Candidate Dinesh Mali
2-21
Prescribed by Secretary of State
Section 141.031, Chapters 143 and 144, Texas Election Code
1/2017
ALL INFORMATION IS REQUIRED TO BE PROVIDED UNLESS INDICATED OPTIONAL
APPLICATION FOR A PLACE ON THE May 2, 2020 GENERAL ELECTION BALLOT
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.
OFFICE SOUGHT (Include any place number or other distinguishing number if any.):
DCCCD #5
INDICATE TERM: Full
FULL NAME (First, Middle, Last): DINESH B MALI
PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT: DINESHMALI
PERMANENT RESIDENCE ADDRESS (Do not include a P.O. Box or Rural Route. If you do not have a residence address, describe the address at which you receive personal mail and location of residence.)
3707 N. Country Club Rd.
PUBLIC MAILING ADDRESS (Campaign mailing address, if available.)
3707 N. Country Club Rd.
CITY: IRVING
STATE: TX
ZIP: 75038
CITY: IRVING
STATE: TX
ZIP: 75038
PUBLIC EMAIL ADDRESS (If available): malielection@aol.com
OCCUPATION (Do not leave blank): Engineering/coorst
DATE OF BIRTH: 1/9/46
VOTER REGISTRATION VUID NUMBER (Optional): 1177195138
TELEPHONE CONTACT INFORMATION (Optional):
Home: 214-206-8609
Work:
Cell: 469-585-2888
LENGTH OF CONTINUOUS RESIDENCE AS OF DATE APPLICATION SWORN IN STATE: 17 year(s) 6 month(s)
IN TERRITORY FROM WHICH THE OFFICE SOUGHT IS ELECTED: 17 year(s) 6 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 or 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) DINESH B MALI, who being by me here and now duly sworn, upon oath says:
"I, (name) DINESH B MALI, of Dallas County, Texas, being a candidate for the office of DCCCD #5, 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."
X Dinesh B. Mali
SIGNATURE OF CANDIDATE
Sworn to and subscribed before me at 3:37pm, this the 21 day of January 2020
_________________________________
Signature of Officer Administering Oath
NOTARY PUBLIC
Title of Officer Administering Oath
TO BE COMPLETED BY CITY SECRETARY OR SECREATARY OF BOARD:
(See Section 1.007)
1/22/20
Date Received
Torsha McCarty
Signature of Secretary
Voter Registration Status Verified
APPOINTMENT OF A CAMPAIGN TREASURER BY A CANDIDATE
FORM CTA PG 1
See CTA Instruction Guide for detailed instructions.
1 Total pages filed:
2 CANDIDATE NAME
MS / MRS / MR
Mr.
FIRST
DINESH
MI
B
NICKNAME
LAST
Mali
SUFFIX
3 CANDIDATE MAILING ADDRESS
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
3707 N. COUNTRY CLUB RD IRVING, TX 75038
4 CANDIDATE PHONE
AREA CODE PHONE NUMBER EXTENSION
214-206-8609, 469-585-2888
5 OFFICE HELD (if any)
NONE AT DCCCD
FORMER BOT IRVING ISD
OFFICE USE ONLY
Filer ID #
Date Received
JAN 22 2020
Date Hand-delivered or Postmarked
Receipt #
Amount $
Date Processed
Date Imaged
6 OFFICE SOUGHT (if known)
DCCCD #5 DISTRICT
7 CAMPAIGN TREASURER NAME
MS/MRS/MR
FIRST
NIRMALA
MI
D
NICKNAME
LAST
PATEL
SUFFIX
8 CAMPAIGN TREASURER STREET
ADDRESS (residence or business)
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE
3707 COUNTRY CLUB RD IRVING TX 75038
9 CAMPAIGN TREASURER PHONE
AREA CODE PHONE NUMBER EXTENSION
214-519-3174
10 CANDIDATE SIGNATURE
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.
Dinesh B. Mali
Signature of Candidate
1-21-20
Date Signed
CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT
FORM C/OH
COVER SHEET PG 1
The C/OH Instruction Guide explains how to complete this form.
1 Filer ID (Ethics Commission Filers)
2 Total pages filed:
3 CANDIDATE / OFFICEHOLDER NAME
MS / MRS / MR
MR
FIRST
DINESH
MI
B
NICKNAME
LAST
Mali
SUFFIX
4 CANDIDATE / OFFICEHOLDER MAILING ADDRESS
Change of Address
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
3707 N. COUNTY CLUB RD IRVING, TX 75038
5 CANDIDATE/ OFFICEHOLDER PHONE
AREA CODE PHONE NUMBER EXTENSION
469-585 2888
6 CAMPAIGN TREASURER NAME
MS / MRS / MR
MRS
FIRST
NIRMALA
MI
P.
NICKNAME
LAST
PATEL
SUFFIX
OFFICE USE ONLY
Date Received
JAN 22 2020
Date Hand-delivered or Date Postmarked
Receipt #
Amount $
Date Processed
Date Imaged
7 CAMPAIGN TREASURER ADDRESS (Residence or Business)
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY: STATE; ZIP CODE
3707 COUNTRY CLUB RD IRVING TX 75038
8 CAMPAIGN TREASURER PHONE
AREA CODE PHONE NUMBER EXTENSION
214-519 3174
9 REPORT TYPE
☐ January 15
☑ 30th day before election
☐ Runoff
☐ July 15
☐ 8th day before election
☐ Exceeded Modified Reporting Limit
☐ 15th day after campaign treasurer appointment (Officeholder Only)
☐ Final Report (Attach C/OH - FR)
10 PERIOD COVERED
Month Day Year MonthMonth Day Year
04/02/20 THROUGH / /
11 ELECTION
ELECTION DATE
Month Day Year
05/02/20
ELECTION TYPE
☐ Primary
☑ General
☐ Runoff
☐ Special
☐ Other Description
12 OFFICE
OFFICE HELD (if any)
13 OFFICE SOUGHT (if known)
DCCCD # 5 DISTRICT
GO TO PAGE 2
CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT
FORM C/OH
COVER SHEET PG 2
14 C/OH NAME
DINESH B. MALI
15 Filer ID (Ethics Commission Filers)
16 NOTICE FROM POLITICAL COMMITTEE(S)
☐ Additional Pages
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE CANDIDATE / OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE TYPE
☐ GENERAL
☐ SPECIFIC
COMMITTEE NAME
COMMITTEE ADDRESS
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION TOTALS
1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR CONTRIBUTIONS MADE ELECTRONICALLY)
$ 0
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
$ 0
EXPENDITURE TOTALS
3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.
$ 0
4. TOTAL POLITICAL EXPENDITURES
$ 0
CONTRIBUTION BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF REPORTING PERIOD
$ 0
OUTSTANDING LOAN TOTALS
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY OF THE REPORTING PERIOD
$ 0
18 AFFIDAVIT
I swear, or affirm, under penalty 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.
Dinesh Mali
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP / SEAL ABOVE
Sworn to and subscribed before me, by the said Dinesh Mali, this the 22 day of January, 2020, to certify which, witness my hand and seal of office.
LaDena Young
Signature of officer administering oath
LaDena Young
Printed name of officer administering oath
Notary
Title of officer administering oath