HomeMy WebLinkAbout200721 - Appointment of Campaign Treasure - Jason Cornelius APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA
BY A CANDIDATE PG 1
1 Total pages filed:
See CTA Instruction Guide for detailed instructions.
2 CANDIDATE MS/MRS/MR FIRST MI OFFICE USE ONLY
NAME
Mr,
Filer ID#
NICKNAME LAST SUFFIX
Da,;q�yp, CEIVED
3 CANDIDATE ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE J U._ 2 1 I i 2 n
MAILING
ADDRESS 17,6, %V( \11 10 CpIIQ S�{��1sy� 11q)- ,, M
Date Hand-delivered or Postmarked
4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION Receipt# Amount$
PHONE ( ° . ) 15—TA ‘6
1S Date Processed
5 OFFICE Date Imaged
HELD
(if any)
6 OFFICE
SOUGHT (�`1� ] R.‘,6„it
(if known) W` 1 L,U Q'0,tAt.:1,t
7 CAMPAIGN MS/MRS/MR FIRST MI NICKNAME LAST SUFFIX
TREASURER
NAMEtY\ ;1
c�, IGiMIL V� - <<e.V l
8 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE, ZIP CODE
TREASURER
STREET
ADDRESS
(residence or business) 1)(/ -1114
11
9 CAMPAIGN
AREAL 3 �� t IHO NUMBER EXTE Of�J� S
TREASURER
PHONE ( 116 ) 5
10 CANUIUAI E
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 corpo tions and labor organizations.
CSignature of Candidate Date Signed
/ GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020