HomeMy WebLinkAboutCampaign Treasurer-01.04.2018-Pitts,KevinAPPOINTMENT OF A CAMPAIGN TREASURER
BY A CANDIDATE
See CTA Instruction Guide for detailed instructions.
(if any)
2 CANDIDATE
MS/MRS/MR
FIRST
MI
NAME
(n �•
�J i 11
W
NICKNAME
GIST
SUFFIX
LAST SUFFIX
TREASURER
3 CANDIDATE ADDRESS / PO BOX;
APT / SUITE #; CITY; STATE;
ZIP CODE
MAILING
ADDRESS
l�uf, LraVA -TX
/�J XW-3
4 CANDIDATE
PHONE
AREA CODE PHONE NUMBER
EXTENSION
FORM CTA
PG 1
1 Total pages filed:
OFFICE USE ONLY
Filer ID # ��11''''''''``''�� ��y■
JAN 0 4 ?(l;s
City Secretary
Date Hand -delivered or Postmarked
Receipt# Amounl$
Date Processed
5 OFFICE
HELD
Date Imaged
(if any)
6 OFFICE
SOUGHT
e e
(if known)
( t,.
7 CAMPAIGN
MS/MRS/MR FIRST MI
NICKNAME
LAST SUFFIX
TREASURER
NAME
)0
8 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #;
CITY; STATE;
ZIP CODE
TREASURER
STREET
ADDRESS
(residence or business)
/
G CID (
i o
�� 0
W ✓i LL 7A V
9 CAMPAIGN
AREA CODE PHONE NUMBER
EXTENSION
TREASURER
PHONE
`
10 CANDIDATE
SIGNATURE
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.
am aware of the restrictions in title 15 of the Election Code on contributions
from torpor ons and labor organizations.
r
Signature of Candidate Date Signed
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 12/7/2017