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HomeMy WebLinkAbout100816 - Appointment of Campaign Treasurer - John Nichols i Texas Ethics Commission P.O.Sox 12070 Austin,Texas 78711-2070 (512)463 U= 1-800,325-8 APPOINTMENT OF A CAMPAIGN FORM CTA F ` TREASURER BYA CANDIDATE PG � Total pages filed: See CTA Instruction Guide for detailed Instructions. ?J i MS/MRSfMR FIRST MI '' .'- �O�x YI OFFICE USE ONLY {�'CANDIDATE � / NAME Acct. s NICKNAME LAST SUFFIX Date Received ! ADDRESS!PO BOX: APT!SUITE#; CITY; STATE', ZIP CODE BAN 3 CANDIDATE DELIVERED d I] AREA CODE PHONE NUMBER EXTENSION HDIPM � CANDIDATE PHONE ( Data Processes! 61 O Dale images OFFICE HELD l (If any) i 61 OFFICE SOUGHT C 01�� , � CQ 6`l4 r4L4-1-GF (it known) C 7 MS/MRSIMR FIRST MI NICKNAME MST SUFFIX ,I CAMPAIGN .� TREASURER S �Q�t� 19 . &v IG110 1> NAME STREET ADDRESS(NO PO 13OX PLEASE); APT!SUITE#; CITY; STATE; DP CODE I 1 CAMPAIGN TREASURER STREET �� ADDRESS (Residence or business) e I AREA CODE PHONE NUMBER EXTENSION J CAMPAIGN TREASURER PHONE 10 CANDIDATE I am aware of the Nepotism Law, Chapter 573 of the Texas Government Code. SIGNATURE 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 cor orations a ;1abor organizations. - �r1 2��rG� Signature of Candidate �Date Signed GO TO PAGE 2 Printed on recycled paper (Revised 011142004)