Including Mental Health Support in Project Delivery, 14 May.pdf
Roger d. harris appointment of a campaign treasurer by a candidate - roger d. harris
1. 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 ' I
1 Total pages filed:
See CTA Instruction Guide for detailed instructions.
2 CANDIDATE
MS/ MRS/ MR FIRST MI
OFFICE USE ONLY
NAME
1 IQ TZO(o te
1'
Acct. #
NICKNAME LAST SUFFIX
T`
1.
4 S
Date Received
1` M-
n
RECFIVED
3 CANDIDATE ADDRESS / PO BOX; APT/ SUITE#; CITY; STATE; ZIP CODE
MAILING
Z6's_ W . ( 00, 514,4/ 1 • ' 51-8 Z0 I
ADDRESS JAN 14 2015
M
e1ctHric7'
7; 7s-°69
CITY SECRETARY
4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION
Date Hand- delivered or Postmarked
PHONE
chz ) 349 - 2,s-A
l s Date Processeded
5 OFFICE
Date Imaged
HELD t^ A 4-
14%v104.-
Ci
L 1'1 61.441...t l 001.
I e--
if any)
6 OFFICE I /
SOUGHT A - klv1vl v.( 4h( (_,G v%t: 4 ( w I' -
La 5'L
if known) I
7 CAMPAIGN
MS/ MRS/ MR FIRST MI NICKNAME LAST SUFFIX
TREASURER
NAME lJlw , 2,aPe. R. 4Z45
8 CAMPAIGN
STREET ADDRESS ( NO PO BOX PLEASE); APT/ SUITE#; CITY; STATE; ZIP CODE
TREASURER
s+. 3' C-
STREET 2- - LA.) . LOUIStat
ADDRESS
AA
I f, '7 S, Co 1
re4dence or business)
G 1 1 KH
9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
7-2_ ) 3 _2 s'
10 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 aware of the restrictions in title 15 of the Election Code on contributions
from corporations and labor organizations.
UVle.S. i
I ILi- IZo1S
Signature of Candidate Date Signed
GO TO PAGE 2
www. ethics. state. tx. us Revised 07/ 14/ 2010
