Connie Baker - Amendment Appointment of Campaign Treasurer Appointment - 01-14-2021 AMENDMENT: APPOINTMENTOFA FORM ACTA
CAMPAIGN TREASURER BYA CANDIDATE PG 1
1 CANDIDATE 2 FILERID# 3 Total pages filed:
NAME
See ACTA Instruction Guide for detailed instructions.
Use this form for changes to existing information only. Do not provide information previously disclosed.
NEW MS/MR /MR I FIRST MI OFR� L
4 CANDIDATE
NAME &n n i e 1D
Date R ceived
NICKNAME LAST SUFFIX JAN 14 2021
t _xa 2t-
City Manager's/City
5 CANDIDATE NEW ADDRESS/PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE Secretary's Office
MAILING r
ADDRESS t I (`Q np a � Date Hand-delivered or Postmarked
J 111 Receipt# _T Amount$
Date Processed
6 CANDIDATE NEW AREA CODE PHONE NUMBER EXTENSION
PHONE Date Imaged
6Hc)) 3qo -,r) isq
7 OFFICE HELD NEW
(if any)
8 OFFICE NEW
SOUGHT
(if Down)
9 CAMPAIGN NEW M /MRS MR FIR T MI NICKNAME LAST SUFFIX
TREASURER
NAME rO(Y^QnC 2- &*e
10 CAMPAIGN NEW STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURERSTREET
a
ADDRESS J~>t,� c mead,auJ S4 D, 4, TK
(residence or business)
11 CAMPAIGN NEW AREA CODE PHONE NUMBER EXTENSION
TREASURER PHONE (11; T 0) 1 ' 1 t4
J
_i
12 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.
I am aware of the restrictions in title 15 of the Election Code on contributions
from corjporations and labor organizations.
Signature of Candidate Date Signed
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2021