Mann Campaign Treasurer Appointment -12/10/2019 APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA
BY A CANDIDATE PG 1
See CTA Instruction Guide for detailed instructions. 1 Total pages filed
I
2 CANDIDATE MS/MR R FIRST �'w-�S MI '` OFFICE USE ONLY
NAME ItrA (�
Filer ID#
. . . . . . . . . . . . . . . . . . . . . .
Da Re+�ty��
NICKNAME j 1lill A ____ M J��N SUFFIX
3 CANDIDATE ADDRESS/PO BOX;,r`APT I SUITE#; •CITY; STATE; ZIP CODE DEC 10 2019
MAILING
ADDRESS 3933
33 M F—AmmQ I>R ivE msvI ft/(idly
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N Dnt
4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION Receipt# Amount$
PHONE ''II G
1TD) 5 !4 — 9 5o I Date Processed
5 OFFICE \ Date Imaged
HELD
(if any)
g OFFICE `
SOUGHT(if known) C rry CaQt4C.GL PI.ACC� ��NTGN K
7 CAMPAIGN MSMAR1ff) FIRST MI NICKNAME LAST SUFFIX
TREAS
NAME URER v 'P p T SO I T H
8 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER
STREET
ADDRESS
(residence or business)
9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE ! (I- W � 33
D
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 in title 15 of the Election Code on contributions
iQSignatUm
nd abor organizations.
of Candidate Date Signed
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Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 6/6/2019