HomeMy WebLinkAbout170725 - Appointment of Campaign Treasurer - Bob Brick Jul, 25. 2017 8: 49AM No. 1433 P. 3
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA
BY A CANDIDATE PG I
See CTA Instruction Guide for detailed instructions. 1 Total pages filed:
2 CANDIDATE MS/MRS) FIRST MI OFFICE USE ONLY
NAME ( 2-1^�
• Acct.#
NICKNAME LAST SUFFIX
'3 a 6 Uri C.K rin, 1 C E i D
3 CANDIDATE ADDRESS PO BOX: APT ISufTEtt: CITY, STATE; ZIP CODE i JUL II ? 2017
MAILING J lJ L
ADDRESS /
BY
4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION Data Hend-delNeredofPn$ neikod
PHONE
(
Datetmaged
HELD
(if any)
6 OFFICE C-0
SOUGHT
(if known) ( #y (t ►'L ► I ?\c e_
7 CAMPAIGN MS/MR lKf ]�FIRST MI .NE1 l LAST SUFFIX
A TREASURER Don l rI �el
8 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE# CITY; STATE: ZIP CODE Q`/
TREASURER ) 3 0) V� 1` 5� 1( P Cam! (e �� C��l'�
STREET I
ADDRESS Lb u
(residence Or business)
9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER PHONE C ai�g) _a 2°1— 0 ) 3 7
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.
am aware of the restrictions in title 15 of the Election Code on contributions
from corporations and labor organizations-
1/2 /
Signature of Candidate / Dat¢Signed /
GO TO PAGE 2
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