Anderson Campaign Treasurer Appointment - 03/03/2020 APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA
BY A CANDIDATE PG
See CTA Instruction Guide for detailed instructions.
1 Total pages filed:
2 CANDIDATE MS/MRS/MR FIRST MI `—'
OFFICE USE ONLY
NAME
IN A' 1Q Filer ID#
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NICKNAME LAST SUFFIX Da R.AECEIVEIY-
HAR - 3 2020
3 CANDIDATE ADDRESS/PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE
MAILING
ity
ADDRESS �� C
, ( �'V ' A % ccretary'soffie
7l V j Date Hand-delivered or Postmarked
4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION Receipt# r��oAmount$
PHONE
Date Processed
5 OFFICE Date Imaged
HELD
(if any)
6 OFFICE
SOUGHT W JA, 'Vv B,, 1\ (Z S�d
(if known) �J�
7 CAMPAIGN MS/MRS/MR FIRST MI NICKNAME LAST SUFFIX
TREASURER lnn k
NAME r \C I��o k C/ `t/� ' `On 0i
8 CAMPAIGN STREET ADDRESS(NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER
STREET �[�`ADDRESS 5 U�/ J P'�'T
(residence or business)
9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE �1 V (..2 ,
� �J l
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.
Signat Candidate Date Signed
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020