Hudspeth Campaign Treasurer Amendment - 01/30/2020 AMENDMENT: APPOINTMENTOFA FORMACTA
CAMPAIGN TREASURER BYA CANDIDATE PG
1 CANDIDATE 2 FILERID# 3 Total pages filed:
NAME /
SeeACTAInstruction Guide for detailed instructions.
Use this form for changes to existing information only. Do not provide information previously disclosed.
4 CANDIDATE NEW MS/MRS/MR MI
NAME OFFICE USE ONLY
_ Date Received RECEIVED
LAST SUFFIX EIYC
JAN 3 0 2020
5 CANDIDATE NEW ADDRESS/POBOX; APT/SUITE#; CITY; STATE; ZIP CODE
MAILING CITY MANAGER'S OFFICE
ADDRESS Date Hand-delivered or Postmarked
Receipt# Amount$
Date Processed
6 CANDIDATE NEW AREA CODE PHONE. NUMBER EXTENSION
PHONE ( l Date Imaged
7 OFFICE HELD NEW
(rf any)
8 OFFICE NEW
SOUGHT
(rf known)
9 CAMPAIGN NEW I M MRS R FIRST MI NICKNAME LAST SUFFIX
TREASURER NAME mc) cinch
10 CAMPAIGN NEW STREET ADDRESS(NO PO BOX PLEASE); APT/SUITE#; CITY; STATE, ZIP CODE
TREASURER _ r
ADDRESSSTREET �50 T
(residence or business)
11 CAMPAIGN NEW PHONE NUMBER EXTENSION
TREASURER
PHONE
12 CANDIDATE l
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 rest ' tions in title 15 of the Election Code on contributions
from rporatio s a la r organizations. i
gn ure of Candidate Date Signed
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 12/5/2019