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Home My WebLink AboutBen Graves - Place 4z-z� Prescribed by Secretary of State Section 141,031, Chapters 143 and 144, Texas Election Code 09/2021 APPLfCATION FOR A�LACE ON THE BALLOT �QR A GEN�RAL ELEC710N FQR A CITY, SCHOOL DISTRICT OR OTHER POLiTICAI. SUBDIVISION RECEIVED �18 7023 C�� rso 1 I : I (p +'tf'�'1.� LL INFORMA710N IS REQUIRED TO 8E PROVIDEp UNLE55INDICATED AS OPTIGN L1Fail�re to provide required information may result in rejection of application. APPLICATfON FOR A PLACE ON THE u� GENERAL E�ECTION BALtOT T0: Ci[y 5ecretary/Secretary of Board (name of election) I request that my name be pfaced on the above-named officia[ ballot as a candidate for the offite inditated below. OFFICE SQUGHT Include any lace r�umber or other distinguishing number, if any.J INDIC TERM Ct V�Jlr1(� ��QC'� � I—JFULL � UNEXPIRED FUEL NAM (First, Middle, Lastj PRINT NAME AS YOIi WANT li TO APPEAR ON 7HE BALLOT* �1� tJ� �+{1A� �v'�S .Ir.�-1.�• AERMANENT RE51{�ENCE ADDRESS {Da not include a P.O. Box or Rural �toute. �f PU6lIC MAILIiVG ADDRE55 (Optional} (Address for which you receive you do not have a residence address, describe focation of residence.} campaign related correspondence, if a�ailable.) i � CITY STATE ZIP CITY STATE ZIP Cr�ll � II�-e.. � `�-�y PUBLIC EMAEL ADDRESS (Optional} {addres5 Far QCCUPATION (Do not leave blank} DATE OF BIRTH VbTER REGISTRATION VUID hich ou recei�e campaign rela[ed emails, if availa6le.j ^ ��u�i^^ NUMBERz (Opiionaq � � t.�[7� 1 v � � iELEPi10NE COlVT INFQRMA ON (Optionalj Home: Qffice: Cell: �� . �� Q fELO CONVICTION 57ATU5 (You MUST check onej LENGTH OF CONTINUQUS RESII]ENCE AS OF DATE TH15 APPLICATIOiV WAS SWORN I have not been finally convicted of a felony. IN THE STATE dF 7EXA5 IN TERRITORY/DISTRECT/PRECINCT FROM � I have been finally convicted of a felony, but I have been �� WHICH THE OFfICE�UGHT IS ElECTED pardoneci or okt�erwise released from the resulting ' l J Year(s} year(sj disabilities of that felony conviction and I have provided proof af this fact with [he submission of tl�is application.3 month(s) � month{sj *If using a nickname as part of yaur name to appear on the ballot, you are also signing and swearing to the following statements: I further swear that my nickname daes not constit�te a slogan ar contain a title, nor does it indicate a political, ecanomic, social, or re�igious v9ew or affiliation. I have been commonly known by this nickname for at least three years prior to this election. Please review sections 52.03i, 52.032 and 52.033 of Che iexas Election Code regarding the ru[es for F�ow 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 candidatej �� J4�jPs' , of �i'qy1� County, Texas, t�eing a candidate for the affice of r1' � swear that I will support and defend the Constitution and laws oi the U nited States and of the 5tate o Texas. I am a cit zen of the United States eligible to hold such affice under the constitukion and laws of this state. I have not been determined by a final judgment of a court exercising probate jurisdiction to be total#y mentafly incapacitated or partially mentally incapacitated without the right ta vote. I am aware of the nepotism law, Chapter 573, Government Code. I am aware that I must disciose any prior felony conviction, ar�d if so convicted, musk provide proof that I ha�e been pardoned or atherwise released from the resulting disabiiities of any such final felany canviction. I am aware that �Cnowingly provsding false information on the appl'scation regarding my possib�e felony canviction status constitutes a Class B rriisdemeanor. I further swear that the foregoing statements included in m a plication are in all things true and correct." SfGNATURE QF CANDEDATE Sworn to and subscribed befare me this the � day of �a/� l.(,a2-'� �po� , by �]� ��l�s (dayj (month} ear . (name of candidate) � •"'Y:�:= cMwsnr�� (� n.� %ove.� T Signature of O#ficer Authorized ta Adrrrinister Oakh° :�� *z �'�Y �Y �� am f Officer Authorized to Administer Oath ; ��;,�: Ex�ae May 2+ 2028 O �:, ;; :-; Giii::ial S�a! Title of Of#icer Authorized to Administer Oath TO BE COIVIPLETED BY FILING OFFICER: '�HIS APPLICATION IS ACCOMPANlE� SY THE REQUIRED FIkING FEE (If Applicahlej PAID BY: ❑ CASH ❑ CHECK � M0�[EY ORDER ❑ CASHIERS CHECK OR ❑ PETITI�N iN LIEU OF A FILIiVG FEE. This document and $ �iling fee or a namtnating petiEion of pages re i�ed. Voter e stration Status Verified �_J �_�_/� jsee Seciion 1.007j � � Date Received Date Accepted Signature of Filing Officer or Designee APPOINTMENT OF A CAMPAIGN TREASURER FORnn CTA BY A CANDIDATE PG 1 1 Total pages filed: See CTA Instruction Guide for detailed instructions. � 2 CANDIDATE MsiMRsimR Fiesr "0 OFFICEUSEONLV NAME � ` ---- Filer ID tl �R�--------- -� ,., ------------- S NICKHAME LAgT SUFFI,� GateReceivaG RECEIVED VE,S � �A-�l — �1 L 3 CANDIDATE Aooaessiaoeox�, .aariswren�. prv. srare. nacooe 182013 ADDRESS 330� ST n17�1� L� � C,alkyu�ll-e 1 X �`�-(no3 �} `s° �r i m. Oa�e Hantl-Oelivered or PosMarked 4 CANDIDATE �1REA COOE PHONE NIIMBER E%iEN510N ReceiO�d Amoanl$ PHONE ^ /'� ��/�� ' / ) �� ( r �—/7 (� Oale Processea 5 OFFICE H E L D �ate Imagea (if any) 6 OFFICE /� , (� SOU��GHT 1 �•11 V�'rC 1,.�\ �—�W �iCA ` • �� `R/ 7 CAMPAIGN MSIMRSIMR FIRST NI NICKNAME L4ST SUFFIX TREASURER NAME �VIt�S• Q-b�G�. �1�1m�e C�-A.�s 8 CAMPAIGN STREETApORESS�, APTISUITEtt�, CITV. ST,iTE, ZIPCO�E TREASURER �^ u �� f�1�� STREET �—� /"'� ADDRESS (residenceorbusiness) /� ,1� J1I� �i'1/ , �U�u L-EJ� ''t l /� 1 9 CAMPAIGN A�E.a cooE pHeNE �uunnaER ExT�NsioN TREASURER PHONE /�`�.\ �Z ` � ISlO 4 \ / 10 CANDIDATE SIGNATURE I am aware of the Nepotism Law, Chapter 573 of the Texas Government Code. I am aware of my responsibifity to file timely reports as required by title 15 of the Election Code. I am aware ofthe restrictions in title 15 ofthe Election Code on contributions from corporations and labor organizations. � 1 �IA.�2v�.3 Signature of Candidate �ate Signed GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1l1/2023 CANDIDATE MODIFIED FORnn CTA REPORTING DECLARATION PG 2 11 CANDIDATE NAME �s MODIFIED COMPLETE THIS SECTION ONLY IF YOU ARE REPORTING DECLARATION CHOOSING MODIFIED REPORTING •• This declaration must be £led 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. •• (M election cyGe inclutles a pnmary eleclion, a genarel elecfion, and any related runoffs J •• 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. Vearofelection(s)orelectioncycleto Signatu�eofCanditlate which dedaration 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 treasappoint an.ethics.state.Uc.us or mail to Texas Ethics Commission P.O. Box 12070 Austin, TX 78711-2070 i�on-TEC Filers must file this form with th2 bcal fil�ng auih�ric� DO NOT SEND TO TEC For more information about where to file go to: https: //www.eth ics.state. tx. us/filing i nfo/Q uickFileAReport, ph p Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/t/2023 CODE OF FAIR CAMPAIGN FORM CFCP PRACTICES COVER SHEET OFFICE USE ONLY Pursuant to chapter 258 of the Election Code, every candidate and DateReceWed political committee is encouraged to subscribe to the Code of Fair R�CEIVED Campaign Practices. The Code may be filed with the proper filing Spn1 �� authority upon submission of a campaign treasurer appointment �' 1 g 2023 form. Candidates or political committees that already have a �SU current campaign treasurer appointment on file as of September 1, �►:IleAn'l., 1997, may subscribe to the code at any time. °a'a"a"°°e"VefQ°°'P°s'"'a`"a° oaia a�o�assea Subscription to the Code of Fair Campaign Practices is valuntary. oa�e imaqea 1 ACCOUNT NUMBER Z TYPE OF FILER (Elhics Commission Filers) CANDIDATE POLITICAL COMMITTEE � If filing as a candidafe, complete boxes 3- 6, I( filing !or a political committee, complete then read and sign page 2. 6oxes 7 antl 8, then mad and sign page 2. $ NAME OF CANDIDATE Tir�e(oc,mr.,hns.,am.� FIRST nn� (P�EASETYPEORPRINT) i��------------ �T�----------------s------------------ NICKNAME IqST SUFFIX(SR.,JR-,Ill.etc.) A q TELEPHONE NUMBER AREACOOE PHONENUMBER EXTENSION OF CANDIDATE /1S•'� \ �^ ^ (PLFASETVPEORPRINT) � �% � � `�� - 9 q q -L 5 ADDRESS OF CANDIDATE s�aeeriaoeox: nariswrea; car; sTn�e; ziPcooe (PlEASE TYPE OR PRMT) �33c� �T �Ib�N s G�� GI u11� � �I g OFFICE SOUGHT BY CANDIDATE i�1■ (PLEASETYPEORPRINT) 11 �� ` V�C\ 1 (U � 7 NAME OF COMMITTEE (PLEASE TYPE OR PRINT) $ NAME OF CAMPAIGN Tii�e(or.,mr.,ms.,em.� FIRST Mi TREASURER �•�/� \/ (PLEASETYPEORPRINT) _ �__�___________�K\V�V \_______________v—_ NICKNAME LAST SUFFlX(SR..JR..III,e1cJ � l�.ye GO TO PAGE 2 rormsprowoedby IexastthicsCommission www.ethics.state.u�.us Revised 1/1/2021 CODE OF FAIR CAMPAIGN PRACTICES There are basic principles of decency, honesty, and fair play that every candidate and political committee in this state has a moral obligation to observe and uphold, in order that, after vigarously contested but fairly conducted campaigns, our citizens may exercise their constitutional rights to a free and untrammeled choice and the will ofthe people may be fully and clearly expressed on the issues. THEREFORE: (1) I will conduct thecampaign openly and publicly and (imit attacks on my opponent to legitima[e challenges to my opponent's record and stated positions on issues. (2) I will not use or permit the use of chazacter defamation, whispering campaigns, libel, slander, or scurrilous attacks on any candidate orthe candidate's personal or family life. (3) I will not use orpermit any appeal to negative prejudice based on race, sex, religion, or national origin. (4) I 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 orpatriotism ofmy opponent. (5) I will not undertake or condone any dishonest or unethical practice that tends to corrupt or undermine our system of free elections or that hampers or prevents the full and free expression of the will of the voters, including any activity aimed at intimidating voters or discouraging them from voting. (6) I will defend and uphold the right ofevery qualified voter to £ull and equal participation in the electoral process, and will not engage in any activity aimed at intimidating voters or discouraging them from voting. (7) I will immediately and publicly repudiate methods and tactics that may come from o[hers that I have pledged not to use or condone. I shall take firm action against any subordinate who violates any provision of this code or the laws governing elections. I, the undersigned, candidate for election to public office in the State of Texas or campaign treasurer of a political committee, hereby voluntarily endorse, subscribe to, and solemnly pledge myselfto conduct the campaign in accordance with the above principles and practices. �i/ ��V� �. �/14,�2023 Date FormsprovidedbyTexasEthicsCommission www.ethics.staie.tx.us Revisedl/1/2021 City of Colleyville Financial Disdosure and Business Conflict of Interest Forms PERSONAL FINANCIAL STATEMENT AFFIDAVIT RECEIVEp �'�n! - Cm�- � 1 � 1013 fi ! � • 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 members (including any staff member who is appointed with City Councii 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 9� , the undersigned authority, personally appeared: � �-+�I��L�� who, after being duly sworn upon their oath and deposed and stated as follows: "My name is �El�i �1 /�4�5 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." _ � Affiant to and subscribed before me, this the � v day of v�N`�'M , 20� CHRISTINEIOVEN . l. _� My Notnry ID # 11082587 Exptres MeY 2� 2028 "'"""""'�'!" Notary Public, State of Texas INITIAL HERE: � DATE: I/!Qy%?�3 City of Colleyville Financial Disdosure and Business Conflict of Interest Forms INFORMATION STATEMENT TOTAL NUMBER OF PAGES FILED: i / f��' OFFICE USE ONLY 1 NAME First, MI Date Received Y` 1 V Last, Suffix RECEIVEp SAId - C�/1L ZADDRESS /+ddress/city/state/zi f�l � 2023 33vH g� ��S C.t G40 Col �,11-e 1 i� i{iU3 �-I � �, �� A ; TELEPHONE Area Code, Phone Number, Extension NUMBER �I'�,� �,2/�,.-c��/�/2 ° REASON � EMPLOYEE (CI1V MANAGER OR *SENI02 STAFF) FOR FILING ��ANDIDATE �rNo�cnre oFF�ce> STATEMENT � ELECTED OFFICIAL �wo�cnre oFFice> 0 ZONING BOARD OFADJUSTMENT�acaucaNroeaPPo�rvree> � PLANNING & ZONING COMMISSION eAPPu�ANTORncPocr�ree> ❑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. SPOUSE NAME ��«" `�'^��`� ��'A'y'� S DEPENDENT 1• ��_ i�GfI11V �,�Y7�VE�S CHILD/CHILDREN Z ��\�� ,...�.��s, `l` NAME(S) 3. 4. COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY INITIAL HERE: � DATE: 1 Ii _Zi1�L3 City of Colleyville Financial Disclosure and Business 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 DEPENDENT CHILD # DESCRIPTION �• � p Lot f City�r%I „V U� � 1�'� Block � County 1 Q�fh1�1 � Subdivision�_�.1f�_�� Ad Valorum Tax Account Number Acre(s) and Tract � 2I STREET ADDRESS STREET ADDRESS, INCLUDING CITY, COUNTY, AND STATE 33oy 5T /41bpwS G��C Gn I M ey v:11�e�'7C�'�-4 t�'3M ° NAME LIS THE NAM S AND ADDRE SES OF OTHER PERSONS OR BUSINESS ENTITIES WHICH OWN AN INTEREST IN THE REAL PROPERTY 0 INDIVIDUAL Q BUSINESS HELD OR ACQUIRED BY FILER SPOUSE DEPENDENT CHILD # DESCRIPTION Lot City Bbck County Subdivision Ad Valorum Tax Account Number Acre(s) and Tract 3 STREET ADDRE55 STREEf 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 Q BUSINESS COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY ❑ NOT APPLICABLE INITIAL HERE•.yI �_ DATE:�_?AL3 City of Colleyville Financial Disclosure 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. 1RECIPIENT OFILER �SPOUSE ODEPENDENTCHILD # ZFEE, SALARY, GIFT NAME AND ADDRESS ' DESCRIPTION OF FEE, SALARY, GIFT 1 RECIPIENT OFILER OSPOUSE �DEPENDENT CHILD #_ Z FEE, SALARY, GIFT NAME AND ADDRESS DESCRIPTION OF FEE, SALARY, GIFT 1 RECIPIENT OFILER OSPOUSE �DEPENDENT CHILD # Z FEE, SALARY, GIFT NAME AND ADDRESS DESCRIPTION OF FEE, SALARY, GIFT COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY �OT APPLICABLE INITIAL HERE� DATE: I I v23 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. ' HELD OR ACQUIRED BY �FILER OSPOUSE �DEPENDENT CHILD #_ Z DESCRIPTION NAME AND ADDRE55 ' NATURE OF BUSINESS 1 HELD OR ACQUIRED BY �FILER OSPOUSE ODEPENDENT CHILD #_ Z DESCRIPTION NAME AND ADDRESS 3 NATURE OF BUSINESS 1 HELD OR ACQUIRED BY �FILER OSPOUSE �DEPENDENT CHILD #_ Z DESCRIPTION NAME AND ADDRESS ; NATURE OF BUSINESS COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY �OT APPLICABLE INITIAL HERE:� DATE: ( I `w�-3 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 9 Filer ID (Ethlcs Commission Filars) 2 Total paBes flletl: The C/OH Instruction Guide explains how to complete this form. ^ oL 3 CANDIDATE/ MsimasiMa Fiasr Mi OFFICEHOLDER MT.B2IIS. OFFICEUSEONLY NAME................................................................................. Date Receivetl NICKNAME LAST S�FFIX Graves III �//�y/a o a � 4 CANDIDATE / AODRE55 I PO BO%; APT / SUITE p; CITY; STATE; ZIP CO�E / OFFICEHOLDER 3304 St. Albans Circle ADDR ss Colleyville, TX 76034 � Change of Address 5 CANDIDATE/ AREA CO�E PHONE NUMBEft EXTENSION Date Hantl�delivered or Da[e Posimarked OFFICEHOLDER $17 727-9992 PHONE � � Receipl # I Amovnt $ 6 CAMPAIGN MS/MRS/MR FIRST MI TREASURER Mrs. Deborah NAME ................................................................................. Date Processed NICKNAME IAST SUFFIX Da�a Imaged Valerie Graves 7 CAMPAIGN STREET A��RESS (NO PO BOX PLEASEj; APT / SUITE #; CITY; STATE; ZIP COOE TREASURER ADDRESS 3304 St. Albans Circle (Residence or eusiness) Colleyville, 'I'X 76034 8 CAMPAIGN AREA CODE PHONE NUMBER E%TENSION TREASURER PHONE �$1% � 821-1564 9 REPORT TYPE � �anuary 15 � 301h tlay be(ore election � Runoff � 15th day after campaign ireasurer appoinimenl (ORcehaltler Onty) � JulytS � 8thdaybeforeelection � ExceededModifed � ;FinalReport(AtlachC/OH-FR)'. Reporting Limit 10 PERIOD Month Day Vear Mon�h Day Year COVERED �l / 18 /2�23 THROUGH �� 14 � 2023 17 ELECTION ELECTION �ATE ELECTION TVPE Monih Oay Year ❑ P�imary � Runoff ❑ Other Oescription 0� 06 �2023 � General � Special 12 OFFICE OFFICEHEL� (ifany) �$ OFFICESOUGHT (ifknown) ColleyvIlle City CouncIl Place 4 74 NOTICE FROM TH19 BOX IS FOR NOTICE OF POLITICAL CONTRIBUT10N5 ACCEPTED OR POLITICAL EXPENDITURE9 MA�E 9Y POLITICAL COMMITTEES TO SUPPORT POLITICAL THECANDI�ATE/OFFICEHOL�ER THESEIXPENOITURESMAYHAVEBEENMAOEWITHOUTTHEGINO/OATE50ROFFICENOLOER3KNOWLEOGEOR CONSENT. GANDIOATESANOOFFICEHOLDERSAREREQUIREDTOREPORTTHISINFORMATIONONLVIFTHEYRECEIVENOTICEOFSUCHE%PEN�ITURES. COMMITTEE(S) COMMITTEE TYPE COMMITTEE NAME � GENERAL COMMITTEE AD�RESS � Atlditional Pages ❑SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME COMMITTEE CAMPAIGN TREASURER AD�RE55 GO TO PAGE 2 Forms provided byTexas Ethics Commission www.ethics.state.tc.us Revised 11/15/2022 CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT 15 C/OH NAME 17 CONTRIBUTION 1. TOTALS 2. ................. EXPENDITURE TOTALS .................. CONTRIBUTION BALANCE .................. OUTSTANDING LOAN TOTALS 3. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR CONTRIBUTIONS MADE ELECTRONICALLY) TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) TOTAL UNITEMIZED POLITICAL EXPENDITURE. FORM C/OH COVER SHEET PG 2 76 Filer ID (Ethics Commission Filers) $ � $ D $ O 4. TOTALPOLITICALEXPENDITURES $ O 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF REPORTING PERIO� � /' 6. TOTAL PRINCIPALAMOUNT OF ALL OUTSTANOING LOANS AS OF THE LAST DAY OF THE REPORTING PERIOD $ O 18 SIGNATURE I swear, or affrm, untler penally of perjury, that the accompanying report is true and correct and includes all information required to be reported by me under Title 15, Election Code. ` , • A � of C e or O ceholder Please complete either option below: (1) A�davit NOTARY STAMP/SEAL ,f",�vN" ��'N�y.,: CHRISTiNE IOVEN �*?�"�' MyNolalylDp11�2587 :?�a��`` �MaY2�2026 Sworn to and subscribed before me by �fN l7 1��[� this the �� day of�, — � 2^�_,tocerlifywhich i essmyhandandsealofoffce. ,. 1 •_ 1 . / I _ _.) Signature of officer administering oath (2) Unsworn Declaration Printed name of officer administering oath Title of officer administering oath My name is , and my date of birth is My address is , , , , Executed in (street) County, State of Forms provided by Texas Ethics Commission (city) (state) (zip code) (country) , on fhe day of , 20_ (monih) (year) Signature of Candidate/Officeholder (Declarant) www.ethics.state.tx.us Revised 11/15/2022