Torres-Lepp ACT 2022APPOINTMENT 1 FORM CTA
Y A CANDIDATEPG 1
See
CTA Instruction Guide for detailed instructions.
1 Total pages filed:
2 CANDIDATE
NAME
MS:`MRS,'MR FIRST Nil
Am ,
OFFICE USE ONLY
Filer I D #
NICKNAME .LAST SUFFIX
Da
-
JAN 19 2022
3 CANDIDATE
MAILING
ADDRESS ? PO BOX; APT 'SUITE #; CITY; STATE; ZIP CODE
OFFICE OF IV SECRETARY
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ADDRESS
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Date Hand -delivered or Postmarked
4 CANDIDATE
AREA CODE: PHONE NUMBER EXTENSION
Receipt# Amount$.
PHONE
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Date Processed
5 OFFICE
Sic) ®1 /yi Y / Y
/
Date Imaged
(if any)
GJ t °ta ,
6 OFFICE
SOUGHT
(if known)
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CAMPAIGN
MSIMRS/MR FIRST MI NICKNAME LAST SUFFIX
TREASURER
NAME
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t"�V
H .CAMPAIGN
STREET ADDRESS; APT.SUITE Y; CITY; STATE; ZIP CODE
TREASURER '
STREET
Cri I��
ADDRESS
(residence or business)
9 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
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 corpo i s and labor organizations:
F,
44�
Ignature of Candidate Da e Signe
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Forms provided by Texas Ethics
Commission www.ethics.state.tx.us Revised 1/1/2022