HomeMy WebLinkAbout260709 -- Appointment of Campaign Treasurer -- Valen CepakAPPOINTMENT OF A CAMPAIGN TREASURER
BY A CANDIDATE
See CTA Instruction Guide for detailed instructions.
2 CANDIDATE
NAME
3 CANDIDATE
MAILING
ADDRESS
4 CANDIDATE
PHONE
5 OFFICE
HELD
(if any)
6 OFFICE
SOUGHT
(if known)
7 CAMPAIGN
TREASURER
NAME
8 CAMPAIGN
TREASURER
STREET
ADDRESS
(residence or business)
9 CAMPAIGN
TREASURER
PHONE
10 CANDIDATE
SIGNATURE
MS / MRS / MR
Mr.
FIRST
Valen
MI
NICKNAME
LAST
Cepak
SUFFIX
ADDRESS / PO BOX; APT / SUITE #; CITY: STATE. ZIP CODE
AREA CODE PHONE NUMBER
(
College Station City Council
MS/MRS/MR FIRST
STREET ADDRESS.
EXTENSION
FORM CTA
PG 1
1 Total pages filed:
OFFICE USE ONLY
Filer ID #
Date Received
RECEIVED
JUL 0 9 2026
Date Hand -delivered or Postmarked
Receipt #
Date Processed
Date Imaged
Amount S
MI NICKNAME LAST SUFFIX
Darian Janik Shelton
APT / SUITE #. CITY STATE: ZIP CODE
1173 Natchez Dr. College Station, TX 77845
AREA CODE
PHONE NUMBER EXTENSION
(832 ) 451 2723
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.
Forms provided by Texas Ethics Commission
oci /07/6
gnature of Candidate Date Signed
GO TO PAGE 2
www.ethics.state.tx.us Revised 1/1/2026