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HomeMy WebLinkAboutMark Wester 02162016 Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989) APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA BY A CANDIDATE PG 1 r 1714 , I .+ ! � a�°_ ., , .:,,-- I.. 1 Total pages filed: I See CTA Instruction Guide for detailed instructions. D 2 CANDIDATE MS/MRS/MR FIRST MI OFFICE USE ONLY NAME /►/1R /1 k/K 5 /V 1 / V 1Acct.# NICKNAME LAST SUFFIX Date Received We S ",, INIIIN/Nyq 3 CANDIDATE ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE .. 6IL. 'i���i MAILING3 6,D 2- C/ee -' e.v ct f&ntie/ 1 75d1 :• y''. S ADDRESS } i 4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION Date 464,d-deli -d orPostm:rtia/ ♦ PHONE 011/0.* .. -� ..-- �h Date Processed.,,,.,,.,gN..� /(/ //1 .ICD-1(. 5 OFFICE Date Imaged I HELD � I1�1 ( � (if any) 6 OFFICE SOUGHT Coit 5' la t la6I-e_ (if known) 7 CAMPAIGN MS/MRS/MR FIRST MI NICKNAME LAST SUFFIX TREASURER NAME it /14(1)(( /j(/(/f 5 e S- . './ 8 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE TREASURER 6,02. cree(Cc,%r. C,f- Mc k.rlr7e/ TT 75-o--7 ( STREET ADDRESS (residence or business) i'---t 9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER 01 PHONE ( 4 7 ) 4 �!(O Jam - i 10 CANDIDATE - ^ v SIGNATURE I am aware of the Nepotism Law, Chapter 573 of the Texas Government 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. 4 2 reb 16 Signatur- • Candidate Date Signed GO TO PAGE 2 www.ethics.state.tx.us Revised 07/14/2010 Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989) CANDIDATE MODIFIED FORM CTA REPORTING DECLARATION PG 2 11 CANDIDATE NAME 711/1 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. 2— Year of election(s)or election cycle to Signature of Candidate C� which declaration applies a c l This appointment is effective on the date it is filed with the appropriate filing authority. www.ethics.state.tx.us Revised 07/14/2010