HomeMy WebLinkAboutDesignations of Campaign Treasurer-Campaign Finance Reports & Filings-Jody Short -2/15/2011Texas Fthics C~mirission P.O. Bnx 12070 Austin. Texas 78711-2070 (511} 463-5E300 (TDD 1-800-735-2989)
APP4INTMENT (~F A CAMPAlGN TREASURER ~oRnn CTA
BY A CANDIDATE PG 1
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See CTA Instrt~ctinn Guide for detailed instructinns.
1 Toial pages ;i?ed.
2 CANDiDA~TE MS; r"~kS~MFi rift'~~ ~~~ OFFICE USE ONLY
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NAME JOSCQ~ ~
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NICKNAME v,ST ciUFFIX
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3 CANDIf7ATE ~L!,oriess ~r~oHC:~X, a~risi.~~'I'FU; a'rY: s'rr~rt, riNCOOr.:
MAILING
ADDRESS
~ FEB l~ 2011
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CITY SECRETARY'S OFFICE
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4 CANDIDATE ~REFl COCE PHONE NUMBER EXTENSlON Date Hand-yein-c:r~~tl or Postmarkc:d
PHONE
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DatF Pror.essed
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5 OFFICE
HELD
N I~ Da?el~naged
(if any)
g OFF`ICE
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7 CAMPAIGN r~tsmn~es,rnF+ rutsr nni NI('KNAMF.: !..~st surrix
TREASURER
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8 CAMPAIGN SCRFFlAt?DF2FSS~NO!'OBi~Xf!..'.r.r1SF1 FlF'T;SUITF~k f;ll'Y g'i'A'fF ZI('c;Ci~i"r.:
i"t~EASUREt~
A(:7DRESS
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9 C:AMPAIGN ~RFA CODE PHONE NUtv78ER EX"ENSION
r~Easur~~r~
i~HONE t~ 1~ ~ ~'03 ! L~~
1p CANQIDATE
SIGNATURE I am aware of the Nepotism Law, Chapter 5 73 af the Te xas Government Code.
I am aware of my r~esponsibility to file tirnely reports as required by title 15 of
the Election Cade.
I am aware of the restrictions in title 15 of the Election Gode on contributions
from corp~ratians nd labor rganizations.
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Sigr~ature af CancJidate Ds3te Sigr~~.d
Gt~ Tt~ PAGE 2
wvvw.eth;cs.state.tx.us t~evised C7?14r20?0
Texas Ethics Commission P.O. Box 12070 Austin. Texas 78711-2070 (5121463-5800 tTDD 1-Rn~-7~5-~9H~tl
CANDIDATE MtJDtF1ED FoRM CTA
REPt~RTING DECLARATION ~'G 2
11 CANC~IDATE _. . _ ................. _ ..... ......... .. . .............
NAME
~2 MODIFIED
REPORTING COMPLETE THIS SECTION ONLY IF YOU ARE
DECLARATION CHt~OSING MODIFIED REPORTING
•• 7his 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. •-
(An election cycle indudes a prim2ry election, a genetal election, and any related runoffs.)
•• Candidates for the office of state chair of a political party
may NOT choose modified reporting. --
I da not intend to accept more than ~500 in pnlitical contrib~tions or
make more than $500 in political expenditures {excluding fiiing fees)
in connection with any future election within the electian cycle.
1 understand that if either ane of those limits is exceeded, I will be
required to file pre-election reports and, if necessary, a runoff
report.
Year of election(s) c~relection cycle to Signattare of Candidate
which declaration applies
This appointment is effective on the date it is filed with the appropriate fiiing authority.
www.ett~ics.state.tx.us ftevised 07114i2010