York Campaign Treasurer Appointment - 02/05/2020 APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA
BY A CANDIDATE PG 1
1 Total pages tiled:
See CTA Instruction Guide for detailed instructions.
2 CANDIDATE MS/MRS/MR FIRST MI OFFICE USE ONLY
NAME Mr. Li AWI Filer ID#
`{otrK DatePeceiRECEIVED
NICKNAME LAST SUFFIX
7'1 0.6 2nn -
3 CANDIDATE ADDRESS/PO BOX: APT/SUITE#; CITY; STATE; ZIP CODE
MAILING —7 } �J
ADDRESS n10T �LbL o4 St. Ventot4 7X 742 to yManagers/City
�[ 1 , Secretarys Office
UI l 1 r� Date Hand-delivered or Postmarked
4 CANDIDATE AREA CODE V` •lY' H
PHONE NUMBER EXTENSION Receipt# Amount$
PHONE Q
(1 I3 ) 10 a - (5 1q
I Date Processed
5 OFFICE Date Imaged
HELD
(if any)
6 OFFICE
SOUGHT City Cotthtil P1 ate, 5-0(
X
(if known)
7 CAMPAIGN MS/MRS/MR FIRST MI NICKNAME LAST SUFFIX
TREASURER Ms. Il , . . MoKhAyeri
NAME
6 CAMPAIGN STREET ADDRESS(NO PO/BOX PLEASE); APT/SUIIT
TREASUTIE#; CITY; STATE: ZIP
CODE
TREASURER L130 V3IryLflingLv14 1d /� V
ADDRESS /� (�icht,rasov�, ' 75 r,
(residence or business) ZZ I U
9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER ry',
PHONE (i-5L fU
) 3 — 32-2-2-
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.
� w
/°\ /C1L° .
Signature of Candidate Date Signed
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Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 12/6/2019