Talley ACT 2020 APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA
BY A CANDIDATE PG 1
1 Total pages filed:
See CTA Instruction Guide for detailed instructions.
2 CANDIDATE MS/MF /MR FIRS MI OFFICE USE ONLY
NAME l��•�' n l �
�`�� Filer ID#
&LAy -rage/ SUFFIX Cite Received RECEIVED
3 CANDIDATE ADDRESS/POBOX: APT/SUITE#J; CITY: STATE; ZIP CODE
MAILING 02,6/21?/ / ' .91e.a? L ,',
JAN 1 1 2020 i
ADDRESSSA.fratke-
/ '///./ / ;J, (/�5 /���9.,C Date Hand-delivered or Postmarked
/� !!! FFF (/�- OFFICE OF CITY SECRFrARY
4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION Rw9iot# , AmountS
PHONE /J�( �(/ .'- 301-17
( /7) _ ( )// Date Processed
0U-L- 2:63 (.ON
5 OFFICE Date Imaged
HELD
(if any) �1 / F/4)676 .1_,6 OFUICE (,)/;
/ES /[ >
SOUGHT SC/A/.(if known) C�
7 CAMPAIGN MS/MRS? FIRST MI NICK E LAST SUFFIX
TREASURER CCCC���IIICC�i�III �/G /�� / /J' /J14G -1//j
NAME l/ // /V' //�a(/ C.�' ��j/ ✓y
8 CAMPAIGN STREET ADDRESS(NO PO4Kd
LEASE): APT/SUITE# CITY: STATE `JZIP CODE /ii
TREASURER ,(7:7 < 'r 'Vzr s(:, C jx` `r 7 &Z
STREET / /C✓
ADDRESS /
(residence or business)
9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER �� — 7
PHONE l l/� L(-(
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.
_________. 17
"weillii ----- i 4/eac -i '
Signature of Candi.4- Date Signed
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Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 12/6/2019