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220727 -- Appointment of Campaign Treasurer -- Mark SmithAPPOINTMENT OF A CAMPAIGN TREASURER FORM CTA BY A CANDIDATE PG 1 1 Tota l pages filed : See CTA Instruction Guide for detailed instructions. I 2 CA NDIDATE MS/MRS/MR FIRST Ml OFFICE USE ONLY NAM E ~Yk S INhie-_ Fi ler I D# ---------------------------------------------------- NICKNAME LAST SUFF IX Dale Received RECEIVED 3 CAND I DAT E ADDRESS I PO BOX : APT I SU IT E #; CITY ; STATE ; ZIP CODE JUL 2 7 2022 MAILING Date Hand~deli vered or Postmarked 4 CANDIDATE AREA CODE PHONE NUMBER EXTENS ION Receipt # I Amount$ PHONE < Da te Processed 5 OFF I CE Dale I maged H E LD (if any) 6 OFF I CE f!1f1LYvuY1c::::1 I Ptttce t SO U G H T (if known) 7 CAM PAIG N MS/MRS/MR FIRST Ml NICKNAME LAST SUFF IX TREAS U RER ?elev-Pc-e-s friAV\ NAM E 8 CAMPA I G N STREET ADDRESS; APT I SU ITE #; CITY: STATE : ZIP CODE TREAS U RER ' <l 1 v-c:..1"2-STREET ADDRESS Ca Uea e Sk-h.~ 1 f',x· 17j Lf-5 (re sid ence or bu sin ess ) 9 CAM PAIG N AREA CODE PHONE NUMBER EXTENS ION TREAS URER P H O N E ( (og 2..) -s &6 (!) 3 2.,/ 10 CAr\J D IDATE S IG NATUR E I am a w are of the Nepotism Law, C h apter 573 of the Texas Governme nt Code . I a m a w are of my r espo n s ibility to fil e time ly r epo rts as required by title 1 5 of the E lection Code . I a m aware of the r estrictions in title 1 5 of the E lection Code on contribution s f~~~1~gan ;zat;on s. 7 [21L2.7- Dat e S ig n ed GO TO PAGE 2 Forms provided by Texas Ethi cs Com mi ss ion www.et hi cs.s tat e.tx.u s Rev ise d 4/2/202 1