HomeMy WebLinkAboutNorwood, Jason 01.22.2021 Designation of Campaign TreasurerAPPOINTMENT OF A CAMPAIGN TREASURER FORM CTA
BY A CANDIDATE PG 1
1 Total pages filed:
See CTA Instruction Guide for detailed Instructions.
2 CANDIDATE
MIS ;PIRS .'+�] FIRST,:)/' 50' MI
OFFICE USE ONLY
NAME
RarID9
NICKNAME VAST SUFFIX
DateR— `����D
Z)
JAN 21� 1
,I
MGMTx S ■ C
3 CANDIDATE
ADDRESS IPOBOX; APTISUITEnn; CITY STATE; ZIP CODE
�� Z. f)7, () f;l� Q�� GctzG��r�T�Aia�iX+"�'
AMAILING
DDRESS
Date Hand•deli—ad or Poxtmerked
ox(LZ�r,4 1,
4 CANDIDATE
AREA CODE PHONE NUMBE-2, EXTENSION Receipld ARWanl$
PHONE
Dale Processed
Date Imaged
5 OFFICE
HELD
(If any)
6 OFFICE
SOUGHT
(if known)
�`
d } Lk n 6I1, r�' G b�'f ..,)
7 CAMPAIGN
TREASURER
WUPIS-MAt FIRST IM NICKNAME LAST SUFFIX
111 C11 D $oyd .S
NAME
t< +
f +
8 CAMPAIGN
TREASURER
STREET ADDRESS ;NO PO BOX PLEASE): APT I SUITE X: CITY; STAIE: ZIP CODE
� a jn d epe rwe nce Gr'e Ile�" �'�
STREET
ADDRESS
business)
!
� '7 Qb3
C � �rget ow n. ('
(residence or
9 CAMPAIGN
AREA CODE PHONE NUUBER EXTENSION
TREASURER
PHONE
10 CANDIDATE
StGNATOJ F-
I am aware of the NepoAsm 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 r-qr Forations and 13a1-organizations.
J 5ir�'ratL+re oFCandidat� Date: Signed
r '
GO TO PAGE 2
Forms provided by Texas Ethics
Commission www.ethiCS. state. tx.Us Revised 111/2021