HomeMy WebLinkAboutAppointment Campaign Treasurer 03.31.2026APPOINTMENT 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
6
BEFORE sending a file -stamped copy to the Texas Ethics Commission
2 COMMITTEE
NAME
n'
e+u` VWYI '- OV 1 IOtt
o1
OFFICE USE ONLY
f V
r t
o��a
`J M �r�I�
ADDRESS /PO BOX; APT/SUITE#;
3 COMMITTEE
CITY; STATE; ZIP CODE
u e Received
MAR 31 2026
ADDRESS �[ 0.�� L ��� f t1 r �1�
�
CITY SEC.
4 CAMPAIGN MS / MRS / MR FIRST MI
TREASURER
NAME
r
W,—�i���
NICKNAME LAST SUFFIX
0�bm
Dale Hantl•Op Wlr�tl or yo5trnarke0
31 6
Receipt#
Amount$
6 CAMPAIGN STREET ADDRESS; APT ( SUITE #: CITY; STATE; ZIP CODE
TREASURER
Date Processed
STREET
ADDRESS
business)
N, 1
)�at (
Date Imaged
(residence or ,
rr
-31
6 MAILING
ADDRESS /PO BOX; APT/SUITE#; CITY;
STATE; ZIPCODE
ADDRESS
sameas above
vLo/
7 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
8 PERSON
FIRST MI LAST
SUFFIX
APPOINTING
�1 C
TREASURER
liC-
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.
Signature of Campaign Treasurer
10 ASSISTANT
FIRST MI LAST
SUFFIX
CAMPAIGN
TREASURER
�61_
` L
(see instructions)
11 ASSISTANT
ADDRESS /PO BOX; APTISUITE#; CITY;
STATE; ZIPCODE
CAMPAIGN
TREASURER
ADDRESS
no Vi,i
12 ASSISTANT
AREA CODE PHONE NUMBER EXTENSION
CAMPAIGN
TREASURER
PHONE
( 1
CONTINUE ON PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2026
SPECIFIC -PURPOSE COMMITTEE:
PURPOSE AND MODIFIED REPORTING DECLARATION
13 COMMITTEE NAME CJeo( r Acoil — OV Hoo �,, Cu( wo-f-dIr
14 COMMITTEE CANDIDATE/ OFFICEHOLDER NAME
PURPOSE
SUPPORT CANDIDATE
OPPOSE CANDIDATE OFFICE SOUGHT (candidate) /OFFICE HELD (officeholder)
ASSIST OFFICEHOLDER
SUPPORT MEASURE
O OPPOSE MEASURE
15 MODIFIED
REPORTING
DECLARATION
BALLOT IDENTIFICATION OF MEASURE / N
FORM STA
PG 2
ELECTION DATE
Month Day Year
5 2 4
DESCRIPTION
bv� otasuY(, ccm Ct;vrity) 1, otrt-�I°a ar in kl,�� , 0�—
/tw 1bNWAI ta7t.3V'% d'
COMPLETE THIS SECTION ONLY IF YOU ARE CHOOSING
MODIFIED REPORTING.
--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 $1,140 in political
contributions or make more than $1,140 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
Non-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://ethics.state.tx.usffi[inginfo/QuickFiieAReport.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 1/1/2026
SPECIFIC -PURPOSE COMMITTEE: FORM STA
STATEMENT AUTHORIZING DIRECT CAMPAIGN EXPENDITURES PG 3
FROM CORPORATION OR LABOR ORGANIZATION POLITICAL
CONTRIBUTIONS UNDER SECTION 252.0031, ELECTION CODE
16 COMMITTEE (� j f { Jy
NAME COY n — OVA I"L�! I Ov'
17 AFFIRMATION I swear, or affirm, under penalty of perjury that the following statement is in all things true
(If applicable) and correct:
% The political committee named above is not established or controlled by a candidate or an
J/ officeholder, and will not use any political contribution from a corporation or a labor
organization to make a political contribution to: (1) a candidate for elective office or
(Check if an officeholder, or (2) a political committee that has not included in its campaign treasurer
applicable) appointment a Statement Authorizing Direct Campaign Expenditures from Corporation or Labor
Organization Political Contributions declaring the same.
PLEASE COMPLETE EITHER OPTION (1) OR (2) BELOW:
(1) ANidavit_Jurat
Signature of Committee Representative
Notary StamplSeal
Sworn to and subscribed before me by this the day of
20 , to certify which, witness my hand and seal of office.
Signature of officer administering oath Printed Name of officer administering oath Title of officer administering oath
2) Unsworn Declaration Jurat
My name is e►,1h odam and my date of birth is
My Address is _ C110
(street) (city) (state) (zip code) (country)
Executed in �, l W60`) County, State of T XIS on the '>Q day of Harr) 20?)O_.
Signature of Committee Representative (Declarant)
Filers may send this form to the TEC electronically at
treasaapoint(cDethics. state. tx.us or by mail to: Texas Non-TEC Filers must file this
Ethics Commission, P.O. Box 12070, Austin, TX 78711-2070
form with their local filing authority
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2026