HomeMy WebLinkAbout Appointment of a Campaign Treasurer- Orsak, Joseph - 01.15.2025APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA;
BY A CANDIDATE
PG 1
See CTA Instruction Guide for detailed instructions.
1 Total pages teed.
2 CANDIDATE
Ms s eas FIRST MI
OFFICE USE ONLY
NAME
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FilerD �..
NICKNAME LAST SUFFIXDateRei
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JAN i 20 25
3 CANDIDATE
DRESS ! PO BOX APT t SUii E #, CrrY; STATE; ZIP CODE
MAILING
/
1 SEC.
t 9P+ Tb ialt" T X 7 9633
AREA CODE PHONE NUMBER EXTENSM
Date Han&dcI vered c r Pns"arked
Rec ipt# t
4 CANDIDATE
PHONE
(
Dane Processed
5 OFFICE
Date Imaged
HELD
(if any)
6 OFFICE
sou rlT
_
6sL+ t1 Ct7rr C'Vto t cll, OtSTielc
(if known)
i&70&
7 CAMPAIGN
MW I2 FIRST Mt MC404AME
LAST SUFFIX.
TREASURER
NAME
► 1 r
cNjI t i lit
`CITY;
8 CAMPAIGN
STREET ADDRESS; ISUITE ;
STATE„ ZIP CODE
TREASURER
STREET
ADDRESS
p ,r,-��
-Fo Fl J f t/IV
(residence or business)
�t:J 2k
676 0W Al / 7
9 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
1 (ft j ( /
10 CANDIDATE
SIGNATURE
I am aware of the Nepotism Law, Chapter 573 of the Texas Government Code.
i any aware of my responsibility to file timely reports as required by title 15 of
the Election Code.
l am aware of the restrictions in title 15 of the Election
Code on contributions
from core ration nd lab r organizations.
Signature of Candidate
Date Signed
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Forms provided by Texas Ethics Commission .ethics.state.tx,us Revised 11112026