HomeMy WebLinkAboutSusan Fletcher 01152016 Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
AMENDMENT: APPOINTMENT OFAd l '0. A 1 FORM ACTA
CAMPAIGN TREASURER BY A CANDIDATE PG 1
1 CANDIDATE 2 ACCOUNT# 3 Total pages filed:
NAME SusAN /J. F1 /CflE&
,
See ACTA Instruction Guide for detailed instructions.
Use this form for changes to existing information only. Do not provide information previously disclosed.
4 CANDIDATE NEW I MS/MRS/MR FIRST MI
I,c OFFICE mayakt
NAME Mks, g 1/t V ��O p('��
' Date Received`. . ''.`'V 4
NICKNAME LAST SUFFIX ' •t S
P1-ETa i2
ft
....-- 1 i
NEW I ADDRESS/PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE
5 CANDIDATE
MAILING 1/ % r /1� kik / \
ADDRESS 8 75 Fo/'/�C(�G f/JIC
• Dat and- •..:'; ���`�
" ��
PR t s co , 7X 75-03C -,,,,w,,,,,.Natikii .�
Date Processed
6 CANDIDATE NEW I AREA CODE PHONE NUMBER EXTENSION / 15--i4.
PHONE c972) 5b 7- �t 62 Date Imaged / - ,S /6
7 OFFICE HELD NEW II/A / N CO / (/�/�M I (// /�L��G /j.'
(if any) C D 11 � `iI/ • • Ty C M�I c i of \F�s/ p ' /
8 OFFICE NEW I
SOUGHT
(*known) ( WCoi Nry WA4� `! igrio `r Ski Pc • /
COW N
9 CAMPAIGN NEW I MS/MRS/MR FIRST MI NICKNAME LAST SUFFIX
TREASURER
NAME MR . ,. !-1 scorr c o rr J . SN/rN
10 CAMPAIGN NEW I STREET ADDRESS(NO PO BOX PLEASE); APT/SUITE*: CITY; STATE; ZIP CODE
(71
TREASURER
ASTREET
DDRESS 39/2 St/Ne/LOW T/?4/ L
(residence or business) M C Ey 75-0 70
11 CAMPAIGN NEW 1 AREA CODE PHONE NUMBER EXTENSION
ranr.r_
TREASURER
PHONE /�� 93 - 99,8`e&972) UT
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 ale: . of the restrictions in title 15 of the Election Code on contributions
from rations and labor , rg- ization .
i41 Jfr' 1. _#/ /��/6
IIP „Ignature of Ca r•ate Date Signed
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www.ethics.state.tx.uS Revised 07/14/2010
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-207i$ -, (512)463-5800 (TDD 1-800-735-2989)
Pt
AMENDMENT: ` ' '` t FORM ACTA
CANDIDATE MODIFIED REPORTING DECLARATION PG 2
13 CANDIDATE FIE-7—CH-EK NAME �N/ PL/r �• !/�J
14 MODIFIED NEW I
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.
Year of election(s)or election cycle to Signature of Candidate
which declaration applies
ail
0
L3^1
This appointment is effective on the date it is filed with the appropriate filing autholy.
• F
www.ethics.state.tx.us Revised 07/14/2010