HomeMy WebLinkAbout210602 -- David Levine -- Appointment of Campaign Treasurer 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/MR FIRST MI OFFICE USE ONLY
NAME n
M '\ Filer ID#
NICKNAME LAST SUFFIX Date Received
Le of,ve RECEIVED
3 CANDIDATE ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE II I
AMAILING DDRESS J0 0 G 2021
16�M
p if. A-AP 1_tl'drP c1MAAtdA""""
4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION Receipt# Amount$
PHONE
( /-
Date Processed
5 OFFICE Date Imaged
HELD
(if any)
6 OFFICE 1 /
SOUGHT C �j�a¢r o�/ C/ ( cy Co r4'.C/') °" r f of C -e (J
(if known) O
7 CAMPAIGN MS/MRS/MR FIRST MI NICKNAME LAST SUFFIX
TREASURER NAME 11A I 7
FV C-
8 CAMPAIGN STREET ADDRESS;
APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER 3 QO D O c"Y�o 1v r,, �O � � C�r/�o 5' Cng7'oN ,/- 77�6-1STREE7
ADDRESS
(residence or business)
9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE ( � 7p \ 57 --297
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.
Signature of Candidate Date Signed
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 4/2/2021