HomeMy WebLinkAboutCampaign Treasurer -02.15.2019-Triggs,MichaelAPPOINTMENT OF A CAMPAIGN TREASURER FORM CTA
BY A CANDIDATE PG
See CTA Instruction Guide for detailed instructions. I Total pages filed:
a
2 CANDIDATE
—
MS I MRSCJ FIRST MI OFFICE USE ONLY
NAME
Filer ID #
NICKNAM�E G#fi6;T'k . .....
SUFFIX
.04 Date RE SOASIWOU
ADDRESS 'POBOXr APT I SUITE 0; C I T -Y: STATE; ZIP CODE
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3 CANDIDATE
MAILING
ADDRESS
ik
C13AI903?1
Date Hand -delivered or Postmarked
AREA CODE PHONE NUMBER EXTENSION Receipt # Amount$
4 CANDIDATE
PHONE
Date Processed
Date Imaged
5 OFFICE
HELD
(if any)
6 OFFICE
SOUGHT
(if known)
7 CAMPAIGN
MS/MRS/MR FIRST MI NICKNAME LAST SUFFIX
TREASURER
NAME
8 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT SUITE #; CITY; STATE; ZIP CODE
TREASURER
STREET
ADDRESS
(residence or business)
9 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
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.
SigAtUre of talindirlate Date Signed
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Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 12/7/2017