HomeMy WebLinkAboutDesignations of Campaign Treasurer-Campaign Finance Reports & Filings- David Kelly-1/20/2016 (2)Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 � (512) 463-5800 (fDD 1-800-735-2989)
APPOINTMENT OF A CAMPAIGN TREASURER FORnn CTA
BY A CANDIDATE PG 1
� � Total pages (led:
See CTA Instruction Guide fordetailed instructions.
2 CANDIDATE MS/MR$/MR FIRST Mi OFFICEUSEONLY
NAME
/�� /G l�r�vr o � A�<� «
NICKNAME LAST $UFFIX �r rj `-\ / rI
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/ II
3 CANDIDATE ADORESSIPOBOX; APT/SUITE#; CITY; STATE; ZIPCODE I� .jf�,'�� 1 e'� I
MAILING ) (� ! �
ADDRESS JOf> �Ni/-wnr�0 �ANC- �c/�byv.//F 7� %�iO3y �� � i3a:m ._�:�
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CITY SC(.RL1�iRY';5 UFFI(;i �
4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION DateHantl-deliveretlorPoslmarketl
PHONE
�ale Processetl
d�� 23s -���a�
5 OFFICE Datelmagetl
HELD �y
(if any) /i.)/} `�pi�
6 OFFICE
SOUGHT �� yC�\
(if known)
7 CAMPAIGN MSIMR$/MR FIRST MI NICKNAME LAST SUFFI%
TREASURER �/� D��U � ��G`LLLf
NAME /
8 CAMPAIGN STREETADDRESS (NOPOBOXPLEASE); APT/SUITE#; CITY; STAiE; ZIPCADE
TREASURER �,✓ N����.. ,� �
sTReeT �� ,a�✓�: /_.�/l� yo,//�- �T�t_ %��.n 3 f/
ADDRESS
(residence or business)
9 CAMPAIGN �EA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE �bi(%� Z3S�—iv/Q:i
10 CANDIDATE
SIGNATURE � am aware of the Nepotism Law, Chapter 573ofthe Texas Government Code.
1 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.
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� G�.._l..'.�_�� ��.� /_J/�2(`i 20: G..
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Signatur§.of � andida e Date Signed
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www.ethics.state.ix.us Revised 07/74/2010
iexas cmics �ommission HU. tlOx 12U70
CANDIDATE MODIFIED
REPORTING DECLARATION
1'I CANDIDATE
NAME
'12 MODIFIED
REPORTING
DECLARATION
iexas
COMPLETE THIS SECTION ONLY IF YOU ARE
CHOOSING MODIFIED REPORTING
FORM CTA
•• 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 primary election, a general eleciion, and any related runoHs.)
•• 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.
Year of election(s) or elec[ion cycle [o
which tleclaration applies
Signature of Candidate
This appointment is effective on the date it is filed with the appropriate filing authority.
PG 2
www.ethics.state.tx.us Revised 07/14/2010