Hudspeth Campaign Treasurer Amendment - 11/01/2019 AMENDMENT: APPOINTMENT OF A FoRM ACTA
CAMPAIGN TREASURER BYA CANDIDATE PG 1
1 CANDIDATE 2 FILERID# 3 Total pages filed:
NAME
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See ACTA Instruction Guide for detailed instructions.
Use this form for changes to existing information only. Do not provide information previously disclosed.
4 CANDIDATE NEW I MS/MRS/MR FIRST MI
NAME M{/_` (/�/�+ O FG1 Y
NICKNAME LAST SUFFIX
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5 CANDIDATE NEW ADDRESS /PO BOX; APT/SUITE#; CITY: STATE; ZIP CODE City Manager's/City
MAILING flct�tary s-Offtca
ADDRESS Date w �rl
Receipt# Amount$
0 wlnf o-, Date Processed
6 CANDIDATE NEW AREA CODE PHONE NUMBER EXTENSION
PHONE Date Imaged
7 OFFICE HELD NEvv ,01stoo,r�/ I(if any)
Cov•1 CI I
g OFFICE NEW
SOUGHT
(if known)
9 CAMPAIGN NEW MS/MRS I FIRST MI NICKNAME LAST SUFFIX
TREASURER
NAME
10 CAMPAIGN NEW STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER
STREET
ADDRESS
(residence or business)
r v/ 6S 0
11 CAMPAIGN NEW AREA CODE PHONE NUMBER EXTENSION
TREASURER (��� 3` �D
PHONE ` J
12 CANDIDATE
SIGNATURE I am aware of the Nepotism Law, Chapter 573 of the Texas Government Code.
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 corporations and labor organizations.
Signature of Candidate Date Signed
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 6/6/2019