HomeMy WebLinkAboutCampaign Treasurer - Wilson-Kirby - 11.19.2018APPOINTMENT OF A CAMPAIGN TREASURER
FORM CTA
BY A CANDIDATE
PG 1
See CTA Instruction Guide for detailed instructions.
1 Total pages filed:
2 CANDIDATE
MS/MRS/MR FIRST MI
OFFICE USE ONLY
NAME
Filer ID #
Jaquita
NICKNAME LAST SUFFIX
Da�
Wilson -Kirby
E 1 VE D
NOV 19 2018
3 CANDIDATE
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
MAILING
1031 Drovers Cove. Georgetown TX 78626
ADDRESS
Ci ty Sec tant
Date Nand•dciivereci orPasIr arked
4 CANDIDATE
AREA CODE PHONE NUMBER EXTENSION
Receipt# Amount$
PHONE
512 ) 864-4596
Date Processed
11% 43
Date Imaged
5 OFFICE
HELD
none
(if any)
6 OFFICE
SOUGHT
City Council
(if known)
7 CAMPAIGN
MS/MRS/MR FIRST y' NICKNAME
LAST SUFFIX
TREASURER
NAME
April Peiffer
8 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE;
ZIP CODE
TREASURER
30110 Diamond Dove Trail, 78628
STREET
ADDRESS
(residence or business)
9 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
512 ) 748-3187
10 CANDIDATE
SIGNATURE
I am aware of the Nepotism Law, Chapter 573 of the Texas Government Code_
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 co porations and labor organizations.
7
—
11,11 -le _
Signature of Candidate
Date Signed
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 12/13/2017