John Ryan - Application for a Place on the Ballot - 02-01-2021 2-21
Prescribed by Secretary of State
Section 141.031,Chapters 143 and 144,Texas Electron Code
1/201/
ALL INFORMATION IS REQUIRED TO BE PROVIDED UNLESS INDICATED OPTIONAL
APPLICATION FOR A PLACE ON THE CITY OF DENTON, TEXAS GENERAL ELECTION QAL
RESVED
TO:City Secretary/Secretary of Board
I request that my name be placed on the above-named official ballot as a candidate for the office indicated below. ( E�
OFFICE SOUGHT(Include any place number or other distinguishing number,if any.) INDICATE TERM
Jy i f a FULL Gity Manager's!Cily
r I'C Secretary's Office
UNEXPIRED
FULL NAME(First,/Middle Last) PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOTI
VrAr R IJ k1k C/t lJ l*in R r"()
PERMANENT RESIDENCE ADDR SS(Do not include a P.O. Box or Rural PUBLIC MAILING AD RESS(Campaign mailing address,if available.)
Route. If you do not have a residence address, describe the address
at which you receive personal mail and location of residence.)
Oak 5 C„
CITY STATE ZIP CITY STATE ZIP
01217 7(Z�La
PUBLIC EMAIL ADDRESS(If available) OCCUPATION(Do not leave blank) DATE OF BIRTH VOTER REGISTRATION VUID
/ �
NUMBER (Optional)'
JAjA� e kt!fog�Ca, �. .� r.rt 8c s%r'C.33 r+n(-I n
TELEPHONE CONTACT INFORMATION (Optional) LENGTH OF CONTI-*PM CE AS OF DATE APPLICATION SWORN
Home: IN STATE IN TERRITORY FROM WHICH THE
OFFICE SOUGHT 15 ELECTED'
Work: 7
/ year(s) S year(s)
Cell: j YC� — 0�.• 7 / 3 f 1 month(s) months)
If using a nickname as part of your name to appear on the ballot,you are also signing and Swearing to the following statements: I further swear
that my nickname does not constitute a slogan nor does it indicate a political, economic, social, or religious view or affiliation. I have been
commonly known by this nickname for at least three years prior to this election.
Before me,the undersigned authority,on this day personally appeared(name) Y<4 11 who being by me
here and now duly sworn,upon oath says:
"I, (name) - of rZI Z /0111 County, Texas, being a
candidate for the office of 1�: J_„ (r _LJL tL1 - _,swear that I will support and defend the Constitution and laws
of the United States and of the State of Texas. I am a citizen'of the United States eligible to hold such office under the constitution and laws of
this state. I have not been finally convicted of a felony for which I have not been pardoned or had my full rights of citizenship restored by other
official action. I have not been determined by a final judgment of a court exercising probate jurisdiction to be totally mentally incapacitated or
partially mentally incapacitated without the right to vote. I am aware of the nepotism law,Chapter 573,Government Code.
I further swear that the foregoing statements included in my application are in all things true and correct."
SIGNATURE OF ROSA A. RIOS
Sworn to and subscribed before me at '.'.34/v.�rt. this the�day of� Notary Public,State of Tex s
—�
s CommSEApires 05.23-20
Notary ID 8760780
Signature of Officer Adtninistering Oath4 Title of Office Administering Oath
TO BE COMPLETED BY CITY SECRETARY OR SECRETARY OF BOARD:
(See Section 1.007) AO
Date Received Signature of Secretary
Voter Registration Status Verified