HomeMy WebLinkAboutJeffrey Williams - CTA - February 2022 APPOINTMENT OF A CAMPAIGNS ; : ft FORM CTA
BY A CANDIDATE of PG 1
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See CTA Instruction Guide for detailed instructions. 7
2 CANDIDATE MS!MRS/MR FIRST ,�c� Mt OF t NI,Y
NAME ni tt JC-Fi��c/ 5 .P:� '7O�
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NICKNAME LAST SUFFIX Date '... .. `'' C)
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3 CANDIDATE ADDRESS,PO BOMAILINGX. n� APT/SUITE#; CITY; STATE: ZIP CODE ?9...''...
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ADDRESS ii0( (A), 6'1 c PE12_ 1 Perr D� °''0•,ot133T3 ?i�
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II- LE/V, -Tx . 751�j3 0,2• l4• D-_-_2 �,
4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION R cei eptl/ -T Amou $
PHONE
('is 9 ) l (a 61✓ ® Date Processed ��s
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5 OFFICE Date Imaged
HELD
of any;
6 OFFICE C0/-4.--/,t1
SOUGHT COUNTY CDry1(41 155(ONt✓l/- �i2£Gii 7 q
(it known)
7 CAMPAIGN MS/MRS/MR FIRST MI NICKNAME LAST SUFFIX
TREASURER , 1
NAME IAA i'Q- J� �I 5 -E WZt i/// S
8 CAMPAIGN STREET ADDRESS: APT/SUITE S: CITY, STATE: ZIP CODE
TREASURER c(dG CO' Olc TT P6rrYIO Pe_STREET S#
ADDRESS CI o
(residence or business) CD v
A-1-1_. N TX . 75 Dl_3 �
9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER r
PHONE ( ` ) Q c, (t-t'2 /
in
10 CANDIDATE U1
SIGNATURE I am aware of the Nepotism Law, Chapter 573 of the Texas G ernmr t 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.
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_____._ Si lure of Candidate Date Signed
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Forms provided by Texas Ethics Commission www.ethics.state tx.us Revised 1/1/2022