HomeMy WebLinkAboutDesignations of Campaign Treasurer-Campaign Finance Reports & Filings-Mike Sexton-11/18/2016�exas ctnics �ommission r.v. tsox �i�uiu Hustin, iexas iu� �i�i-�uiu (�"IL) 4b3-�tSUU � i uu �i-uuu-r:s�-�yuy�
APPOINTMENT OF A CAMPAIGN TREASURER FORnn CTA
BY A CANDIDATE P� 1
See CTA Instruction Guide for detailed instructions. 1 Total pages filed:
2 CA N D I DATE MS / MRS / MR FIRST MI
NAME �' i
OFFICE USE ONLY
1Y `.!' e Y y` `C �� `,Q � � Acct. #
Y 1 ��
NICKNAME LAST � SUFFIX
Date c i e� ��� n/] �
l/
3 CA N D I DATE ADDRESS J PO BOX; APT / SUI `E #; CITY; STATE; ZIP CODE ���� ���� ��
M A I L I N G .�6 � 2 �j �'�,Gl�p h ON- �" •�� 1 V j�IL'�K !`Q 3�
ADDRESS �
CITY SECRETARY'S OFFIC
� r'��-�-P� ry�
4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION Date Hand-deliveredor Postmarked +
PHONE
( � � � ) � 2' � ��' Date Processed
l,� � ( ` / �
5 OFFICE Date Imaged
HELD �� �
(if any)
6 OFFICE'
SOUGHT
(if known)
7 CAMPAIGN MS/MRS/MR FIRST MI NICKNAME LAST SUFFIX
TREASURER
NAME
/ ,
��. . T�,
8 CAM PA I G N STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE
TREASURER
STREET
ADDRESS
(residence or business) � � r �� J� � C I U �'(� _%� � 3
�Q (,�! ��� Q, i � � 7
� �
9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE � �I \ • �
�� �/-!� � �
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 aw he restrictions in fiitle 15 of the Election Code on contributions
fro rporatio and labor organizations.
1�- /� .�%G
Signature of Candidate Date Signed
GO TO PAGE 2
iexas ttnics c,ommission r.u. t�ox 'i�uiu Hustin, iexas iui �i�i-�uiu (��'L) 41��-StSUU
. - � � � • � �
� .�,� � . -. �
11 CANDIDATE
NAME
12 MODIFIED
REPORTING
DECLARAT�ON
�
1 �
i uu i-o�u-i 3�-��ay
FORM CTA
PG �
COMPL.ETE THIS SECTION ONLY IF YOU ARE
CHOOSING tVIODIFIED REI�Ot�TINC
•- This declaration must be filed no later fihan the 30th day before
the first election to which the declaration applies. ��
•• The modified reporting option is valid for one election cycle only. •�
(An election cycle includes a primary election, a general election, and any related 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 �iling 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 election cycle to
which declaration applies
Signature of Candidate
This appointment is effective on the date it is filed with the appropriate filing authority.
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