HomeMy WebLinkAboutSayeda Bilqees Syed - Place 4A\Y1-16
Preseribed by Secmlary of Sm�e
Section 145.001, l�exas F.Iection Code
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CERTIFICATE OF NITHDRA�VAL
� a candidate for the offlce of
hereby wifhdra��• my candidacy Prom the
election. The eleetion is being conducted by
and is to be held on 0.
� (date)
��
Signature of Ca� idate
"The State ol' � J(E1rj
,�co�„�of -TaR-a.�rr� ,
"This inshvment �cas acknowledged before me on a by
date)
S aTa. ��� I ��s S�f�
(withdrawing candidate)
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(Signature of officer)
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CONSTAA'Cl�l DE RETIRO DE CANDIDATURA
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"El estado de
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Prescribed by Secretary ofState
Section 141.031, Chapters 143 and 144, Texas Election Code
a9lzaz�
APPLICATION FOR A PLAC� ON 7HE BALLOT FOR A GENERAL EL�CTION
FOR A CITY, SCHOOL DISTRICT OR OTHER POI.ITICAL SUBDIVI510N
���.a��
a�� irvr�rsmt►i wry i� Kr[.tuirstu i � nt NrtUVIutD UNLE55 INDfCATED AS OPTEONAL' Failure t4 provide required information may result in rejection of appliCatio�
APPlICATIQN FOR A PLACE ON THE COI.L.EYVILLE CITY COUNCII� G�N�RAL ELECT10iV BA�LOT
T0: Ciry Secretary/5ecretary of Board {name of election)
I request that my name be placed on th� aba�e-named official 6allot as a candidate for the office indicated below.
OFFICE SOUGNT {fnclude any place nu�or other distinguishing number, if any.) INDI[ATE TERM
CITY COUNCIL. PLACE� L� s_ _� I��Fu�_�_ w_❑ UNEXPIftED
FULL NAME (First, Middle, Last) PRINT NAME A5 YOU WANT IT TO APPEAR ON THE BALLOT*
SAYEDA 81LQEES SYED SAYEDA BILQEES SYEp
PERMANENT RESIDENCE ADDRES$ {�o not indude a I�.O. 13ox or Rural Route. If PU�LIC MAILING ADDRESS jOptional] (Address for which you receive
you do not have a residence adcfress, descripe location of residence.} campaign related correspondence, if available.J
6705 SAPPHIRE ClRCLE NORTFi IV�A
CITY STATE ZIP CITY STATE ZIP
COLLEYVILLE TX 76034
PUBLIC EMAIL ADDRE55 [Optional) �nddress for pCCUPATION {Do not lea�e blank} DATE OF BIRTH VOTER REGESTRATION VUID
which you receive campaign related cmails, if availablc.� NIiMBER� (Optional)
sa�f��i!{�O��GyVi�l�e� ��, Mechanical Engineer
TELEPHONE CONTAC7INFORMAT N (Optional} � '
Home: office: Cell: �17-913-047A
FELONY CQNVICTION STATUS (You MUST check one} I.ENGTH OF CONTINUOUS RESIDENCE AS OF DATE THiS APPLICATION WAS SWORN
0 I have not been finally convicted of a felnny. IN THE STAT� OF TEXAS IN TERRITpRY/DISTRICT/PRECiNCT FROM
� I have been finally convicted of a felony, but I have been WHICH TiiE OFFICE SQUGHT 15 �I.ECTED
pardonetl or otherwise released from thc resulting �_�_ Year{sj 9 year(s)
disabilities of chat felor�y con�iction and I have provided
proof of this fact with the submission of this appli�ation.3 $ month{sJ 5 month[s}
*If usinP a nickname as part of your name to appear on the balloi, you are also signing and swearin� to the following stalements: I further swear that
my nickname does not constitute a slogan or contain a title, nor does ii indicate a political, economic, social, or religious view or affiliation. I have
been commc�nly known by this nickname for at least three years prior to this election. Please review sections 57.031, 52.032 and 52,D33 of the Texas
Election Code regarding the rules for how names may be listed on the official ballol.
Before m�, the undersigned authority, on this day personally appeared (name of candidate)SaY�S �i � Q�E�_ Jrti% who
being by me here and now duly sworn, upon oath says:
"I, {name of candidatej��� �{� G_�}_ �� of '_2.a1ry,-�, Caunty, Fexas,
heing a candidate for the office of ��9,,y ��„ ���_ �'_ , swear that I will support and defend the Constitution and
laws of the UniEed States and of the State of Texas. I am a citizen of the Uniked 5tates eligible to hold such office under the consEitution and laws of
this state. 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 Cade. I am aware that f must disclase
any prinr felony convictian, and if so convicted, must provide proof that I have been pardoned or otherwise released from the resulting disabi€ities of
any such final felany conviction. I am aware that knowingly providing faise information on the application regarding my possihle felony conviction
status constitutes a Class B misdem�anor. f furthcr swear that khe foregoing stateme s included in my application are in all things true and correct."
X •
SIGNATl1 E 0 CANDIDAT�
Swom tp and subscribed befo me this the ��'�_ day of �a�_Q�_ __ _, pC.va�_, by�a edg�j'� �Q(,ZEE,S S�E� ^�
(dayj (month} (name of candidate)
� - rU�� ;;�Y:�; : c�wsnr�E � �_ in � ,�� e�.� _
Signature pf Officer Authorized to Administer Oath =f: *= Myt�oka�y ID#1 d N e of Officer �luthorized to Administer Oath
`,��� �� '��;� a.�'' Explres May z, 2026
I�u _ .__ _.
Tit�e of Officer Authorizcd to /ldminister Oath
_ — --- ___ - .----
TO BE COMPLETED RY FILING OFFICER: THfS ARpLICATION IS ACCOMPANI�D BY TH� R�QUIRED FILING FEE (If Appfitable} PAID BY:
L� C/�SH ❑ CHECK � MONEY dRDER ❑ CASHIERS CHECK Ofi �� PETlTION IN LIEU OF A FILING F��EE.
This document and $�___._ filing fee or a nominating petition of pages received. '�� Voter R gis ation Status Verified
� �
�____I j-- �,,,.___/�J�� (See Section 1.407J �� i�� _
Uate Received Date Accepted 5ignature of Filing Officer or �esignee
��cEivE�
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C',ml�J
rs�
APPOINTMENT OF A CAMPAIGN TREASURER FORnn CTA
BY A CANDIDATE PG 1
j Tolal pages filed:
See CTA Instruction Guide for detailed instructions. �
2 CANDIDATE MsiMasin�R Fiasr ^^� OFFICEUSEONLY
NAME ��� Q � �n,� ^
p 1 rx� ' F�ie, io a
--------------- J
----------- --------------
NICKNAME LAST SUFFI% DateReccivetl
S e�i ��NEivEa
3 CANDIDATE nooaess raoeox�. nanswred�, arr, srnre: ziacooe ,��•-�p-y 81�13
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MAILING ^�D� /I_ b���,(„Q_ G� " _
ADDRESS (� JK i ) �S6
/�_ 11 . � I , � � �O� �"� �a�eHand�deliveredorPostmarketl II,�
VfJ Wl
4 CANDIDATE AREA GODE PHONE NUMBER E%TENSION Receip�H Amounl$
PHONE
(81 / > / / � r' O M � � Dale ProcesseJ
1 �
5 OFFICE
�a�elmagetl
HELD
(if any)
6 OFFICE �� C�(Y1Nv"�" � �X.7\x—� �f
SOUGHT
(it known) �
7 CAMPAIGN MS/MRS/M FlRST MI NICKNAME LAST SUPFl%
TREASURER /J
NAME �, �� / /, C�� � �/
n ��c -� �
S CAMPAIGN STREETAD�RESS: APTISUITEtl; CITV; STATE; ZIPCODE
TREASURER � �� � �� � � � ���� A ^ ,
STREET lv
ADDRESS /� 1 � �
(residence or business) �. N �� ' 1 '�t � � LJ� `''t � C .O 4�G%�.Q^.�,L,,� ,
�..e.� r�-� . o.
9 CAMPAIGN AREA cooE Pr+oNE NunneEa ExiENsiory
TREASURER
PHONE / p'� ` �� n ' /���
\ �i / �
'10 CANDIDATE
si�Nn.Turte 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.
��
� 0 � �'r 23
-- — .._....._ � -----. __..
Signature fCandidate ateSigned
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1l1I2023
CANDIDATE MODIFIED
REPORTING DECLARATION
11 CANDIDATE
NAME
'12 MODIFIED
REPORTING
DECLARATION
FORM CTA
PG 2
COMPLETE THIS SECTION ONLY IF YOU ARE
CHOOSING MODIFIED REPORTING
•• This declaration must be filed no later than the 30th day before
the first election to which the declaration applies. ••
•• The modified reporting option is valid for one election cycle only. ••
(An election cycle includes a primary election, a generel election, and any related runoffs.)
•• Candidates for the office of state chair of a political party
may NOT choose modified reporting. ••
I do not intend to accept more than $1,010 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 of election(s) or election cycle to
which declaration applies
Signature of Candidate
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 treasaopoint(c�ethics.state.tx.us
or mail to
Texas Ethics Commission
P.O. Box 12070
Austin, TX 78711-2070
Ne i t C; t=i=:ers rnust f;l, tl�'S �orrn ��ith lh� (oc �i'('iny aut'�orily
[:,O NOT SE��� 10 TGC
For more information about where to file go to:
https://www.ethics.state.tx.us/filinginfo/QuickFileAReport.php
rorms provided by iexas Ethics Commission www.elhics.stale.tx.us Revised 1/1/2023
CODE OF FAIR CAMPAIGN FORM CFCP
PRACTICES COVER SHEET
OFFICE USE ONLY
Pursua�lt to chapter 258 of the Election Code, eve�y ca��c�idate anci oa,�R��,�ed
political committee is encour�gecl to subscribe to the Code of Fair RECEIVED
Campaign Pr�ctices. Tl�e Code may be filed with the proper filing �t�' �'
autl�ority upon submissioi� of a campaign treasui•er appoint�nent
#� 18 2023
for�n. Candidates or political committees that already have a ��
current campaign treasurer appointment on file as of Septeinber 1, ��:7,fv
I997, may subscribc to the codc at any time. Dd1eH�"°°O1VOfe°°'P°�`",a`"�°
Date Pmcessetl
Subscri�tio�� to the Code nJ'Fcrir Ca�npaign Practices is voliuitni��.
Oale Imagetl
1 ACCOUNT NUMBER z TYPE OF FILER
(Ethics Commission Filers)
CANDIDATE � POLITICAL COMMITTEE �
Il filing as a candidate, complete boxes 3- 6. If filing (or a political committee, complete
then read and sign page 2. boxes 7 and 8, then read and sign page 2.
$ NAME OF CANDIDATE Tii�e�or.,mr.,Ms..em.� Fiasi Mi
(PLEASETYPEORPRINT) f�n �. �/e A (� . �
i l. n /1 � iS'.
I� � , '��7.JG.Yvv K,J \
________________ /�_____________________ ________________'________-_________
NICKNAME ( I LAST SUFFlX SR.,JR_Ill.cic
�� n
J
Q TELEPHONE NUMBER AREAGODE PHONENUMBER EXTENSION
OF CANDIDATE
(PLEASETYPEORPRINT) � S11 � � I "1 � D � � VI
✓ t
S ADDRESS OF CANDIDATE sraeennoeox�, nansurtea: cirr, 5rnre�, ziPcooE
�PLEASETYPEORPRINT) A �%O� ������ ��� ^ � I Qen`NA ,� � t � X
�� � � �� � 1����� V'
�60
6 �FF�CE S�UGHT n' ��G, P� �
BY CANDIDATE C� �
�PLEASE TVPE OR PRINT)
� NAME OF COMMITTEE
(PLEASE TVPE OR PRINT)
g NAME OF CAMPAIGN rir�eior..M�..nas..e�c.I Fiasr nni
TREASURER �i• �� �
(PLEASE TYPE OR PRINTJ n' �
_________________________________________"'_______________(________-_________
NICKNAME tAST � SUFFI% SR.,JR.JII,e(c.
S e
GO TO PAGE 2
rorms provioeo oy iexas e�nics commission www.emicsstale.�x.us Revised 1l1l2021
CODE OF l+'AlR CAMPAIGN PRACTICES
There are basic princi��Ies ofdecency, honesty, and fair play that eveiy candidatc and pol itical committec in this state
has a moral obligation to obse�ve and uphold, in orderthat, at[ervigorously contcstcd but fairly conducted caoipaigns,
our citizens may cxercise theirconstitutional rights to a freeand untrammelcd choice and the will ofthe people may be
ftilly and clearly expressed on thc issues.
T1IGREFORG:
(1) Iwillconductthecampaignopenlyandptibliclyandlimitattacl<sonmyopponenttolcgitimatechallengestomy
opponent's record and stated positions on issues.
(2) I will not use or pennit the use of character defamatioi�, whispering campaigns, libel, slander, or sc�urilous attacks
on any candidate or the caudidate's personal orfamily life.
(3) I will uot use or pennit any appeal to negative prejudice based on race, sex, religion, or naCional origin.
(4) I will not use campaign material ofany sort that misrepresents, distorts, or othe�wise falsifies the facts, nor wilLI
use malicious or uufounded accusations that aim at creating or exploiting doubts, ��vithout justification, as t'o the
personal intcgrity or ��ah iotism of my opponent.
(5) I�vill not undeitake or condone any dishonest or unethic�l practice that tends to coriupt or undermiue our system
offi�ee elections or that hampers or E�revents the full and free expression oFthe will ofthe voters, including any
activiry aimed at intimidating voters or discouraging them fi�om votii�g.
(6) 1 will defend and uphold the right ofeveiy qualified voter to ftill and equal participation in the electoral process,
and will notengage in any activiry aimed at intimidating vot�ers or discouraging them from voting.
(7) I will inunediatcly and �ublicly repudiate methods and tactics that may come from others that 1 have pledged not
to use or condone. I shal I tal<e tirm action against auy subordinate who violates any provision of this code or the
laws governing elections.
1, the undersigned, candidate for cicetion to p�iblic oftice in the State ofTexas orcampaign h�casurer ofa political
committee, hercby voluntarily endorsc, subscribe to, and solemnly pledge nryselfto conduct the cainpaig�i in accordance
with the abovc principles and practices.
�
Signahire
ol 18 z3
Date
Forms provided byTexas E�hics Commission www.e�hicssta�e.ix.us Revised 1IV2021
City of Colleyville Financial Disdosure and Business Conflict of Interes[ Forms
PERSONAL FINANCIAL STATEMENT
AFFIDAVIT
� � 1013
c�o
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:
Sayeda Bilqees S ed who, after being duly sworn upon their
oath and deposed and stated as follows:
"My name is SAYEDA BILQEES SYED 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
that has been withheld
disclosed by the forms."
contained in the forms is complete. There is no information
or not disclosed which is responsive to or required to be
t
Swom to and subscribed before me, this the JO'"`__ day of Sv��IZ.� , 20oZ3
CHPoSTINE LOVEN �
►,ly Notaiy ID i111092587 � '
Exp{nBs MaY 2� 2026
Notary Public, State of Texas
INITIAL HERE: �gS DATE: aI//8�23
City of Colleyville Pinancial Disdosure and 6usiness ConFlicC of Intemst Porms
INFORMATION STATEMENT
TOTAL NUMBER OF PAGES fILED:
OFFICE USE ONLV
1 NAME First, M[ Dace Received
Sayeda Bilqees
Last, Suffix
Syed �c�iv�c�
Z ADDRESS Flddress/City/State/Zip �1 A 1023
6705 Sapphire Circle North, �,s�
Colleyville, TX 76034
3 TELEPHONE �rea Codc, Phone Number, Excension
NUMBER g179130474
ii�•a�
° REASON I� EMPLOYEE (Q'IY MANAG[R OR *SENIOR STAFF)
FOR FILING 0 CANDIDATE Colleyville Citv O lfl il Pla � pNo7cnTe oFFice>
STATEMENT 0 ELECTED OFFICIAL �wo�cnTe oFF�ce�
0 ZONING BOARD OF AD]USTMENT cAPPu�ANT oa nPPoiNree�
� PLANNING & ZONING COMMISSION enrPucnN�oanaPo�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 Adnan Hafeez Syed_ ___
DEPENDENT 1. Senan Qasim Syed
CHILD/CHILDREN z. Safa Mishal Syed
NAME(S)
3.
4.
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY
INITIAL HERE: �BS DATE: �� /S/Z %j
City of Colleyville Financial Disdosure and 6usiness ConFlicf of Interest Porms
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.
HELD OR ACQUIRED BY ✓ FILER ✓ SPOUSE DEPENDENT CHILD #
Z DESCRIPTION 02 colleyville
Lot_ ._. — City—___.__
Tarrant
Block __ _._ County _
Sapphire
Subdivision _ Ad Valorum Tax Account Number
0.70�2 07828233
Flcre(s) and Tract
STREET ADDRESS STREET ADDRESS, INCLUDING CITY, COUNTY, AND STATE
6705 Sapphire Circle North, Colleyville,
Tarrant, TX, 76034
' NAME LIST THE NAMES AND ADDRESSES OF OTHER PERSONS OR
BUSINESS ENTITIES WHICH OWN AN INTEREST IN THE REAL
PROPERTY
�INDIVIDUAL Sayeda Bilqees Syed & Adnan Hafeez Syed
0 BUSINESS
1 HELD OR ACQUIRED BY FILER SPOUSE DEPENDENT CHILD St
2 DESCRIPTION
Lot ____ __ City __
Blotk _.,__ _ County __ _
Subdivision Ad Valorum Tax Account Number
�tre(s) and Tract
3 STREET ADDRESS STREET ADDRESS, INCLUDING CITY, COUNTY, AND STATE
° 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: SBS DATE: DI � i
��
City ot Colleyville Financial Disdosure and 6usiness Conflice of Interest Porms
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 0✓ FILER �✓ SPOUSE ODEPENDENT CHILD #
ZFEE, SALARY, GIFT NAME AND ADDRESS
N/A
3 DESCRIPTION OF FEE,
SALARY, GIFT
' RECIPIENT OFILER �SPOUSE �DEPENDENT CHILD #
2 FEE, SALARY, GIFT NAME AND ADDRESS
DESCRIPTION OF FEE,
SALARY, GIFT
1 RECIPIENT OFILER OSPOUSE �DEPENDENT CHILD #
Z FEE, SALARY, GIFT NAME AND ADDRESS
3 DESCRIPTION OF FEE,
SALARY, GIFT
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY
�NOT APPLICABLE INITIAL HERE: SSS QATE:t%I IO �3
City of Colleyville Financial Disdosure and 6usiness Conflict of Interest Porms
BUSINESS INTERESTS Section 3
The name and address of any corporation or business, which currently has or in the
preceding twelve (].2) months has had a direct or indirect contractual 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.
' HELD OR ACQUIRED BY OFILER OSPOUSE ODEPENDENT CHILD #___
Z DESCRIPTION NAME AND ADDRESS
N/A
3 NATURE OF BUSINESS
' HELD OR ACQUIRED BY �FILER OSPOUSE ODEPENDENT CHILD #_
ZDESCRIPTION NAMEAND ADDRESS
3 NATURE OF BUSINESS
1 HELD OR ACQUIRED BY I�FILER �SPOUSE ODEPENDENT CHILD #_
ZDESCRIPTION NAMEAND ADDRESS
3 NATURE OF BUSINESS
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY
�NOT APPLICABLE INITIAL HERE: SBS DATE: OI I8 L�