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HomeMy WebLinkAbout191022 - Appointment of Campaign Treasurer - Concerned Citizens of Bryan/College Station Political Action Committee,p .. ' APPOINTMENT OF A CAMPAIGN TREASURER FORM STA BYA SPECIFIC-PURPOSE COMMITTEE PG 1 See STA Instruction Guide for detailed instructions. 1 Total pages filed : If you are involved in a School District Bond Election, you must file Form STA with the local filing authority ~pages-2. p (/-. ::~/2 s BEFORE sending a file-stamped copy to the Texas Ethics Commission . 2 COMMITTEE Cone erned Citizens of Bryan/College Political Action Committee OFFICE USE ONLY NAME Filer ID# 3 COMMITTEE ADDRESS I PO BOX; APT I SUITE#: CITY; STATE; ZIP CODE ADDRESS 4711 St Andrews Dr College Station TX 77845 Oat< R E CEIVED OCT 2 2 iU I~ 4 CAMPAIGN MS/MRS/MR FIRST Ml BY:~ ............ TREASURER Mr. John NAME . . ..... . . . . . .. . .. . . . . NICKNAME LAST SUFFIX Date Hand-delivered or Postmarked Thaden Receipt# I Amount$ 5 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT I SUITE#; CI TY: STATE; ZIP CODE TREASURER 4711 St Andrews Dr College Station TX 77845 STREET Date Processed ADDRESS (residence o r business) Date Imaged 6 MAILING ADDRESS I PO BOX; APT I SUITE#; CITY; STATE: ZIP CODE ADDRESS !iZI same as above 7 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER ( ) PHONE 979 595 5691 8 PERSON FIRST Ml LAST SUFFIX APPOINTING TREASURER John Thaden 9 SIGNATURE I understand that I have been appointed as the campaign treasurer for this specific-purpose committee and that I am responsib le for filing all required reports and that I may be subject to fi oe' foe fa; luce to do '° I am awace oft he ce,trict;o°' ;o m1e 15 oft ~~ oo cootribut;o°' from corporations and labor organi zati o ns. ~ ~~ --Lo~/)- / Signature of Campaign Treasurer 10 ASSISTANT FIRST Ml LAST SUFFIX CAMPAIGN None TREASURER (see instructions) 11 ASSISTANT ADDR ESS I PO BOX; APT /SUITE#; CITY; STATE; ZIP CODE CAMPAIGN TREASURER ADDRESS 12 ASSISTANT AREA CODE PHONE NUMBER EXTENSION CAMPAIGN TREASURER ( ) PHONE CONTINUE ON PAGE 2 Forms provided by Texas Ethics Commissioti www.ethics.state.tx.us Revised 10/14/2019 SPECIFIC-PURPOSE COMMITTEE: FORM STA PG 2 PURPOSE AND MODIFIED REPORTING DECLARATION 13 COMMITTEE NAME Concerned Citizens of Bryan/College Political Action Committee 14 COMMITTEE cAND1DATE10FF1cEHOLDERNAME John Crompton for College Station City Council Seat 2 PURPOSE Patrick Lee Giammalva for Mayor of Bryan -~ suPPORT CANDIDATE Rafael Peria for Bryan Single Member District 2 ~ Sedrick Gilbert for Brvan Sinale Member District 1 D OPPOSE CANDIDATE D ASSIST OFFICEHOLDER ~SUPPORT MEASURE D OPPOSE MEASURE 15 MODIFIED REPORTING DECLARATION OFFICE SOUGHT (candidate) /OFFICE HELD (officeholder) see above BALLOT IDENTIFICATION OF MEASURE I # ELECTION DATE None Month / Day / Year DESCRIPTION -Save the green space and bird habitat at the old Bryan Municipal Golf Course -Restore the green space and bird habitat at College Station's Lick Creek Park 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 declaration is valid for one election cycle only. •• (An election cycle includes a primary election, a general election, and any related runoffs.) The committee does not intend to accept more than $500 in political contributions or make more than $500 in political expenditures (excluding filing fees) in connection with any future election within the election cycle. The committee understands that if either one of those limits is exceeded, the committee's campaign treasurer will be required to file pre-election reports and, if necessary, a runoff report. Year of election(s) or election cycle to which declaration applies JV/)/ ,/ Signature of Campaign Treasurer TEC Filers may send this form to the TEC electronically at treasappoint@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://eth ics. state. tx. us/filin ginfo/Qu ickFileAReport. php This appointment is effective on the date it is filed with the appropriate filing authority. CONTINUE ON PAGE 3 Forms provided by Texas Ethics Commission www.ethics.state.Ix.us Revised 10/14/2019