HomeMy WebLinkAboutHesser_Appointment of Campaign Treasurer_01.22.20160 -
APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA
BY A CANDIDATE PG I
See CTA Instruction Guide for detailed instructions. 1 Total pages filed:
- - MRS
2 CANDIDATE MS I MRS/ R:Mi OFFICE USE ONLY
NAME
Acct. #
NICKNAME * . . . . . . . . LAST. . . . . . . . . . . . . SUFFIX
�kce5se K Date ReRj=_ CEIVED
3 CANDIDATE ADDRESS / PO BOX; APT SUITE CITY; STATE: ZIP CODE JAN 2 2 2016
MAILING
ADDRESS
CRY Secretary
4 CANDIDATE
AREA CODE PHONE NUMBER EXTENSION Date Hand -delivered or Postmarked
PHONE
( ) Date Processed
5 OFFICEDate
Imaged
HELD
(if any)
L
6 OFFICE
SOUGHT
known)
(if
7 CAMPAIGN
MS/MRS R ' FIRST MI LAST SUFFIX
TREASURER
NAME
8 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE): APT SUITE CITY; STATE; ZIP CODE
TREASURER
STREET
ADDRESS
7
(residence or business)
9 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
io 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 aware of the restrictions in title 15 of the Election Code on contributions
from corporations and labor organizations.
r --Z
Sig4atureo/f Candidate Date Signed
GO TO PAGE 2
www. ethics. state. tx. us Revised 07/1412010