Johnson Campaign Treasurer Appointment - 02/05/2020 APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA
BY A CANDIDATE PG
See CTA Instruction Guide for detailed instructions. Total pages filed:
2 CANDIDATE MS/MRS/MR FIRST MI OFFICE USE ONLY
NAME
Mg.5 , rd , k Filer ID#
1 Date ReceiRtCEIVED
NICKNAME LAST LA 0 lel J/' yy SUFFIX
FEB 0 5 2020
3 CANDIDATE ADDRESS/PO BOX; APT/SUITE/k, CITY; STATE; ZIP CODEMAI
ADDRESS
/C / ^ tiPu ni 1 1 City ManNers/City
ADDRESS 9 /L{1- I� INTO �e.J Secretarya CAN
K7‘;/-4D Date Hand-delivered or Postmarked
4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION 4`C/ Receipt# Amount
PHONE �/
(1 / ,3 5 � 63 / / Date Processed
5 OFFICE L CCC/// / 1 Date Imaged
HELD
(if any)
6 OFFICE �/�
SOUGHT t . . f / Coo 5��1Gt'
(if known) h Y (/
7 CAMPAIGN MS/MRS/MR C FIRST MI NICKNAME LAST SUFFIX
TREASURER
NAME ,Vt A %5 'S V
+e I -e NS o r/
t D
8 CAMPAIGN STREET ADDRESS(NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER
STREET
ADDRESS 814-1 ear 'a ry tra.ce�e�1-�DyJ�X 76 . 1 C
(residence or business)
9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE ( 4((JJ `�'�p/ J) i/ 2 -6359
10 CANDIDATE
SIGNATURE I am aware of the Nepotism 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.
l am aware of the restrictions in title 15 of the Election Code on contributions
from corporations and labor organizations.
c8,, a�-�/ -s ao
Signature of C didate Date Signed
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 12/6/2019