Armintor Campaign Treasurer Appointment 02/05/2018 APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA
BY A CANDIDATE PG 1
1 Total pages filed
See CTA Instruction Guide for detailed instructions.
2 CANDIDATE MS,MRS/MP FIRST MI OFFICE USE ONLY
NAME
Filer ID#
NICKNAME v LJA�' 1•-\ SUFFIX
Date Received
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3 CANDIDATE ADDRESS /PO BOX APT/SUITE# CITY, STATE, ZIP CODE
MAILING e
ADDRESS aaoj MNSNtJ.)CoD LACK p� � ►!� � �;ZU�
Date Hand-delivered or Postmarked
4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION Receipt# AmountS
PHONE
3 c g Date Processed
5 OFFICE I V / Date Imaged
HELD
(if any)
g OFFICE
SOUGHT
(if known)
7 CAMPAIGN MS/MRS/MR FIRST MI NICKNAME LAST SUFFIX
TREASURER f�� q p
NAME l e�f ' 1�t1i TrjK
8 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE), APT/SUITE#, CITY, STATE ZIP CODE
TREASURERSTREET
ADDRESS -.o03 M�✓ 'Ce
(residence or business) JJJ
9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE �`1`1L, \ 3o�
to 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 corporations and labor organizations.
r
ignature of Candidate Date Signed
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Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 12/7/2017