Brian Beck - Application for a Place on the Ballot - 02-10-2021 2-21
Prescribed by Secretary of State
Section 141.031,Chapters 143 and 144,Texas Electron Code
1/2017
ALL INFORMATION IS REQUIRED TO BE PROVIDED UNLESS INDICATED OPTIONAL
APPLICATION FOR A PLACE ON THE City of Denton, Texas GENERAL ELECTI
TO:City Secretary/Secretary of Board RECEIVED
I request that my name be placed on the above-named official ballot as a candidate for the office indicated below.
OFFICE SOUGHT(Include any place number or other distinguishing number,if any.) INDICATE TERM FEB
Denton City Council -District 2
®FULL City Managers 1 City
❑UNEXPIRED I Secretary's Offi
FULL NAME(First,Middle,Last) PRINT NAME AS YOU WANT IT TO APPEAR ON THE
Brian Wayne Beck Brian Beck
PERMANENT RESIDENCE ADDRESS(Do not include a P.O.Box or Rural PUBLIC MAILING ADDRESS(Campaign mailing address,if available.)
Route. If you do not have a residence address,describe the address 124 Mill Pond Road
at which you receive personal mail and location of residence.)
124 Mill Pond Road
CITY STATE ZIP CITY STATE ZIP
Denton TX 76209 Denton TX 76209
PUBLIC EMAIL ADDRESS(If available) OCCUPATION(Do not leave blank) DATE OF BIRTH VOTER REGISTRATION VUID
NUMBER(Optional)2
beckfordentcn@gmail.com Computational Biologist 1144928584
TELEPHONE CONTACT INFORMATION (Optional) LENGTH OF CONTINUOUS RESIDENCE AS OF DATE APPLICATION SWORN
Home: IN STATE IN TERRITORY FROM WHICH THE
OFFICE SOUGHT IS ELECTED
Work:
13 year(s) 13 year(s)
Cell: 940-557-5580 7 month(s) 7 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: 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)Brian W. Beck who being by me
here and now duly sworn,upon oath says:
"I, (name) Brian W. Beck of Denton County, Texas, being a
candidate for the office of Denton City Council -District 2 _ 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 thinP82we-4nd correct."
SIGNATURtO ROSA A. RIOS
Sworn to and subscribed before me at this the 7V'_day of % Iotery Public,State of Tex is
Z-6 ram; Comm.S*Ires 05-23-202
Notary ID 8760780
Signature of Officer Administering Oath° Title'of Officer Administering Oath
TO BE CITY SECRETARY OR SECRETARY OF BOARD:
(See
a ty` p Da e R ceived Signature of Secretary
Vo gis � Verified I�
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