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Briggs Campaign Treasurer Amendment - 12/10/2019 AMENDMENT: APPOINTMENT OFA FORM ACTA CAMPAIGN TREASURER BYA CANDIDATE PG 1 1 CANDIDAT 2 FILER ID# 3 Total pages filed:: NAME -a(y G -Pr M S 1 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 MI NAME /L ^ (/ OFFICE USE ONLY ' ' I r3 v i I 1 1 b e5 'Date Received NICKNAME y LAST V SUFFIX RECEIVED nEC 1 0 7019 5 CANDIDATE NEW I ADDRESSAD /PO B1OX; APT j/SUITE#; CITY; .. STATE; ZIP CODE MAILING ADDRESS %' 0 h�"RQht �/ 1 fD . D ` L�S S I Date Hague 'S ke J^ be.r \`'v-n `�-1-1./ -1 o Receipt# Amounts �. ^'1`.V Date Processed 6 CANDIDATE NEW AREA CODE PHONE NUMBER EXTENSION PHONE Date Imaged (gy() ) Fav -133q 7 OFFICE HELD NEW I I //�,, r/� 1 j��) —II-I, I} .�(�LT�) �1(— (deny) cA-ki 1 3R l l C I I "�I S 1 1 1 c \ a G+\/ C- l 4_/.C.11 IV>7 8 OFFICE NEW I V' ///'''111 SOUGHT l� / / O r AI I r OP I r '_)L y\,'NY� (if known) I" U` "T"/ .r 9 CAMPAIGN NEW I MS/MRS/MR FIRST MI NICKNAME LAST SUFFIX TREASURER NAME PA r. V 1 S k( 1 a J(fin s ES 10 CAMPAIGN NEW I STREET ADDRESS(NO PO BOX PLEASE); APT/SUIT #; CITY; STATE; ZIP CODE TSTRREETRER 3 ` 0% g 1 O )6-e.-4n. '�) c+ ADDRESS l (residence or business) 0.e,VI.. >1 Tx- -7(ia-v R " . d1 CAMPAIGN NEW I AREA CODE PHONE NUMBER EXTENSION EA8URER • /U 1-� ) /L\ 5 — 2 OD PHONE � \ •�. vJ 12 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 awa a of the restrictions in title 15 of the Election Code on contributions from bor orations and aboro nizations. p i - i — ii - ) 9 Si at re of Candidate - Date Signed GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 12/5/2019