Reynolds, Austin CTAA
1APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA
BY A CANDIDATE
PG
See CTA Instruction Guide for detailed instructions.
1 Total pages filed:
2 CANDIDATE
NAME
MS/MRS/MR FIRST MI
11
— LY -
W%.09-1 V &.W
Filer ID #
/W. 146�
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NICKNAME LAST SUFFIX Date ReceiN III el? b V 1 2024
&44,'n - X:et/d616L
0) / 0,.)-ppp
3 CANDIDATE
ADDRESS / PO BOX; APT / SUITE 4; CITY; STATE; ZIP CODE
DFFICE OF CITY SECRETARY
MAILING
ADDRESS
AREA CODE PHONE NUMBER EXTENSION
Date Hand -delivered or Postmarked
4 CANDIDATE
PHONE
91-3-2091
Date Processed
Date Imaged
5 OFFICE
HELD
(if any)
, Flace-
so Cl
6 OFFICE
SOUGHT
(if known)
al�jo�k
7 CAMPAIGN
MS/MRSIMR FIRST MI NICKNAME
LAST SUFFIX
TREASURER
NAME
P?rs - Kimber�
A
8 CAMPAIGN
STREET ADDRESS: APT! SUITE A; CITY;
STATE; ZIP CODE
TREASURER
STREET
6213 49Y-Zawt �;vu)IKIWe,
I -A /a 092
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 corporations and labor organizations.
Date Sig
Sign of Candidate
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/11/2024