Tracy rath appointment of a campaign treasurer by a candidate - gigi bonham
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
I Total pages filed:
See CTA Instruction Guide for detailed instructions.
2 CANDIDATE
MS/ MRS/ MR FIRST MI
OFFICE USE ONLY
NAME
I fa( / Acct #
NICKNAME LAST SUFFIX
4+1/"N
Date
ReceEC E V E D
3 CANDIDATE ADDRESS / PO BOX; APT/ SUITE#; CITY, STATE, ZIP CODE
MAILING
X40 3 CO..
i Q V t( Ve— Dr, JAN 2 2 2015
ADDRESS
McK; Yrye_,/ 150-7 CITY SECRETARY
4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION
Date Hand-delivered or Postmarked
PHONE
0-4)
cam"
5 j 75—9 5( _1
Date Processed
5 OFFICE
J
Date Imaged
HELD
if any)
6 OFFICE
I
e_
1 f . •SOUGHT
MCX: 1 C 1+
1 ( V ,& r
c( I A l LCLY B -if known)
7 CAMPAIGN
MS/ MRS/ MR FIRST MI NICKNAME LAST SUFFIX
TREASURER
NAME
Vr
I5 'I Nvko_vy-
8 CAMPAIGN
STREET ADDRESS ( NO PO BOX PLEASE), APT/ SUITE#; CITY; STATE, ZIP CODE
TREASURER
C
STREET
40
Jp _(—
U- IA1
ADDRESS
p
C y1'residence or business)
v` ;
0 q , I '
L -
15 O 70
9 CAMPAIGN AREA CODE `-/
r
PHONE NUMBER
I
EXTENSION
TREASURER
PHONE
ail-)-)41-2 - ! o' 3
10 CANDIDATE
V
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 core rations and labor organizations.
0•
A16 -i0W 1- 2_1- is
Signature of Candidate Date Signed
GO TO PAGE 2
www. ethics. state. tx. us Revised 07/ 14/ 2010
