HomeMy WebLinkAboutGeorgetown Mobility Coalition - Appointment of Campaign TreasurerAPPOINTMENT OF A CAMPAIGN TREASURER
FORM STA
BY A SPECIFIC
-PURPOSE COMMITTEE
PG 1
See STA Instruction Guide for detailed instructions.
1 Total pages filed:
If you are involved in a School District Bond Election, you must file Form STA with the local filing authority
2
BEFORE sending a file -stamped copy to the Texas Ethics Commission.
2 COMMITTEE
Georgetown Mobility Coalition
OFFICE USE ONLY
NAME
Filer ID #
CITY: STATE; ZIP CODE
—
3 COMMITTEE
ADDRESS/PO BOX; APT/SUITE#;
DateReCekved
ADDRESS
c/o Prosperity Bank
3011 Williams Drive
U ZoZI
Georgetown, TX 78628
MI
MGMT' SV "" S.
4 CAMPAIGN
MS/MRS/MR FIRST
TREASURER
James Bradley
NAME
'
-
NICKNAME LAST SUFFIX
Date H��� �000�Poslmarked
Curlee
jjjjZ��
STREET ADDRESS (NO PO BOX PLEASE); APT I SUITE #; CITY; STATE; ZIP CODE
Receipt# Amount$
5 CAMPAIGN
TREASURER
Prosperity Bank
DateProra ed
STREET
3011 Williams Drive
Z i -1
ADDRESS
(residence or business)
Georgetown, TX 78628
Date Imaged
6 MAILING
ADDRESS IPOBOX; APT/SUITE#; CITY; STATE; ZIPCODE
ADDRESS
❑. same as above
7 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
512.000) 869-4160
PHONE
8 PERSON
FIRST MI LAST
SUFFIX
APPOINTING
Ron Garland
TREASURER
9 SIGNATURE
I understand that I have been appointed as the campaign treasurer
for this specific -purpose
committee and that I am responsible for filing all required reports
and that I may be subject to
fines for failure to do so. I am aware of the restrictions in title 15 of the Election Code on contributions
from corporations and labor organizations.
Q�\ a
gnature of Campaign Treasurer
10 ASSISTANT
FIRST MI LAST
SUFFIX
CAMPAIGN
TREASURER
(see instructions)
11 ASSISTANT
ADDRESS /PO BOX; APT/SUITE#; CITY:
STATE; ZIP CODE
CAMPAIGN
TREASURER
ADDRESS
12 ASSISTANT
AREA CODE PHONE NUMBER EXTENSION
CAMPAIGN
TREASURER
( )
PHONE
\
CONTINUE ON PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us
Revised 1/1/2021
SPECIFIC -PURPOSE COMMITTEE: FORM STA
PURPOSE AND MODIFIED REPORTING DECLARATION PG 2
13 COMMITTEE NAME
Georgetown Mobility Coalition
14 COMMITTEE
CANDIDATE/OFFICEHOLDER NAME
PURPOSE
0SUPPORT CANDIDATE
DPPOSE CANDIDATE
OFFICE SOUGHT (candidate)/ OFFICE HELD (officeholder)
ASSIST OFFICEHOLDER
BALLOT IDENTIFICATION OF MEASURE / #
ELECTION DATE
l ! }SUPPORT MEASURE
�J
Month Day Year
5/01 /2,621
OPPOSE MEASURE
DESCRIPTION
City of Georgetown transportation bonds
15 MODIFIED
COMPLETE THIS SECTION ONLY IF YOU ARE CHOOSING
REPORTING
MODIFIED REPORTING.
DECLARATION
--This declaration must be filed no later than the 30th day
before the first election to which the declaration applies. --
--The modified reporting declaration is valid for one election cycle only. ••
(An election cycle includes a primary election, a general election, and any related runoffs.)
The committee does not intend to accept more than $930 in political
contributions or make more than $930 in political expenditures
(excluding filing fees) in connection with any future election within the
election cycle. The committee understands that if either one of those
limits is exceeded, the committee's campaign treasurer will be required
to file pre -election reports and, if necessary, a runoff report.
Year of election(s) or election cycle to Signature of Campaign Treasurer
which declaration applies
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
TEC Filers may send this form to the TEC electronically at treasa oint ethics.state.tx.us
or mail to
Texas Ethics Commission
P.O. Box 12070
Austin, TX 78711-2070
Nan-TEC Filers must file this form with the local filing authority
DO NOT SEND TO TEC
For more information about where to file go to:
https://www.ethics.state.tx.us/filinginfo/QuickFileAReport.php
This appointment is effective on the date it is filed with the appropriate filing authority.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised a uzucl