HomeMy WebLinkAboutCampaign Treasurer - Jonrowe - 01.21.2014on a.. 4on7n A"&in Tavae 78711-9(170 (512)463-5800 (TDD 1-800-735-2989)
E D ENM APPOINTMENT OF A FORM ACTA
CAMPAIGN TREASURER BYA CANDIDATE PG
1 CANDIDATE
2 ACCOUNT #
3 Total pages filed:
NAME
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See ACTA Instruction Guide for detailed instructions.
Use this form for changes to existing information only. Do not provide information previously disclosed.
4 CANDIDATE
NAME
NEW MS/MRS/MR FIRST MI
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OFFICE USE ONLY
Date Received
NICKNAME LAST SUFFIX
RECEIVED
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JAN 2 1 2014
1 SUITE #; CITY; STATE; ZIP CODE
5 CANDIDATE
NEW ADDRESS I PO BOX; APT
MAILING
ADDRESS
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Date ed
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Date Processed
6 CANDIDATE
NEW AREA CODE PHONE NUMBER EXTENSION
Date Imaged
PHONE
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7 OFFICE HELD
(if any)
NEW
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8 OFFICE
SOUGHT
NEw
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(if known)
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9 CAMPAIGN
NEW I MS/MRS/MR FIRST MI NICKNAME LAST SUFFIX
NAMESURER
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10 CAMPAIGN
—N -EW] -STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE
TREASURER
STREET
(�dC
. Q..wvVi l`- �cI
ADDRESS
(residence or business)
11 CAMPAIGN
NEW AREA CODE PHONE NUMBER EXTENSION
TREASURER
\ `„ CPTREA
12 CANDIDATE
SIGNATURE
1 am aware of the Nepotism Law, Chapter 573 of the 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 porations and labor organizations. % J
Signature of ndid to Date Signed
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