HomeMy WebLinkAbout240722 -- Appointment of Campaign Treasurer -- Valen CepakAPPOINTMENT OF A CAMPAIGN TREASURER FORM CTA
BY A CANDIDATE PG 1
See CTA Instruction Guide for detailed instructions.
1 Total pages filed:
2
CANDIDATE
NAME
MS/MRS/MR FIRST MI
Valen
NICKNAME LAST SUFFIX
Cepak
OFFICE USE ONLY
Filer ID #
Date Received
RECEIVED
\ h
IIII. 16 2024 �.0
O
3
CANDIDATE
MAILINGil
ADDRESS
ADDRESS / PO BOX; APT / SUITE #: CITY; STATE; ZIP CODE
Date Hand -delivered or Postmarked
4
CANDIDATE
PHONE
AREA CODE PHONE NUMBER EXTENSION
(
Receipt #
Amount$
Date Processed
5
OFFICE
HELD
(if any)
Date Imaged
6
OFFICE
SOUGHT
(if known)
2/ IC(-
it l—
College Station City Council c 3
7
CAMPAIGN
TREASURER
NAME
MS/MRS/MR FIRST MI NICHIVAME LAST SUFFIX
MR LUIS A FONCERRADA PASCAL
8
CAMPAIGN
TREASURER
STREET
(residence or business)
STREET ADDRESS; APT/SUITE#; CITY, STATE: ZIP CODE
77840ADDRESS 1900 DARTMOUTH ST F1. COLLEGE STATION TX
9
CAMPAIGN
TREASURER
PHONE
AREA CODE PHONE NUMBER EXTENSION
( 956 777-0530
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.
/� 0 7/ z,
Signature of Candidate Date Signed
GO TO PAGE 2
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 1/1/2024