Building a Better Denton - Campaign Treasurer STA 092023 APPOINTMENT OF A CAMPAIGN TREASURER FORM STA
BY A SPECIFIC-PURPOSE COMMITTEE PG 1
See STA Instruction Guide fordetailed 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
BEFORE sending a file-stamped copy to the Texas Ethics Commission.
2 COMMITTEE a Better Denton OFFICE USE ONLY
NAME
Y� w Filer ID#
3 COMMITTEE ADDRESS/PO BOX; APT/SUITE#; CITY; STATE; ZIPCODE
ADDRESS 418 Texas Street, Denton, TX 76201 Date erye
RECEIVED
SFP 2 0 2023
4 CAMPAIGN MS/MRS/MR FIRST MI
TREASURER Mrs. Janet CSecretag Office
NAME Secretary's Office
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NICKNAME LAST SUFFIX
Date Hand-delivered or Postmarked
Shelton
Receipt# Amount$
6 CAMPAIGN STREET ADDRESS; APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER 4 Timbergreen Cir. 76205
STREET Date Processed
ADDRESS
(residence or business) Date Imaged
6 MAILING ADDRESS/PO BOX; APT/SUITE#, CITY; STATE; ZIPCODE
ADDRESS 4 Timbergreen Cir. 76205
❑ sameasabove
7 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER PHONE (940.000 ) 300-4119
8 PERSON FIRST MI LAST SUFFIX
APPOINTING TREASURER Kevin Roden
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 Kevin Roden
TREASURER
(see instructions)
11 ASSISTANT ADDRESS/PO BOX; APT/SUITE#; CITY, STATE; ZIPCODE
CAMPAIGN 418 Texas Street, Denton, TX 76201
TREASURER
ADDRESS
12 ASSISTANT AREA CODE PHONE NUMBER EXTENSION
CAMPAIGN
TREASURER (940.000 ) 206-5239
PHONE
CONTINUE ON PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2023
SPECIFIC-PURPOSE COMMITTEE: FORM STA
PURPOSE AND MODIFIED REPORTING DECLARATION PG 2
13 COMMITTEE NAME
Better Denton
14 COMMITTEE CANDIDATE/OFFICEHOLDER NAME
PURPOSE
0 SUPPORT CANDIDATE
0OPPOSE CANDIDATE OFFICE SOUGHT(candidate)I OFFICE HELD(officeholder)
ASSIST OFFICEHOLDER
BALLOT IDENTIFICATION OF MEASURE /# ELECTION DATE
Montle Day
SUPPORT MEASURE 1/07/22,23ar
DESCRIPTION
OPPOSE MEASURE
City of Denton $309,590,000 bond election
16 MODIFIED COMPLETE THIS SECTION ONLY IF YOU ARE CHOOSING
REPORTING
DECLARATION 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 $1,010 in political
contributions or make more than $1,010 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 ppoint(a_)eth ics.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://www.ethics.state.tx.us/filinginfo/QuickFileAReport.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 1/1/2023
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
"s NAME COMMITTEE , f�,,t� ,,Better Denton
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
officeholder, and will not use any political contribution from a corporation or a labor
FV 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) Affidavit Jurat:
k,/Av--A
Signature of Committee Representative
" t JE$w J.811 mm
• a r*,II�ft D#1l31W4M
1;>: E>�inEK Wrdl 21,202d
IV
Sworn to and subscribed before me by_ — iV l2�pE�l.� this the it day of%—
20-J'a, to certify which, witness my hand and seal of office.
officer administering oath Printed Name of officer administering oath Title of officer administering oath
2) Unsworn Declaration Jurat:
My name is --_, and my date of birth is _
My Address is
(street) (city) (state) (zip code) (country)
Executed in _ — County, State of —, on the_— day of_---, 20
Signature of Committee Representative (Declarant)
Filers may send this form to the TEC electronically at
treasappointo,ethics.state.tx.us or by mail to: Texas Nan-TElo 1 with the local filing authority
Filers must file this farm
Ethics Commission, P.O. Box 12070,Austin,TX 78711-2070
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2023