Mitchell Campaign Treasurer Appointment - 02/13/2020 APPOINTMENT OF A CAMPAIGN TREASURER FORIM CTA
BY A CANDIDATE PG 1
See CTA Instruction Guide for detailed instructions. 1 Total pages filed.
2 CANDIDATE MS/MRS/MR FIRST Ml OFFICE USE ONLY
NAME /
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NICKNAME M LAST SUFFIX Date ec-RECEIVED
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3 CANDIDATE
ADDRESS/PO BOX; APT/SUITE# CITY; STATE; ZIP CODE FEU 1 7 1�10
MAILING �V /Z-s� CRY Manager's/City
ADDRESS �Z�� �e�C.Sf ��{�,» �f U Secretary's Office
Date Hand-delivered or Postmarked
4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION Receipt# Amount$
PHONE
Date Processed
5 OFFICE Date Imaged
HELD
(if any)
6 OFFICE
SOUGHT
(if known) 1S IT
7 CAMPAIGN MS/MRS/MR FIRST MI NICKNAME LAST SUFFIX
TREASURER
NAME A,i,kA`� L
8 CAMPAIGN STREET ADDRESS(NO PO BOX PLEASE); APT:SUITE#; CITY' STATE; 7ZIPCODE
TREASU
STTREETRER Ill I P,,,h f/ �enfre �4 7,C2 OI
ADDRESS
(residence or business)
9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE (T 17 2 G y !�_2`1Y
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
from corporations and labor organizations.
/ 2112- Za
ignature of Candidate Date Signed
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020
CANDIDATE MODIFIED FORM CTA
REPORTING DECLARATION PG 2
11 CANDIDATE
NAME
12 MODIFIED REPORTING COMPLETE THIS SECTION ONLY IF YOU ARE
DECLARATION CHOOSING MODIFIED REPORTING
•• This declaration must be filed no later than the 30th day before
the first election to which the declaration applies. •-
•• The modified reporting option is valid for one election cycle only. ••
(An election cycle includes a primary election,a general election,and any related runoffs.)
•• Candidates for the office of state chair of a political party
may NOT choose modified reporting. --
I do not intend to accept more than$900 in political contributions or
make more than$900 in political expenditures(excluding filing fees)
in connection with any future election within the election cycle.
I understand that if either one of those limits is exceeded, 1 will be
required to file pre-election reports and, if necessary, a runoff
report.
Yearof election(s)or election cycle to Signa re of Candidate
which declaration applies
This appointment is effective on the date it is filed with the appropriate filing authority.
TEC Filers may send this form to the TEC electronically at treasappoint(&-ethics.state.tx.us
or mail to
Texas Ethics Commission
P.O.Box 12070
Austin,TX78711-2070
Non-TEC Filers must file this form with the local filing authority
DO NOT SEND TO TEC
For more information aboutwhere to file go to:
http://204.65.203.6/filinginfo/QuickFileAReport.php
Forms provided by Texas Ethics Commission www ethics.state.tx.us Revised 1/1/2020