HomeMy WebLinkAboutDesignations of Campaign Treasurer-Campaign Finance Reports & Filings- Chuck Mogged -1/20/2016 (3)Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 � (512) 463-5800 (iDD 1-800-735-2989)
APPOINTMENT OF A CAMPAIGN TREASURER FORnn CTA
BY A CANDIDATE PG '�
'I Total pages fled:
See CTA Instruction Guide fordetailed instructions.
�
2 CANDIDATE Msimrts/MRJ FiRST M� OFFICEUSEONLY
NAME /`/�,A . � �II��G� �j nom. x
.....................................
NICKNAME LAST � SUFFI% �„ `
C,-l�UtLK. �iLSG�z`,: 1 SIL �� IR���f l, II_II \\'I�i j'� I':
i � 'i
i
$ CANDIDATE ADDRESS/POBOX; APTISUITEd: CITV', STATE', ZIPCOOE � �� �;��� ���t� I,� I;
MAILING '� ' �
ADDRESS jCi Z.���G�'.�v:..�/1 UiaL ° �.i�"1!.� i� C7vi �� P
��,�.�.rt:y�,��r� ;k� ����; �y � r f�fp ;� .
4 CANDIDATE AREA GODE PHONE NUMBER EXTENSION DaleHand-deliveretlorPos�ma�ketl
PHONE
���� � � � ] ,
/ >
�{ S - [� �/�V �� De�e Pmcessed
Y� l
5 OFFICE � , � � oateimagee
HELD ��IT� �'c�o-tPlG�L...9�'£.r'✓��f,�. ��C�1•' -
(if any)
6 OFFICE q
SOUGHT ��JV� �'CNNGIC- I��Ei�YI/�'`iL �ifC`[ �
(iF known)
7 CAMPAIGN MSIMR$IMRJ FIRST MI NICKNAME LAST SUFFl%
♦
TREASURER p� /� C
NAME / �� �- �\ i� V�.1.,_. ��i 1 V�� L.4 � �{
8 CAMPAIGN STREETADORESS (NOPOBOXPLEASE)�, APT/SUITEk: CITY: SiATE; ZIPCODE
TREASURER �7 ' �� - �-�
STREET �o :,�-=��'� 4�-�.�;C.1�- .�><_;�! F__, C.. � ��. ,
ADDRESS
/t�G �
(residenceorbusiness) `l��.L.4�.�� ����-��.f— 1 �. � 7�L.' J�`
9 CAMPAIGN �EA CODE PHONE NUMBER EXTENSION
TREASURER I
/ l -7 G�� �� �� )
PHONE / �+ 1..� II �.%4� ..
� (t>> �� I �: �-1 �z I -- i �1 �"7 �Z. C h)
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 of the restrictions in title 15 of the Election Code on contributions
from corporations and labor organizations.
�l
'i7� � � -'� .72> ��,. 1z�/i
� Signatureo Candi t � ateSigned
GO TO PAGE 2
www.ethics.staie.tx.us rceviseo un�w�<ow
iexascmicscommission HU.Box12070 Austin,Texas7871Y2070
CANDIDATE MODIFIED FORnn CTA
REPORTING DECLARATION Pc 2
11 CANDIDATE
NAME
12 MODIFIED
REPORTING COMPLETE THIS SECTION ONLY IF YOU ARE
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 eleclion �yGe inGudes a pnmary eledioq a generai election, and any relatetl 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.
Yearofelection(s)orelectioncydeto SignatureofCandidate
which declaration applies
This appointment is effective on the date it is filed with the appropriate filing authority.
www.emics.s�a[e.ix.us Revised 07/14/2010