HomeMy WebLinkAboutDerek Baker 01152014 Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
AMENDMENT: APPOINTMENT OFA FORM ACTA
CAMPAIGN TREASURER BYA CANDIDATE PG 1
JORIGINAL
1 CANDIDATE 2 ACCOUNT# 3 Total pages filed:
NAME
Mr.Derek V.Baker 1
See ACTA Instruction Guide for detailed instructions.
Use this form for changes to existing information only. Do not provide information previously disclosed.
NEW I MS/MRS/MR FIRST MI !"'/'I'
4 CANDIDATE 1:
NAME
Date HEdtived
NICKNAME LAST SUFFIX _ ! \rof
Z •
5 CANDIDATE NEW I ADDRESS/PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE '•,�
ADDRESS 'o���' .* O��
Datnd-d�en'fig 74
Date Processed
6 CANDIDATE NEW I AREA CODE PHONE NUMBER EXTENSION ( ' )S , Pi
PHONE Date Imaged
. ( ) I - ,s- >y
7 OFFICE HELD NEW I
(if any)
8 OFFICE NEW I
SOUGHT
(if known) undetermined
9 CAMPAIGN NEW I MS/MRS/MR FIRST MI NICKNAME LAST SUI
♦
TREASURER � e
NAME Mr.Derek V.Baker „4
10 CAMPAIGN NEW I STREET ADDRESS(NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE (.1i
STREET TREASURER 5100 Eldorado Parkway,Suite 102-321,McKinney,TX 75070
ADDRESS
(residence or business) � � ' ”"?i
N €
11 CAMPAIGN NEW I AREA CODE PHONE NUMBER EXTENSION
TREASURER ( 214 ) 551-4604
PHONE
12 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• title 15 of the Election Code on contributions
from . _ .atior- an. .b. sreanizations.
Adz,
-, ///C-(ZiOfif
Signature of Candidate Date Signed
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