HomeMy WebLinkAbout220822 -- Willie Blackmon -- Appointment of Campaign TreasurerAPPOINTMENT OF A CAMPAIGN TREASURER FORM CTA
BY A CANDIDATE PG 1
See CTA Instruction Guide for detailed instructions.
1 Total pages filed :
2 CAND I DATE MS/MRS/MR FIRST M l OFFICE USE ONLY
NAME
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NICKNAME LAST S UFFIX Date Received
RECEIVED
3 CA NDID ATE ADDRESS I PO BOX ; APT I SUIT E #; CIT Y; STAT E; Z IP CODE
AUG 2 2 2022 41~ M A ILI NG
ADDRESS
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4 CAND IDATE AREA CODE PHONE NUMBER EXTENSION Receipt# I Amount $
PHONE
<?:; Date Processed
5 OFFICE Date I maged
HELD /1/t,LU /// (if any)
6 OFFICE C-itJ ,t_,t. e.GC: f-//$7/ 04'
SO U G HT
(if known) .C,./ -77 L./ C-#7~/V'C/? /A-;~
7 CAMPAIG N MS/MRS/MR/ FIRST Ml NICKNAME LAST SUFF IX
TREASURER
NAME />t.f, j{ ~L. L e,,e,_,, ,&,., /:tJf7etr/}o At
8 CAMPA I G N STREET ADDRESS; APT I SU ITE#; CITY; ST ATE ; ZIP CODE
TREA S URER
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9 CAMPA IG N AREA CODE PHONE NUMBER EXTENSION
TREASURER
P H ONE (.'.
10 CAND IDATE
S IGNATURE 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 El ection Code .
I am aware of the restrictions in title 15 of the Election Code on contributions
from corporations and labor organizations.
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D a t e S igned
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Forms provid ed by Texa s Ethi cs Co mm ission www.e thics .s t at e.tx.us Revised 4/2/2021