HomeMy WebLinkAboutBritton, Lorren CTA 2012 Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA
BY A CANDIDATE PG 1
See CTA Instruction Guide for detailed instructions. 1 Total pages filed:
2 CANDIDATE MS/MRS/MR FIRST (�
MI
NAME R1�-tl� OFFICE USE ONLY
Acct. #
NICKNAME . .LAST �'% . .
SUFFIX
Date Received
3 CANDIDATE ADDRESS/PO BOX: APT/SUITE N; CITY; STATE; ZIP CODEMAILING
ADDRESS OO I V`i LkA
t.�1.,aS5 I Tx
4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION Date Hand-delivered or Postmarked
PHONE n
3SL/ I^ Date Processed
5 OFFICE i
HELD Date Imaged
(if any) Nt' V4 I-
6
6 OFFICE
SOUGHT n—
a �� eE S► � �,.re i 1,
7 MS/MRS FIRST MI NICKNAME
LAST SUFFIX
ER
N STREET ADDRESS(NO PO BOX PLEASE); APT/SUITE CITY; STATE; \ ZIP CODE
TREASU
RER �� ?�pOYdS
(residence or business)
9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE 35 -
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.
O:L. ��-, IL,-
�fl�CEt 5 20 iZ
Signature of Candidate Date Signed
GO TOPAGE 2
www.ethics.state.Ix.us
Revised 07/14/2010
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
FORM CTA
CANDIDATE MODIFIED PG 2
REPORTING DECLARATION
11 CANDIDATE
NAME
12 MODIFIED COMPLETE THIS SECTION ONLY IF YOU ARE
REPORTING
DECLARATION CHOOSING MODIFIED REPORTING
••This declaration must be filed no later than the 30th day before
the first election to which the declaration applies. ••
••The modified reporting option is valid for one election cycle only. ••
(M election cycle Includes a primary election,a general election,and any related runoffs.)
•• Candidates for the office of state chair of a political party
may NOT choose modified reporting. --
I do not intend to accept more than $500 in political contributions or
make more than $500 in political expenditures(excluding filing fees)
in connection with any future election within the election cycle.
I understand that if either one of those limits is exceeded, I will be
required to file pre-election reports and, if necessary, a runoff
report.
Year of election(s)or election cycle to Signature of Candidate
which declaration applies
This appointment is effective on the date it is filed with the appropriate filing authority.
Revised 07/14/2010
www.ethics.state.tx.us