HomeMy WebLinkAbout260813 -- Appointment of Campaign Treasurer Amendment -- Valen CepakAMENDMENT: APPOINTMENTOFA
CAMPAIGN TREASURER BYA CANDIDATE
1 CANDIDATE
NAME
A L-€A) (c-(W/�
2 FILERID#
FORM ACTA
PG'I
3 Total pages filed:
See ACTA Instruction Guide for detailed instructions.
Use this form for changes to existing information only. Do not provide information previously disclosed.
4 CANDIDATE
NAME
5 CANDIDATE
MAILING
ADDRESS
6 CANDIDATE
PHONE
7 OFFICE HELD
(if any)
8 OFFICE
SOUGHT
(if known)
9 CAMPAIGN
TREASURER
NAME
10 CAMPAIGN
TREASURER
STREET
ADDRESS
(residence or business)
11 CAMPAIGN
TREASURER
PHONE
12 CANDIDATE
SIGNATURE
NEW I MS/MRS/MR
FIRST V 1J
MI
NICKNAME LAST
NEW I ADDRESS / PO BOX; APT / SUITE #;
PHONE NUMBER EXTENSION
'Plc-6c- c
NEW I MS/MRS/MR
Co) Ice_ 3 4- k
FIRST MI
NICKNAME
2-1 Jc'1 sLJ T"
OFFICE USE ONLY
Date Received
RECEIVED
AUG 1 3 7075 yy��..�//J//����
Date Hand -delivered or Postmarked
Receipt #
Date Processed
Date Imaged
Co.0 114
LAST
Amount $
SUFFIX
NEW I STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE
I173 /\14+-ckt
NEW I AREA CODE
Z7Z�
pc Co I I-cse— s ,3 ►� 1x 77V/ S
PHONE NUMBER EXTENSION
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
or.• ganizations.
g/t31z,6
Signature of Candidate Date Signed
GO TO PAGE 2
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 1/1/2026
AMENDMENT:
CANDIDATE MODIFIED REPORTING DECLARATION
13 CANDIDATE
NAME
14 MODIFIED
REPORTING
DECLARATION
NEW
FORM ACTA
PG 2
COMPLETE THIS SECTION ONLY IF YOU ARE
CHOOSING MODIFIED REPORTING
•• This declaration must be filed no later than the 30th day before
the first election to which the declaration applies. ••
•• The modified reporting option is valid for one election cycle only. ••
(An election cycle includes a primary election, a general election, and any related runoffs.)
•• Candidates for the office of state chair of a political party
may NOT choose modified reporting. ••
I do not intend to accept more than $1,140 in political contributions
or make more than $1,140 in political expenditures (excluding
filing fees) in connection with any future election within the election
cycle. I understand that if either one of those limits is exceeded, I
will be required to file pre -election reports and, if necessary, a
runoff report.
Year of election(s) or election cycle to Signature of Candidate
which declaration applies
This appointment is effective on the date it is filed with the appropriate filing authority.
TEC Filers may send this form to the TEC electronically at treasappoint(a�ethics.state.tx.us
or mail to
Texas Ethics Commission
P.O. Box 12070
Austin, TX 78711-2070
Non-TEC Filers must file this form with the local filing authority
DO NOT SEND TO TEC
For more information about where to file go to:
https://www.ethics.state.tx.us/filinginfo/QuickFileAReport.php
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us Revised 1/1/2026