HomeMy WebLinkAboutJones, Gary CTA 2014 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/MR /MR FIRSTOFFICE USE O
NLY
NAME V j�
r Acct. #
NICKNAME .LAk. . . . . . . .
SUFFIX
Date Received
pC� CC� OM �
3 CANDIDATE ADDRESS/PO BOX; APT fSUITE
.-#; CITY; < STATE; ZIP CODE
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ADDRESSMAILING G CDr/ !rjLUC (Ilw fJ 7/ / �` ` 7" FEBED � 3 =4
I=�CtaY1
4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION teHand I e or o a
PHONE
J�-'T J / - 3
(C/3 3' Date Processed
5 OFFICE ( Date Imaged
HELD
(if any)
6 OFFICE
SOUGHT
(if known)
7 CAMPAIGN MS/MR R FIRST MI NICKNAME LAST SUFFIX
TREASURER
NAME /�Q�. [A�
8 CAMPAIGN STREET ADDRESS (NO
(NO PO BOX PLEASE); APT/SUITE# CITY; STATE; ZIP CODE C�
STREET
TREASURER C� , oc; -/ /POI /ZGL IL�s /T / v�
ADDRESS
(residence or business)
9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE (.5 3-7 --3
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 f the restrictions in title 15 of the Election Code on contributions
from cor rations a bor organizations.
:�
i n u f Candidate Date Signed
GO TO PAGE 2
www.ethics.state.tx.us Revised 07/14/2010
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
CANDIDATE MODIFIED FORM CTA
REPORTING DECLARATION PG 2
11 CANDIDATE
NAME
12 MODIFIED
REPORTING COMPLETE THIS SECTION ONLY IF YOU ARE
DECLARATION CHOOSING MODIFIED REPORTING
�t
IN
t
VL If tf •• This declaration must be filed no later than the 30th day before
r7T /
IN f � � 1 the first election to which the declaration applies. •-
t�
log :F �r
•• The modified reporting option is valid for one election cycle only. ••
(An election cycle includes a primary election,a general election,and any related runoffs.)
:. JIJ310 YT 1.1
•• 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.
I
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.
www.ethics.state.tx.us Revised 07/14/2010