Kelly Smith Form CTA Appointment of a Campaign Treasurer APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA
BY A CANDIDATE PG 1
See CTA Instruction Guide for detailed instructions. 1 Total pages filed:
2 CANDIDATE MS/MRS/MR FIRST MI OFFICE USE ONLY
NAME Mr Kelly M Filer ID#
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NICKNAME LAST SUUFFIXFFIX
Date Rec v
Smith Jr j e4m
3 CANDIDATE ADDRESS/PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE
JAN 3 1 1015
MAILING h az f.M
ADDRESS 2500 N Int 35 Apt 137 Denton TX 76201 City secmt"office
Date Hand-delivered or Postmarked
4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION Receipt# Amount$
PHONE
972 ) 750-0666 Date Processed
5 OFFICE Date Imaged
HELD
(if any)
6 OFFICE
SOUGHT(if known) Denton City Council, Seat 3
7 CAMPAIGN MS/MRS/MR FIRST MI NICKNAME LAST SUFFIX
TREASURER
NAME Mr Kelly M Smith Jr
8 CAMPAIGN STREETADDRESS; APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER
STREET 2500 N Int 35 Apt 137 Denton TX 76201
ADDRESS
(residence or business)
9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE ( 972 750-0666
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.
I am aware of the restrictions ip title 15 of the Election Code on contributions
from corporations and labor organizations.
�A 01/31/25
Signature of Candidate Date Signed
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2025