HomeMy WebLinkAboutRachel Elliott - CTA - April 2022 APPOINTMENT OF A CAMPAIGN TtGirtf FORM CTA
BY A CANDIDATE �L. PG 1
See CTA Instruction Guide for detailed instructions. 1 Total pages fi 4.--- ,1--e___,
2 CANDIDATE
M MRS/ R FIRST MI Offies'At ,Q�LY
NAME
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NICKNAME LAST SUFFIX , _� /
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3 CANDIDATE ADDRESS/PO BOX;
APT/SUITE#; CITY; STATE; ZIP CODE
MAILING f V i✓1 eyou-ci L o1 Yl ,,, 5.. ty�
ADDRESS 5 5 ei '�%„NOLL'J3� ,`'
YY16, Gir1✓1e?, i x 7-50 - 95-72
DatErr pd-deliverr Post
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4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION Receipt# Amount
PHONE 0—1 �7
0) 3 LJ 7- -9-5-4 O Date Processed
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6 OFFICE
Cc 17' Re t,H i G")✓1 Qgrt'y Date Imaged
HELD ReGIV16i- IZI.v Cliiciir `SIDS HDLP I
(if any)
6 OFFICE Col ItV1 Coor)ty 1 eRAbli Gov rP irty
SOUGHT
(if known) Fe CA y1 C+ 12 ip CAnc i y SD S N-C)(o I
7 CAMPAIGN M.3SRIR FIRST MI NICKNAME LAST SUFFIX
TREASURER }}
NAME R GI c4,-1)7A L. E i Ito ' 1
8 CAMPAIGN STREET ADDRESS; APT/SUITE#, CITY; STATE ZIP CODE
TREASURERTREET
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ADDRESS J V
(residence or business) GF--In Vl€ M. - 95 72 cr"i ro
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9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
70
TREASURER I
PHONE cepto) Si _ '154(. v,
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10 CANDIDATE 93
SIGNATURE I am aware of the Nepotism Law, Chapter 573 of the Texas Govemmeitt Code.
m
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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Signature of Candidate Date Signed
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2022
CANDIDATE MODIFIED QR/r'!AtA � FORM CTA
REPORTING DECLARATION vt PG 2
11 CANDIDATE
NAME 01C4'-ie/A L . E l ' r0tt
12 MODIFIED REPORTING COMPLETE THIS SECTION ONLY IF YOU ARE
DECLARATION CHOOSING MODIFIED REPORTING
•• This dec
laration s de aration 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 $940 in political contributions
or make more than $940 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,
will be required to file pre-election reports and, if necessary, a
runoff report.
2ozz .
Year of election(s)or election cycle to Signature of Candidate
which declaration applies
This appointment is effective on the date it is filed with the appropriate filing autlerority.
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TEC Filers may send this form to the TEC electronically at treasappointAethics.stife.tx.usp
or mail to
Texas Ethics Commission
P.O. Box 12070 Q'
Austin,TX 78711-2070or
Non-TEC Filers must file this form with the local filing authority °D
DO NOT SEND TO TEC '
co
For more information about where to file go to:
https://www.ethics.state.tx.us/filinginfo/QuickFileAReport.php
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2022