv: s*nTe ziacaoe `P��E'�PE�RPR��T, �005 REYNO�OS ORIv�, �o�iFyv��.E� TX 7603� s OFFICE SOUGHT BY CANOIDATE � ,p��sE.�EORPR�,,r, �OILEYUILLE CITY �ouNGll PI.ACE � NAME OF COMMITTEE (PLEASETYPEORPRINT) $ NAME OF CAMPAIGN iiT�E(Dr..�nr.,ms.,etc.� FiRsr rni TREASURER y�/� _ _ �'' � Rs. ----- �EN 11)-Y -------------s ------ - (PLFASE TYPE OR PRINT) ______.._____ NICKNAME LAST SUFFIX�SR.,JR..Ill.etc.) RtcHqRnSoN GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2021 CODE OF FAIR CAMPAIGN PRACTICES There are basic principles of decency, honesty, and fair play [hat every candidate and pol itical committee in this state has a moral obligation to observe and uphold, in order that, after vigorously contested but fairly conducted campaigns, our citizens may exercise their constitutional rights to a Lree and untrammeted choice and the will of the people may be fully and clearly expressed on the issues. T[�REFORE: (1) I wi(I 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 wil] not use or permit the use ofchazacter defamation, whispering campaigns, libel, slander, or scumlous 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) [ 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, withoutjustification, as to the personal integrity or patrio[ism ofmy opponen[. (5) I will not undertake or condone any dishonest or unethical practice that tends to corrupt or undermine our system of&ee elections orthat hampers orprevents the full and free expression ofthe will ofthe voters, including any activity aimed at infunidatu�g voters ordiscouraging lhem from voting. (6) I will defend and uphold the right ofevery qualified voter to full and equal participation in the electoral process, and will not engage in any activity a�rned at intimidating voters or discouraging them from voting. (7) I will immediately and publicly repudiate methods and tac[ics that may come &om others that I have pledged not to use or condone. 1 shall take firm action against any subordinate who violates any provision of this wde or the laws goveming elections. I, the undersigned, candidate for election to public office in the State ofTesas or campaign treasurer ofa political committee, hereby voluntarily endorse, subscribe to, and solemnly pledge myselfto conduct the campaign in accordance with the above principles and practices. -:� � � ' '; `Ia J�/L=. ::/L 1—iS�2o Date FormsprovidedbyTexasEthicsCommission www.ethics.staie.�x.us Revised 1/1/2021 RECEIVED �� a 2023 City of Colleyville Financial Disclosure and Business ConFlict of Interest Forms PERSONAL FINANCIAL STATEMENT AFFIDAVIT CSO I I :09 ��- Financial Disclosure and Business ConFlict of Interest Forms shall be provided by candidates for Mayor and City Council and by applicants seeking appointments to the Planning and Zoning Commission or the Zoning Board of Adjustment, and shall file such forms within two (2) business days following the end of the candidate filing period, or if for appointment, within (2) business day following the end of the application period stated in the official City advertisement for application for the position. The city manager and the city manager's senior staff inembers (including any staff member who is appointed with City Council approval) shall also file the same within thirty (30) days of hiring. All person(s), as outlined above, shall have a duty to file supplemental disclosures annually and within five (5) business days of an occurrence of any change in the information reFlected in the forms previously filed by the individual. Before me, the undersigned authority, personally appeared: S COTT Y R i G H A kD S GN who, after being duly sworn upon their oath and deposed and stated as follows: "My name is S coYrY R►cHARDSoN and I hereby submit for filing the attached Financial Disclosure and Business Conflict of Interest forms. I have personal knowledge of all information contained in said forms and all information contained in the forms is true and correct." "Further, all information contained in the forms is complete. There is no information that has been withheld or not disclosed which is responsive to or required to be disclosed by the forms." Swom to and subscribed before me, this the �U�� day of �f�U.C��.l , zoa3 CHRISTINE LOVEN MY Nofery ID # 11082587 � �1SY Z� 2026 Notary Public, State of Texas INITIAL HERE: f J� DATE: �—/g.. ZQ 27� City of Colleyville Financial Disdosure and Business Conflict nf inrPrPcr Fn�m� INFORMATION STATEMENT TOTAL NUMBER OF PAGES FILED: � OFFICE USE ONLY 1 NAME First, MI Date Received Sco-r-r � G Last, Suffix R� G HA Rp5 0 N RECEIVED Z ADDRE55 Address/Gty/state/Zip � 2005 IeEyN06pS ORi �E � 1� 1013 co��,EYvi�,,,,E TX 7603 �° 3 TELEPHONE Area Code, Phone Number, ztenslon NUMBER 8(-%—ia%E�".ZI,Z�O 11:09 �� ° REASON � EMPLOYEE (CI7Y MANAGER OR 'SENIOR STAFF) FOR FILING O�CANDIDATE CO�IEYWt! E GITr�G�t P1t10E 3 �iNorzare oFFice� STA7EMENT � ELECTED OFFICIAL pNo�care oFF�ce� � ZONING BOARD OF AD]USTMENT �ncvucanr oa avromree> � PLANNING & ZONING COMMISSION �nccuo�mroancPo�Nree> ❑Two (2) business days following the end of the candidate filing period or if appointment, following the end of the application period stated in the official city advertisement for the position. � Supplemental disclosure filed annually and within five (5) business days of an occurrence in previously filed form. *SENIOR STAFF is defined as those employees who are classified as directors and above in the City's classification system and the City Manager and City Secretary. s SPOUSE NAME _ �l ENNY I��HAROSON DEPENDENT 1. CHILD/CHILDREN 2. NAME(S) 3. 4. COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY INITIAL HERE:i7�� DATE: I� �S— �. D Z3 City of Colleyville Financiai DisUosure and 8usiness Conflict of Interest Forms INTERESTS IN REAL PROPERTY Section 1 Describe the location, size, and current use of all property owned within the included map, or held in trust by the filer, spouse, and any dependent minor children, or any business entity in which the person has a financial interest. When reporting information about a dependent child's activity, indicate the child about whom you are reporting by providing the number under which the child is listed on the Information Statement. 1 HELD OR ACQUIRED BY FILER POUSE EPENDENT CHILD # ZDESCRIPTION �ot_ 61 �,tY �o��Erv,«f 8bck � County / /9 QQ14 NJ% Subdfvision ��ay�� Ad Vabrum Tax Atcount Number O6 YZ Acre(s) and Tract 0• 3y 3 STREET ADDRE55 STREET ADDRE55, INCLUDING CITY, COUNTY, AND STATE 200S�P�Yn►o�psOR�u�� Coct,�rv��LE Tx 76a3y r c ° NAME LIST THE NAMES AND ADDRESSES OF OTHER PERSONS OR BUSINESS ENTTfIES WHICH OWN AN INTEREST IN THE REAL PROPERTY �INDIVIDUAL 0 BUSINESS 1 HELD OR ACQUIRED BY FILER SPOUSE DEPENDENT CHILD # DESCRIPTION Lot City _ Bbck County Subdivision Ad Valorum Tax Acmunt Number Acre(s) and Tract 3 STREET ADDRESS STREET ADDRE55, INCLUDING CITY, COUNTY, AND STATE 4 NAME LIST THE NAMES AND ADDRESSES OF OTHER PERSONS OR BUSINESS ENTITIES WHICH OWN AN INTEREST IN THE REAL PROPERTY � INDIVIDUAL 0 BUSINESS COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY ❑ NOT APPLICABLE INITIAL HERE:� DATE: �`�S-zoZ3 City of Colleyville Financial Disdosure and Business Conflict of Interest Forms FEE, SALARY, OR GIFT Section 2 The name and address of any person or corporation which currently has or during the preceding twelve (12) months has had a direct or indirect contractual relationship with the City and from which the person(s), their spouse, or dependent minor children have received a fee, salary, or gift of value exceeding one hundred dollars ($100.00). When reporting information about a dependent child's activity, indicate the child about whom you are reporting by providing the number under which the child is listed on the Information Statement. 1 RECIPIENT O FILER �SPOUSE �DEPENDENT CHILD # ZFEE, SALARY, GIFT NAME AND ADDRESS 3 DESCRIPTION OF FEE, SALARY, GIFT 1 RECIPIENT OFILER OSPOUSE ODEPENDENT CHILD #_ Z FEE, SALARY, GIFT NAME AND ADDRE55 DESCRIPTION OF FEE, SALARY, GIFT 1 RECIPIENT �FILER �SPOUSE ODEPENDENT CHILD # 2 FEE, SALARY, GIFT NAME AND ADDRESS 3 DESCRIPTION OF FEE, SALARY, GIFT COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY Q NOT APPLICABLE INITIAL HERE�/� DATE: I' �S'?OZ3 City of Colleyville Financial Disclosure and Business Conflict of Interest Forms BUSINESS INTERESTS Section 3 The name and address of any corporation or business, which currently has or in the preceding twelve (12) months has had a direct or indirect contractuai relationship with the City, of which person(s), their spouse, or any dependent minor children own more than two percent (2%) of the outstanding equity interest or more than two percent (2%) of the assets. When reporting information about a dependent child's activity, indicate the child about whom you are reporting by providing the number under which the child is listed on the Information Statement. 1 HELD OR ACQUIRED BY �FILER �SPOUSE ODEPENDENT CHILD # ZDESCRIPTION NAMEAND ADDRESS 3 NATURE OF BUSINESS 1 HELD OR ACQUIRED BY �FILER �SPOUSE �DEPENDENT CHILD # Z DESCRIPTION NAME AND ADDRESS 3 NATURE OF BUSINESS 1 HELD OR ACQUIRED BY �FILER OSPOUSE �DEPENDENT CHILD # ZDESCRIPTION NAMEAND ADDRESS 3 NATURE OF BUSINESS COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY �NOT APPLICABLE INITIAL HERE:`%� DATE: �/S'— D23