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HomeMy WebLinkAboutDesignations of Campaign Treasurer-Campaign Finance Reports & Filings-Jon Bullock-2/16/2017APPOINTMENT OF A CAMPAIGN TREASURER BY A CANDIDATE 2 CANDIDATE NAME 3 CANDIDATE MAILING ADDRESS 4 GANDIDATE PHONE 6 OFFIC HELD {if any) 6 OFFIC (It known) 7 CAMPAIGN 7REASURER NAME 8 CAMPAIGN TREASURER STREET ADDRES& (reaidence a 6winase) 9 90 CANDIDATE SIGNATURE 8ae CTAInsWefion Gulde fordatailetl instrucllona. Jo�✓ ('c NIGQJAAIE . . . • � . .N,.,cT . . • . . • . . . . . • • . . BUFFIX . . .L� crLLOCK — , MDRESB/PO80%: APT/9UI7EIk CRV: f� SfA7E; LPCOOE � J r�� � G�� % %//�%Ci�� lif • COLLE%(/lLL�, ��C %GD�� AREA COOE PHONE NUO�Bt (�l'7) "7�I•-�06I C�ll�yv'll� G+� Cou�C;I F�RST MI K �Y f� , �ottnn CTA PG 'I 1 70�1 OFFICE USE �� r�� �R :' !�r s1 sFc��rA�v�s or-ricE EIqEN910N UebkieMtNWxeEmPos�mal oatsvroa¢esea OatalmepeQ � Pla� � N�CKNAME LPBT � 9UFFp( ���� inuui+ess�napoBoxP�eA3Eg qpT/g11rtEp, CITV;� &7A'f� 9PCODE tf3o8 P�m�32oK� PI�WY ti% (sE9LLEy i/1 LL� ""�jt %(al%3�{ AREA CODE VHUDff NUMBER �$,�� �go-� 6�aa rwu, .. 1 am aware of the NepoHsm Law, Chapter 573 of the Texas Govemment Code. I am aware of my responsfbiliry to file timely reports as required by title 15 of the Electfon Code. i am aware ofthe restrictions in ti8e 95 of the Election Coda on contributfons from corporations and labororganizatlons. 1��"�`�' � �G �D �7 Signatureof Cantlidate Dete Signea GO TO PAGE 2 _ ._ www.ethics.state.bc.us Revisetl 07/74/2010 i iw.wcm:�c4p<g acis-onuu CANDIDATE MODIFIED FORnn CTA REPORTING DECLARATION PG 2 ' 11 NAME DATE LL(i CK Jati �. (3 r� �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 Frst election to which the declaration applies. •• •• The modified •• Candid�tes for th� rlaav NOT option is valid for one election cycle only. •• a primaryelecGon, a general elecfion, and anyrelated runofFs.) I do not intend to acce t more make more than $500 i olitic in connectio with any tun 1 understand at if either ne required to fil pre-electio report. Vearofelection(s) orelection cycleto which declaration applies aiState chair of a political party modified reporting. •• thali $500 in political contributions or al expenditures (excluding filing fees) ; election within the election cycle. of those limits is exceeded, I will be reports and, if necessary, a runoff Signatu�e of Candidate This appointment Is effective on the date it is filed with the appropriate filing authority. www.ethics.state.tx.us Revised 07/14/2010