HomeMy WebLinkAboutDesignations of Campaign Treasurer-Campaign Finance Reports & Filings-Elizabeth Zeitlin-1/28/2015 (2)Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
APPOINTMENT OF A CAMPAIGN TREASURER FORnn CTA
BY A CANDIDATE ac 1
. . .. . . . � Tolal pa9es fled: .. -- . - . . -. - ... --
See CTA Instruction Guide for detailed instructions.
MS/MRS/MR FIRSi !dl
2_.CANDIDAT_E__ _.___ _____. . _ OFFICEUSEONLY
NAME MKS• �u2A�rTN- R•
Accl. #
NICKNAME lA$T SUFFIX
pale ei
„��2" 2E�rLir1
3 CANDIDATE A��RESS IPOBOX; APT/SUIiEN: CITV; STATE; 21PCODE ��N 28 ?.015
MAILING
ADDRESS I 80o G�➢E Q�. �ou,�v�u,� �'�` ���3N CITY SECREI'ARY'S OFfI E
4 CANDIDATE AREA CODE PHONE NUMBER E%TENSION DaleHand-0eliveretlo�Poslma�ketl �
PHONE
(2�N ) crgo-Slolo� oa�aP�o�essed
5 OFFICE oateimagea
HELD
(iF any)
6 OFFICE
SOUGHT COu.�'�v���i,� Gtr`1 V�UhDii�l� PL�kGE S
(if known)
7 CAMPAIGN MSRdRSIMR FIRST MI NICKNAME LAST SUFFlX
TREASURER
NAME
MRs. A�e�P M� G��c�
8 CAMPAIGN STftEETA�ORESS (NOPOBOXPIEASE): APTISUITEk; CITY; STATE; ZIPCODE
TREASURER �A��r -�y ^ q
ADDRESS �� v�,C�SAP�P�� LM SO V�N"L+�r-G �,/` 1�D IZ
(residence or business)
9 CAMPAIGN A%EA CODE PHONE NUMBER E%TENSION
TREASURER
PHONE (SI 1 ) �I 1���9��
'10 CANDIDATE
SIGNATURE 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 ofthe restrictions in title 15 ofthe Election Code on contributions
from corporations and labor organizations.
`� �� �I2� I►s
l��re of Candidate Date Signed
GO TO PAGE 2
www.ethics.stale.ix.us Revised 07/14/2070
r�s
roxa��uucsi,urmnission r.v.nox�itV/V
CANDIDATE MODIFIED FORnn CTA
REPORTING DECLARATION PC' 2
99 CANDIDATE �
NAME
�z MODIFIED COMPLETE THIS SECTION ONLY IF YOU ARE
REPORTING
DECLAR.4TION 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. ••
(M elec�on cyGe inGudes a pnmary eleclion, a general eleclion, and any relaled 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 $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.
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.
Vearofelection(s)orelectioncycleto SignatureofCandidate
which tleclaration applies
This appointment is effective on the date it is filed with the appropriate filing authority.
www.ethics.state.ix.us Revised 07/14I2010