HomeMy WebLinkAboutDesignations of Campaign Treasurer-Campaign Finance Reports & Filings-Nancy Coplen -2/3/2015Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (5'12) 463-5800 (TDD 1-800-735-2989)
APPOINTMENT OF A CAMPAIGN TREASURER FORnn CTA
BY A CANDIDATE PG 1
1 To�al pages filed:
See CTA Instruction Guide for detailed instructions.
2 CANDIDATE MsimRsimR Fiasr ^^� OFFICEUSEONLY
NAME
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NICKNPME LHSt SUPFlX _^«r��.a^��'•M•^^'•.�^•.:-...:�-...�-._
e �
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3 CANDIDATE nooRess iaoeox. 2avsuiTett� arr, srnre ziacooe ,I II E� ��13 � �; ��'� )
MAILING u
ADDRESS �� j �
c��'�"�`���� cr�'���,�`� �x arv s�c�Ern�r�s or-ric�
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4 CANDIDATE AREP. CODE PHONE NUMBER E%tEN510N DaleHantl-tleliveretlo�Posima�ketl
PHONE
/ .�� �'� � '2 ���-� _ Q _��� � Dale Pmwssetl
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5 OFFICE Dateimaged
HELD
(if any)
6 OFFICE / f t�
SOUGHT �A��e�V\��Q� C_l�� `l�i i7'Q��<'��\ \�\CICC'� �s
(if known)
7 CAMPAIGN MSIMRSIMR FIRST MI NICKNAME LAST SUFFl%
TREASURER �\
NAME M� RL�� lvtl'("`C
H CAMPAIGN STREETADDRESS (NOPOBOXP�EASE): APTISUITEW: QTV�, STATP. ➢PCOOE
TREASURER
STREET ,�bC� �fiV J\CW /-�U��. C_Ci \��;��\\\� I� ��`'i JL\
ADDRESS
(residence or business)
9 CAMPAIGN AREA GODE PHONE NUMBER EXTENSION
TREASURER
PHONE ���� � �.�� ' ����
10 CANDIDATE
SIGNATURE � 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.
������--� `�z„� �— �.� ��.
Sigvature ndi�� t� DateSigned
\�
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www.ethics.state.tx.us Revised 07/14/2010
CANDIDATE MODIFIED FORnn CTA
REPORTING DECLARATION PG 2
11 CANDIDATE ,
NAME '
�z MODIFIED COMPLETE THIS SECTION ONLY IF YOU ARE
REPORTING
DECLARATION 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 election cyGe inGudes a pnmary election, a generai election, antl any related mnoHs.)
•• 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 declaralion applies
This appointment is effective on the date it is filed with the appropriate filing authority.
www.ethics.state.tx.us . Revised 07/14/2010