Scharli, Frances CTAAPPOINTMENT OF A CAMPAIGN TREASURER
FORM CTA
BY A CANDIDATE
PG 1
See CTA Instruction Guide for detailed instructions.
1 Total pages filed:
2 CANDIDATE
MSIMRSIMR FIRST MI
FF E U N Y_
NAME
Filer to# RECEIVED
NICKNWE LA'ST . . . . . . . . . SUFFIX
Date Received
D E C 1 2 2023
ADDRESS / PO BOX; APT SUITE #; CITY; STATE; ZIP CODE
3 CANDIDATE
MAILING
ADDRESS
1A -1-0 TX '74,,Dcja�
OFFICE OF CITY SECRETARI
or Postmarked
lWelivered
icy
4 CANDIDATE
AREA CODE PHONE NUMBER EXTENSION
Receipt # Amount $
PHONE
Date Processed
5 OFFICE
Date Imaged
HELD
(if any)
6 OFFICE
SOUGHT
—S-0 OT+k 1,4��F— C I T1 C6 0 #je- V L-
(if known)
7 CAMPAIGN
MS/MRS/MR FIRST MI NICKNAME
LAST SUFFIX
TREASURER
NAME
8 CAMPAIGN
STREET ADDRESS; APT / SUITE #; CITY;
STATE; ZIP CODE
TREASURER
STREET
--It, 1 IF, 15-rA-T IF A 14.1A �<F*11 # vT 6 iN
ADDRESS
(residence or business)
9 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
1-7
to 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.
Signature of Candidate
Date Signed
GOT PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2022