HomeMy WebLinkAboutCampaign Treasurer-05.06.2017-Stray,DavidTexas Ethics Commission P.O. Box 12070 Austin. Texas 78711-2070 f -r 121 cal-SRnn iTnn 1-800-735-29891
www.ethics.state.tx.us Revised 07/14/2010
APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA
BY A CANDIDATE PG 1
See CTA Instruction Guide for detailed instructions.
1 Total pages filed:
2 CANDIDATE
NAME
MS/MRS/MR FIRST MI
'I A
OFFICE USE ONLY -
Acct. #
J a v
NICKNAME .IAST . . . . . . . SUFFIX .
Date Received
RECEIVED
3 CANDIDATE
ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; 21P CODE
MAILING
ADDRESS
GeDryfdu h I l�
FEB 17 2017
76�g
City Secretary
4 CANDIDATE
AREA CODE PHONE NUMBER EXTENSION
Date Hantl4elivemdor Postmadced
PHONE
�Sj
Date Processed
/
5 OFFICE
Date Imaged
HELD
(if any)
6 OFFICE
SOUGHTCoi
Known)
/
G i� ctrlC I I �S�J 1� Cl3CL'f�LWY��
(if
7 CAMPAIGN
TREASURER'�
MS/MRS/MR FIRST Al NICKNAME LAST SUFFIX
•
ae
NAME
r n Ire 1✓, e)
8 CAMPAIGN
STREETADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; LP CODE
TREASURER
STREET
/
ADDRESS
(residence or business)
J
// Uy
(tee 1� h
a r�ye� /
9 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
io 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.
1,
Signature idate
a Date igne
OTOPAGE 2
www.ethics.state.tx.us Revised 07/14/2010