Treasurer Appointments

1. Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711- 2070 512) 463-5800 ( TDD 1- 800-735-2989)
AMENDMENT: APPOINTMENT OF A FORM ACTA
CAMPAIGN TREASURER BYA CANDIDATE PG 1
1 CANDIDATE 2 ACCOUNT# 3 Total pages filed:
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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 corporatio and labor organizations.
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Sir ature of Candidate Date Signed
GO TO PAGE 2
www. ethics. state. tx. us Revised 07/ 14/ 2010