Ferrie Campaign Treasurer Amendment - 02/13/2020 AMENDMENT: APPOINTMENTOFA FORMACTA
CAMPAIGN TREASURER BYA CANDIDATE PG 1
1 CANDIDATE 2 FILERID# 3 Total pages filed:
NAME
o �
See ACTA Instruction Guide for detailed instructions.
Use this form for changes to existing information only_ Do not provide information previously disclosed.
4 CANDIDATE NEW I MS/MRS/MR FIRST OFFIC Y
NAME
Date acel,RECEI
NICKNAME SST SUFFIX
13 2020
5 CANDIDATE NEW I ADDRESS/PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE City Manager's/City
MAILING �/a 3� 060 VIN, C� IRASA
ADDRESS �� ) J � /�J rT' Date H nd r s an,e.
r�j�V Receipt# Amount$
Date Processed
6 CANDIDATE NEW AREA CODE PHONE NUMBER EXTENSION
PHONE Date lmaged
7 OFFICE HELD N�At
(N any)
8 OFFICE [ff--tA�
SOUGHT ,n _1 '�\]�` 1{�
(W known) u�� `� \ \ �c` D
9 CAMPAIGN NEW ras/MRSlMR FIRST MI NICKNAME LAST SUFFIX
TREASURER r
NAME M\ - l �'� fflcLeooL
10 CAMPAIGN NEW STREET ADDRESS(NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER 1 1
ASTREET DDRESS � ) , �l�iVer �C���I Derku lT* O
(residence or business)
11 CAMPAIGN NEW I AREA CODE n PHONE NUMBER EXTENSION
TREASURER
PHONE \ l�� ! •A` /1�.��I�J,
12 CANDIDATE
SIGNATURE I am aware of the Nepotism Law, Chapter 573 of the Texas Government Code.
am aware of my responsibility to file timely reports as required by title 15 of
the Election Gode.
am awar r the restrictions in ti ft 15 of the Election Code on contributions
from-corporation id labor organizations.
Signature of Candidate Date Signed
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020