HomeMy WebLinkAboutCampaign Treasurer-08.14.2019-Fuller, AlexisAPPOINTMENT OF A CAMPAIGN TREASURER
FORM CTA
BY A CANDIDATE
PG 1
1 Total pages filed:
See CTA Instruction Guide for detailed instructions.
2 CANDIDATE
MS/MRSAQ> FIRST MI
11�1e.x IS
OFFICE USE ONLY
Filer ID #
NAME
NICKNAME _ _ . . . . . LAST . . . . . . . . . . . • • J r lX
�-u I I e r,
Dale Re
C E IVE D
AUG 14 2019
3 CANDIDATE
ADDRESS / PO BOX; APT / SUITE #; CITY: STATE; ZIP CODE
MAILING
ADDRESS
(D fox a9(pTX
City Secretary
�eo r79&9-1
getis�,
Date Hand -delivered or Postmarked
4 CANDIDATE
AREA CODE PHONE NUMBER EXTENSION
Receipt# Amount$
PHONE
(0 3 3- o t 70
Date Processed
Date Imaged
5 OFFICE
HELD
(if any)
6 OFFICE
SOUGHT
` r -
C� �oIc0C+ �� LI 51T1 Ct I
(if known)
7 CAMPAIGN
MS/MR FIRST MI NICKNAME
_LAST SUFFIX
Ner
TREASURER
5 u2 C, 1-t'
NAME
8 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE;
ZIP CODE
TREASURER
(
1 % 1 /`jS J �C�C� i'�e?�c7 t —rx %$�Go�Cp
STREET
t
ADDRESS
(residence or business)
9 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
(6 t a) 149e - 5 3 17
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 CDI orations and labor organizations.
9
_
ignature of Candidate
Date Signed
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 12/7/2017