HomeMy WebLinkAboutAndrew White 12172015 -
APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA
BY A CANDIDATE PG 1
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1 l pages filed:
See CTA Instruction Guide for detailed instructions.
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2 CANDIDATE MS/MRS/MR FIRST MI OFFICE USE ONLY
NAME White, Andrew E Acct. #
NICKNAME LAST SUFFIX
Date Received`r/.. .....................................
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3 CANDIDATE ADDRESS/PO BOX; APT/SUITE# CITY; STATE; ZIP CODE �. i'
MAILING S.
ADDRESS 2308 Early Morn Ct. -ES' / '*=
v -.or p71111 .,i ;I-.
Piano TX 75093 ;...
4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION s<L .IW' �..\`r`
PHONE A`/ rnpqualiJii. , t, „`,
(/
21''F/ Date Processed
789-0921 /2 . i ) _ i S-
5 OFFICE Date Imaged
HELD j
(if any) N/A ! 2‘.' 1') - f S
S OFFICE
SOUGHT
(if known) Collin County Justice of the Peace Precinct 3-1
7 CAMPAIGN MS/MRS/MR FIRST MI NICKNAME LAST SUFFIX
TREASURER
NAME Mr.Justin A. Schaefer
8 CAMPAIGN STREET ADDRESS(NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER 5405 Troup Hwy Suite 101 Tyler, TX
STREET
ADDRESS
(residence or business)
01
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9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
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TREASURER c')
PHONE "-
903) 571-7760 --•1
10 CANDIDATE
SIGNATURE I am aware of the Nepotism Law, Chapter 573 of the Texas GovernmerACode. -
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.
-f"4/ - c r) /0 -e c 2./..}1c—
Signature of Candidate Date Signed
GO TO PAGE 2
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CANDIDATE MODIFIED FORM CTA
REPORTING DECLARATION PG 2
11 CANDIDATE
NAME
12 MODIFIED
REPORTING COMPLETE THIS SECTION ONLY IF YOU ARE
DECLARATION CHOOSING MODIFIED REPORTING
This 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 includes a primary election,a general election,and any related runoffs.)
Candidates for the office of state chair of a political party
may NOT choose modified reporting. ••
I do not intend to accept more than $500 in political contributions or
make more than$500 in political expenditures(excluding filing fees)
in connection with any future election within the election cycle.
I understand that if either one of those limits is exceeded, I will be
required to file pre-election reports and, if necessary, a runoff
report.
g() 1
Year of election(s)or election cycle to Si of Candidate
which declaration applies
This appointment is effective on the date it is filed with the appropriate filing auttlarity.
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